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.
380 jobs match your filters
1mo
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
1mo
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
1mo
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
1mo
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
1mo
Case Resolution Specialist II
HMSA
Conducts critical analysis of highly complex and sensitive member and provider appeals, inquiries and grievances and applies internal policies and procedures, contractual provisions, and regulatory requirements. Secures information from internal and external resources to resolve
HMSA BLDG-HMS-OAHMS
onsite
1mo
Claims Liaison Specialist
HMSA
Function as a central communication point between claims processing teams and internal/external partners regarding claim status, issues and resolutions. Investigate and resolve escalated claims and trends, including denied or delayed claims, by coordinating with relevant departme
HMSA BLDG-HMS-OAHMS
onsite
1mo
Medical Management Vendor Relations Analyst
HMSA
Coordinate and manage deliverables of aspects of utilization management programs by delegated vendors: Ensures that program deliverables, documentation, and reporting are complete and meets contractual, compliance, and accreditation requirements. Develops data templates and submi
HMSA BLDG-HMS-OAHMS
onsite
1mo
Case Resolution Specialist I
HMSA
Conducts critical analysis of highly complex and sensitive member and provider appeals, inquiries and grievances and applies internal policies and procedures, contractual provisions, and regulatory requirements. Secures information from internal and external resources to resolve
HMSA BLDG-HMS-OAHMS
onsite
2mo
Business Analyst, Quality Improvement
HMSA
Quality Improvement Interventions Analysis and Development: Work as part of a quality team to continuously identify, plan, develop, implement, and evaluate interventions. Complete program and initiative evaluations such as return on investment and health outcomes Gather and synth
HMSA BLDG-HMS-OAHMS
onsite
2mo
Senior Business Analyst, Quality Improvement
HMSA
Quality Improvement Interventions Analysis and Development: Work as part of a quality team to continuously identify, plan, develop, implement, and evaluate interventions. Develop reports, analyses, and data mining to support program planning and interventions. Complete program an
HMSA BLDG-HMS-OAHMS
onsite
2mo
Senior Accounts Payable Clerk
HMSA
Prioritizes approved invoices and check requests according to payment terms. Assist with month-end accruals as needed. Familiarizes with company policies and navigating steps in Dynamics GP, Certify and CentreSuite. Verifies approver's level of authority to ensure that the cost c
HMSA BLDG-HMS-OAHMS
onsite
2mo
Product Manager, Commercial Products
HMSA
Product Strategy & Portfolio Management Own the end to end product strategy for the assigned segment, including benefit design, competitive positioning, rate considerations, and portfolio optimization. Establish short and long term product goals in partnership with leadership; tr
HMSA BLDG-HMS-OAHMS
onsite
2mo
Compensation Analyst
HMSA
Job Description Evaluation: Administers job description process: Reviews job evaluation requests for new or revised job descriptions to determine appropriate job leveling and FLSA exemption status. Utilizes job evaluation criteria and available salary market data. Reviews job des
HMSA BLDG-HMS-OAHMS
onsite
2mo
Investigator III
HMSA
Perform FWA incident oversight and SIU staff development activities: Provide direct oversight to other SIU staff by reviewing and providing feedback to Investigators for written correspondences and regulatory referrals. Provide day-to-day advice/guidance to SIU staff on FWA incid
HMSA BLDG-HMS-OAHMS
onsite
2mo
Investigator II
HMSA
SIU case investigation management, resolution and prevention: Manage complex FWA case investigations, collaborate with federal, state and law enforcement entities, and provide applicable notifications as required. Conduct pro-active FWA case investigations and resolutions. Mainta
HMSA BLDG-HMS-OAHMS
onsite
2mo
BlueCard Business Analyst II
HMSA
Provides general production support: Monitor daily production performance and inventory levels as assigned. Conduct data and trend analysis to identify areas of improvements. Triage daily production issues. Recommend and implement interim workarounds. Recommend solutions and/or c
HMSA BLDG-HMS-OAHMS
onsite
2mo
Team Lead - Customer Relations
HMSA
Mentor servicing representatives to ensure the best customer experience by supporting representatives after they complete classroom training; completing quality assurance audits that ensure timeliness, accuracy, professionalism, and an optimal customer experience; and providing t
HMSA BLDG-HMS-OAHMS
onsite
2mo
BlueCard Business Analyst I
HMSA
Provides general production support: Monitor daily production performance and inventory levels as assigned. Conduct data and trend analysis to identify areas of improvements. Triage daily production issues. Recommend and implement interim workarounds. Recommend solutions and/or c
HMSA BLDG-HMS-OAHMS
onsite