Hawaii Medical Service Association

Open 46d North AmericaMiddle

2 months ago

Financial Analyst II

Reporting, Research & Analysis Analyzes and forecasts premium revenue, risk adjustment payments, and other revenue streams related to lines of business using prescribed guidelines or policies. Gathers, validates, and…

Revenue Recognition

Open 46d North AmericaJunior

2 months ago

Financial Analyst I

Reporting, Research & Analysis Runs reports assisting analysis of premium revenue, risk adjustment payments, and other revenue streams related to lines of business. Gathers and validates financial and enrollment data…

2 months ago

Manager, Clinical Review

Management of multiple units/teams and staff in multiple locations, fostering a work environment that encourages teamwork, promotes personal growth and learning. Provide leadership and direction to align with HMSA…

Nurse Reviewer - Clin Rvw Unit-TT4050

North America

Utilize medical necessity criteria from established medical policies and clinical practice guidelines to render precertification determinations as described in the Medical Management UM work plan. This detailed…

Sr Fin Health Data Analyst I-TT4544

Develop, analyze, recommend, and monitor reimbursement and provider strategies; prepare reports that measure the effectiveness of reimbursement and contracting terms and the influence they may have on overall…

Open 46d North AmericaLead

Quality Assurance Lead-TT5022

Acceptance Criteria Agile Automation Test Automation User Stories

Business & Requirements Analysis Collaborate closely with business stakeholders, product owners, business analysts, and subject matter experts to understand business processes and requirements. Facilitate requirement…

Concurrent Nurse Reviewer-FUR-TT4045

North America

Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM work plan. This…

Open 46d North AmericaIntern

FEP Benefit Processor / Customer Service Representative Trainee

Successfully progress through and complete on-the-job training to respond verbally, in person and in writing to internal and external customer's inquiries on enrollment, eligibility, benefits and claims adjudication…

Mainframe

Product Manager, Commercial Products

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…

Open 46d North AmericaContract

Category Manager - Information Technology

AWS Azure Cloud Cybersecurity Regulatory Compliance +1 skills

Category Strategy and Planning Partner with the Chief Procurement Officer (CPO) and IT leadership to develop multi‑year category strategies for IT & Technology Operations vendors. Lead execution of IT vendor strategy,…

Senior Financial Health Data Analyst II

Design, develop and implement standard plan or provider financial and operational reports in response to customer requirements and business needs Lead and implement internal controls; facilitate definition of data and…

Senior Financial Health Data Analyst I

Develop, analyze, recommend, and monitor reimbursement and provider strategies; prepare reports that measure the effectiveness of reimbursement and contracting terms and the influence they may have on overall…

Support Specialist II

Fill customer requests for services across a variety of operational support functions, including: Audio/visual equipment loans, setup, and support. Confidential document recycling and secure disposal services.…

Process Improvement

Open 46d North AmericaContract

Strategic Program Manager, Medicaid P&L

Corrective Action Performance Management

Financial Performance Management & Business Planning Leads program-level financial performance routines (budget tracking, variance drivers, and corrective action plans). Develops business cases and financial impact…

Mgr, Accounting-TT4902

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…

ERP General Ledger SAP

Senior Manager, Provider Reimbursements

Oversee management and staff responsible for implementation and administration of Provider Reimbursement methodologies, including, but not limited to: Institutions, Professionals, and ancillary providers. Provide…

SOC 2

Sr Software Engineer-TT2582

ETL Unit Testing Version Control

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…

Assistant Vice President, Enterprise Architecture and Cloud Operations

Automation Cloud Cloud Native Process Improvement

Stakeholder Engagement Builds and sustains strong relationships with executive leaders, business partners, and external stakeholders to advance strategic priorities and enterprise alignment. Evaluates complex business…

5 months ago

Sr System Analyst-TT1814