Behavioral Health Navigator
Honolulu,
Hawaii
HMSA
Assessment Provide telephonic screening of BH members using PHQ-9, GAD, and other CM-DM diagnostic tools to determine additional care support needs. Communication Communicates with HMSA members, physicians, case managers, and disease manage...
6d
Principal System Engineer
Honolulu,
Hawaii
HMSA
Design Solutions: Serve as a technical leader on our most demanding, cross-functional projects. Balance technical leadership with strong business judgment to make the right decisions about technology choices. Decompose complex problems into...
6d
Strategic Account Manager - Self-Insured Accounts
Honolulu,
Hawaii
HMSA
Performance Pro-actively manage a base of accounts by strategically prioritizing account sales and service activities. Get ahead of the curve of known jeopardy accounts by strategically positioning the value in HMSA's solutions. Manage your...
7d
Behavioral Health Program Manager
Honolulu,
Hawaii
HMSA
Program and Project Management Utilize appropriate monthly and quarterly dashboards and reporting to assure regular monitoring of behavioral health performance. Work with Clinical, Quality, and NCQA compliance SMEs to ensure that program de...
7d
Program Analyst, Federal Employee Program (FEP)
Honolulu,
Hawaii
HMSA
Monitor, evaluate, educate, and implement FEP program requirements related to Utilization Management (UM), Case Management (CM), Medical Management (MM), and Disease Management (DM) activities to areas within the department for appropriate ...
7d
Account Relationship Consultant
Honolulu,
Hawaii
HMSA
Performance Proactively service and grow HMSA products and services through various methods including site visits, on-line meetings, telephone and email correspondence, power point presentations, and one-on-one customer servicing. Protect H...
7d
Medical Management Policy & Research Analyst I
Honolulu,
Hawaii
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 imp...
9d
BlueCard Customer Advocate I
Kapolei,
Hawaii
HMSA
Review, document and accurately respond, verbally or in writing, to routine and regular claims inquiries received by telephone, correspondence or internal communication, as assigned by supervisor. Effectively manage inventory of unresolved ...
13d
Health Plan Navigator I (Honolulu)
Honolulu,
Hawaii
HMSA
Assist customers in a timely and accurate manner in phone interactions. Maintain quantity, timeliness, accuracy, and quality performance within established standards that support HMSA's ability to comply with customer performance requiremen...
14d
Senior Strategic Contracting Manager
Honolulu,
Hawaii
HMSA
Design, develop and operationalize new clinical integration programs for key partners in market. Will act as primary program lead for value-based deals and special provider projects. Design, develop and operationalize next-generation paymen...
14d