Hmsa jobs - Hawaii

Island: Oahu City: Honolulu Location: HMSA CENTER Employment Type: Full Time - Regular-On-Contract Job Summary: The primary purpose of this job is to assist in the monitoring,... more

professional development in accordance with HMSA standard of conduct. 2. Identify, ... vendors. 7. Attend and successfully complete HMSA and FEP training as assigned. 8. more

Exempt Island: Oahu City: Honolulu Location: HMSA CENTER Employment Type: Full Time Job Summary: Leads the business process and system analysis and design reviews with minimal... more

Exempt Island: Oahu City: Honolulu Location: HMSA CENTER Employment Type: Full Time Job Summary: Performs project management responsibilities for technology implementations for... more

communication and interaction with internal HMSA departments, external business partners, ... surveys, HMSA internal project documents, HMSA administrative and benefit guidelines... more

Exempt Island: Oahu City: Honolulu Location: HMSA CENTER Employment Type: Full Time Job ... approaches, devise work plans, to improve HMSA??s process development and management... more

not limited to appropriate application of HMSA??s benefit and administrative policies ... customer servicing. 6. Attends and completes HMSA training classes as assigned. 7. Perform... more

Exempt Island: Oahu City: Honolulu Location: HMSA CENTER Employment Type: Full Time Job Summary: Responsible for assisting, organizing and coordinating projects that will improve... more

Exempt Island: Oahu City: Honolulu Location: HMSA CENTER Employment Type: Full Time Job Summary: Performs project management responsibilities for technology implementations for... more

Exempt Island: Oahu City: Honolulu Location: HMSA CENTER Employment Type: Full Time Job ... of payment for services billed for all HMSA lines of business and contracted... more

members/prospects by contacting them when HMSA has new plans/services to offer. * Acts ... of the drivers and trends within HMSA and the healthcare industry that affect... more

Exempt Island: Oahu City: Honolulu Location: HMSA CENTER Employment Type: Full Time Job ... with providers on best practices and HMSA policies and procedures; and to... more

research and analysis to determine HMSA's competitive market position. Evaluates ... systematic and timely reports, including HMSA's Affirmative Action Program. * Prepares... more

Exempt Island: Oahu City: Honolulu Location: HMSA CENTER Employment Type: Full Time Job ... processes and policies. Provides training to HMSA staff on established testing processes... more

(i.e., departments, functions within HMSA) to facilitate changes or improvements ... of sources to include but not limited to HMSA??s mainframe, financial, medical and... more

Island: Oahu City: Honolulu Location: HMSA CENTER Employment Type: Full Time Job Summary: Investigate potential Third Party Liability cases to determine primacy and ensure correct... more

Island: Oahu City: Honolulu Location: HMSA CENTER Employment Type: Full Time - Regular-On-Contract Job Summary: Investigate potential Third Party Liability cases to determine... more

Service Assn. Job Title: Medical Director, HMSA Online Care Exempt or Non-Exempt: Exempt ... medical leadership and clinical guidance to HMSA??s Online Care system. Provides... more

Island: Oahu City: Honolulu Location: HMSA CENTER Employment Type: Full Time Job Summary: To fulfill the promises that staff in Customer Relations makes to our customers. Promises... more

and other healthcare providers against HMSA policies and procedures, CMS and other national standards to evaluate appropriateness. Provide clear and concise case documentation and... more

Island: Oahu City: Honolulu Location: HMSA CENTER Employment Type: Full Time - Regular-On-Contract Job Summary: The primary purpose of this job is to assist in the monitoring,... more

Island: Oahu City: Honolulu Location: HMSA CENTER Employment Type: Full Time - Regular-On-Contract Job Summary: The primary purpose of this job is to assist in the monitoring,... more

we serve. APS Healthcare is managing the HMSA QUEST Integrated Health Management Program, which provides comprehensive field and telephonic care management and care coordination... more

Exempt Island: Oahu City: Honolulu Location: HMSA CENTER Employment Type: Full Time Job ... of quality accreditation status for all HMSA lines of business. Duties and... more

Island: Oahu City: Honolulu Location: HMSA CENTER Employment Type: Full Time Job Summary: Performs a wide variety of complex, non-routine clerical and secretarial support... more

(i.e., departments, functions within HMSA) to facilitate changes or improvements needed to correct problems and improve servicing. 6. Continue to learn HMSAs business and all... more

Island: Oahu City: Honolulu Location: HMSA CENTER Employment Type: Full Time Job Summary: Investigate potential Third Party Liability cases to determine primacy and ensure correct... more

1. Lead or facilitate work effort to identify opportunities, develop approaches, devise work plans, to improve HMSAs process development and management capability. This includes... more

considering resources, constraints, and HMSA values. 4. Cross-Functional Integration ... Work with the Quality Improvement team, HMSA departments and external partners to... more

their arrival. Visitors include providers, HMSA employees, employer ... timely. Must exercise judgment to work with HMSA management, primarily Customer Relations... more

we serve.APS Healthcare is managing the HMSA QUEST Integrated Health Management Program, which provides comprehensive field and telephonic care management and care coordination... more

we serve. APS Healthcare is managing the HMSA QUEST Integrated Health Management Program, which provides comprehensive field and telephonic care management and care coordination... more

we serve.APS Healthcare is managing the HMSA QUEST Integrated Health Management Program, which provides comprehensive field and telephonic care management and care coordination... more

we serve.APS Healthcare is managing the HMSA QUEST Integrated Health Management Program, which provides comprehensive field and telephonic care management and care coordination... more

we serve.APS Healthcare is managing the HMSA QUEST Integrated Health Management Program, which provides comprehensive field and telephonic care management and care coordination... more

we serve.APS Healthcare is managing the HMSA QUEST Integrated Health Management Program, which provides comprehensive field and telephonic care management and care coordination... more

we serve.APS Healthcare is managing the HMSA QUEST Integrated Health Management Program, which provides comprehensive field and telephonic care management and care coordination... more

we serve. APS Healthcare is managing the HMSA QUEST Integrated Health Management Program, which provides comprehensive field and telephonic care management and care coordination... more

we serve. APS Healthcare is managing the HMSA QUEST Integrated Health Management Program, which provides comprehensive field and telephonic care management and care coordination... more

exchange of membership information between HMSA and an employer group or a third party administrator. Maps data fields between different file formats, then translates data between... more

leadership and supervisory oversight of HMSA's BCC programs. Provides clinical supervision and consultation to program staff as needed. Responsible for staff development and... more

and discovery activities involving other HMSA departments, and researching court ... of HMSA in actions against or involving HMSA. 7. Prepare complex corporate documents. more

and impact of updates to code tables and claims pricing instructions (Suspend Error Resolutions). 7. Attend and successfully complete HMSA training classes as assigned. 8. more

requirements. Works with other HMSA governance, support and business units ... of HMSA. Works in conjunction with all HMSA support and business units. 5. Perform... more

and pre-authorization requests for all HMSA lines of business as described in the ... and benefit coverage applicable to specific HMSA lines of business and contracted... more

provides input to test plans, test cases and schedules. 8. Defines and evaluates testing metrics for end-users. 9. Provides training to HMSA staff on established testing... more

We offer excellent benefits including HMSA or Kaiser, (Drug, Vision, Dental), Vacation, PTO, Sick, 401k Retirement Savings Plan and Profit Sharing, Long Term Disability Insurance,... more

loading of HMSA data by TriWest. * Work with HMSA and TriWest staff to ensure accurate ... relations: Represent HMSA and attend regularly scheduled and... more

guidelines * Appropriate application of HMSA?s benefit and administrative policies ... 7. Attends and successfully completes HMSA training classes as assigned. 8. Perform... more

and provider relation functions as the HMSA Online Care Medical Director. Assists in recruitment of provider network and provides on going training and problem solving. more