to service excellence. Effectively and independently analyze and research inquiries from customers (internal and external... to their needs quickly and efficiently. Requires broad understanding of HMSA's business, including the Hawaii Health Connector, HMSA...
to compliance guidelines including but not limited to HIPAA Core Rules, Washington Publishing Company Updates, BCBS Association... work effort for Disbursements functions such as recovery of provider negative balance, review and reconciliation of medical...
and to identify actionable tasks. Achieve service commitments from core and support functional areas. Prioritize, track and manage...
governance principles to determine optimal integration into the governance environment. Stakeholders, Project, and Service... Requests Provide support and coordinate stakeholder interactions, projects, and service requests across the enterprise...
metrics across all provider contract requirements and Service Level Agreements (SLAs). Recommend actions for improvement... performance reporting. Capture potential value leakage and/or service level penalties. Coordinate implementation of SLA...
department and external service providers to enhance claims platforms and integrate automation, AI, and data analytics tools... responsibilities and duties as assigned or directed. Support relationship(s) with service providers as applicable. #LI-Hybrid...
Job Description: General Administrative Support Relieves the CEO/assigned Executive(s) of majority of administrative functions and tasks, ensuring the most effective/efficient use of the Executive's attention and focus. Drafts routine...
Job Description: Leads the annual planning process including developing financial tools and analyses and working with functional area leaders in refining their respective budgets into useful management tools. Analyze, identify and track ...
Job Description: Monitor the performance and address issues with any business partners or vendors that supports the Members Servicing Department. Build relationships with both internal and external customers to include members and emplo...
Job Description: a. Resolve enrollment, eligibility and billing issues and inquiries timely and accurately from members, employer groups and third party administrators by phone, email and written correspondence by: Researching and co...
Job Description: Resolve enrollment, eligibility and billing issues and inquiries timely and accurately from members, employer groups and third party administrators by phone, email and written correspondence by: Researching and colla...
Job Description: Stakeholder Support: Support product managers by eliciting stakeholder input, documenting product needs, and participating in discussions across the product lifecycle. Assist with stakeholder communications to clarify g...
Job Description: Provide strategic management and direction for the configuration of health plan products, provider networks, and reimbursement methodologies to ensure alignment with business requirements, state and federal regulations, ...
Job Description: Product Ownership & Agile Delivery: Develop, maintain and communicate product vision & roadmaps, ensuring alignment with organizational goals, technology trends, and customer needs. Represent the voice of the custom...
Job Description: Manage and lead a claims team by providing training, mentorship, and best practice solutions. Manage daily operations of the claims team, including inventory analysis, tracking and resolution of claims Serve as the esc...
Job Description: Oversee and manage accounting operations for HMSA and its subsidiaries, including general ledger and reconciliation activities. Streamline processes and implement efficiencies to optimize financial operations. Ensure ac...
Job Description: Reviews and conducts analysis of financial statements for HMSA and other related entities in an accurate and timely manner. This includes preparation, summarization, and maintenance of source data in various subsystems o...
a smaller team, they are the largest Hawaii based American Heart Association training center. They focus on giving back to the... community by partnering with Hawaii HEART to teach CPR to elementary school students. Position Summary: This organization...
American Medical Association; Association of American Medical Colleges; Liaison Committee on Medical Education; Commission...Overview: The position Physician (Neurology) is located at Tripler Medical Center, Honolulu, HI. The Island of Oahu...
and output. Exhausts all troubleshooting methods before contacting Chief MRI Technologist and/or service engineer; documents... any errors or equipment malfunctions in service log when Chief Technologist is not available. Reviews requisitions...