Browse Jobs
Browse fresh roles from company career pages, then filter by keyword, location, salary, skills, remote scope, and more. Each listing links back to the employer-controlled apply path when available.
66 jobs match your filters
2d
Customer Service and Sales Representative
HMSA
Performance Meet established marketing plan goals, and achieve annual sales revenue and membership growth objectives by effectively promoting and closing prospective sales opportunities. Perform quick and efficient transaction fulfillment of telephone calls or email from prospect
Kapolei-OB
onsite
3d
Medical Management Policy & Research Analyst I
HMSA
Revise and/or develop medical policies adopted from the BCBSA in conjunction with assigned medical director and in accordance with Development and Approval of Medical Policy administrative policy; process includes appropriate and timely implementation and publication. Assist with
HMSA BLDG-HMS-OAHMS
onsite
6d
Manager, Encounter Submissions
HMSA
Encounter Submissions Management Communicates with LOB leads and Governance Finance Director on the necessary information and context for strategic business decision making. Establishes schedule for meetings and deliverables to complete needs of all 3 lines of business encounter
HMSA BLDG-HMS-OAHMS
onsite
1w
BlueCard Program Coordinator
HMSA
Provides and interprets all program guidance internally regarding Inter-Plan Program policies and manuals being accountable for all Inter-Plan governance and policy matters. Monitor and effectively manage inventory of unresolved complex inquiries to provide timely follow-up and a
Kapolei-OB
onsite
1w
Senior Data Governance Analyst
HMSA
Data Governance Expertise and Processes The Senior Data Governance Analyst lead in the management of governance processes, revise existing governance processes, and implement new processes that are aligned with corporate priorities and initiatives. This could include: Use and sup
HMSA BLDG-HMS-OAHMS
onsite
1w
Senior Accounting Analyst
HMSA
Ensures proper recordation and reporting of various financial transactions for the Association and its Subsidiaries. Communicate with other F&A staff and internal departments to record and reconcile the following: Prepare and post accruals for various general ledger accounts on a
HMSA BLDG-HMS-OAHMS
onsite
1w
Community Health Worker (LTSS)
HMSA
Manage community health by establishing and maintaining trusting relationships with individuals, families, and providers to promote health, recovery, resiliency, and wellness. Advocate and support members and their families by prioritizing their needs and preferences, making sure
HMSA BLDG-HMS-OAHMS
onsite
2w
Enterprise Program Manager
HMSA
Enterprise Program Management: Manages multiple high-level, mission-critical, cross-departmental programs and project(s), from design through implementation, with guidance from executive sponsors and/or business owners: Facilitates the definition of project scope, goals, and deli
HMSA BLDG-HMS-OAHMS
onsite
2w
Provider Performance Advocate
HMSA
Provider Practice Engagement & Communication and Relationship Building Manages patient gaps in care by establishing efficient and effective workflows between providers, patients, and HMSA. Accountable for establishing and maintaining sustained engagement within practices that imp
HMSA Center PEO-HMPEO
onsite
3w
Strategic Executive Assistant
HMSA
Executive Support Provide high-level administrative and strategic support to the Executive and department leadership, exercising independent judgment to ensure effective use of leadership time and focus. Manage the Executive's calendar and schedule balancing priorities, proactive
HMSA BLDG-HMS-OAHMS
onsite
3w
Program Coordinator II
HMSA
Project Support and Documentation: Works closely with the project team to support the development of artifacts and project material used in the project management process. Supports the collection of project performance data and develops reports and presentations for executive and
HMSA BLDG-HMS-OAHMS
onsite
3w
Senior Auditor I
HMSA
Under the general guidance of the Audit Manager: Perform audit support functions related to risk-based, operational, compliance, financial, and information technology audits, and consulting projects for HMSA. Assist in the execution of audit programs and consulting projects, repo
HMSA BLDG-HMS-OAHMS
onsite
3w
Senior Auditor II
HMSA
Under the general guidance of the Director: Perform risk-based, compliance, operational, financial and information technology audits and consulting projects for HMSA. Create and execute audit programs and consulting projects, report findings and recommendations, and perform follo
HMSA BLDG-HMS-OAHMS
onsite
4w
System Analyst
HMSA
Responsible for analysis, design, development, integration, maintenance and support of applications. Responsibilities include, but may not be limited to, the following: Leads and/or participates in the project planning process with clients, business analysts and team members. Ass
HMSA BLDG-HMS-OAHMS
onsite
4w
Healthcare Services Analyst II
HMSA
Research and Analysis: Research and respond to low to medium complexity internal and external inquires. Is proficient at utilizing a variety of resources including but not limited to on-line information files and databases, Medicare/other plan guidelines, plan certificates, provi
HMSA BLDG-HMS-OAHMS
onsite
4w
Accounts Receivable Representative
HMSA
Independently process group and direct payments received from walk-in members and groups while providing all customers with an exceptional customer-focused and positive HMSA Center experience. Ensure that the experience meets the customer's needs and exceeds their expectations. C
HMSA BLDG-HMS-OAHMS
onsite
4w
Senior Project Administrator
HMSA
Analyzes, generates and recommends solutions and leads and oversees others on activities related to employer events and operations projects. Generally handles complex assignments with external impacts as assigned by department executives and directors in support of the department
HMSA BLDG-HMS-OAHMS
onsite
4w
Engineer - Desktop
HMSA
Responsible for operating and providing support to HMSA's desktop and end-user infrastructure. Responsibilities include, but are not limited to the following: Implements, Maintains and upgrades HMSA's endpoint and client software. Installs, configures and troubleshoots computers
HMSA BLDG-HMS-OAHMS
onsite
1mo
Utilization Reviewer (Applied Behavior Analysis)
HMSA
Applies appropriate medical necessity criteria for Applied Behavior Analysis from an established medical policy and clinical guidelines to render pre- or post-service clinical decisions as described in the Medical Management UM work plan. This detailed analysis includes evaluatin
HMSA BLDG-HMS-OAHMS
onsite
1mo
Manager, Membership Administration
HMSA
Manage and lead a membership admin team by providing training, mentorship, and best practice solutions. Manage daily operations of the membership admin team, including inventory analysis, tracking and resolution Serve as the escalation point for complex or disputed cases and driv
HMSA BLDG-HMS-OAHMS
onsite
1mo
Provider Contracting Manager
HMSA
HMSA Provider Strategy You are responsible for being an active participant in the shaping, informing, leading, and implementing HMSA's overall corporate strategy to its providers. You are expected to play an integral role in supporting, including implementing, various strategic p
HMSA BLDG-HMS-OAHMS
onsite
1mo
Senior System Analyst
HMSA
Responsible for analysis, design, modeling and architecture for application systems and domains. Manages the maintenance and support of assigned application system(s). May participate in development, maintenance and support activities. Manages, leads, and/or participates in the p
HMSA BLDG-HMS-OAHMS
onsite
1mo
Consultant Engagement Manager
HMSA
Performance Protect HMSA's grow market share through the successful renewal and retention of assigned accounts and generate new sales. Work in partnership with HMSA leadership and sales managers to develop broker and consultant driven sales strategies and support models. Meet goa
HMSA BLDG-HMS-OAHMS
onsite
1mo
Analyst, Payment Integrity
HMSA
Research and Analysis Serve as contact for external vendors and internal departments to support operations and payment integrity activities. Research and respond to low to high priority complex internal and external inquiries. Analyze and coordinate vendor performance reviews usi
HMSA BLDG-HMS-OAHMS
onsite
1mo
Medicare Sales Producer
HMSA
Sales Activities: Meet established marketing plan goals and achieve annual sales revenue and membership growth objectives by effectively promoting and closing prospective sales opportunities. Must generate robust sales activities including self-generated marketing and email campa
Pearl City Gateway NC-OF
onsite