Job Description: Plan Document Fabrication and Amendments Research, write and facilitate the production of HMSA Plan Documents (Guide to Benefits, Certificates, Federal Plan Brochure, Summary of Changes and Self-Insured Administrativ...
and maintains service levels to ensure that requirements are met or exceeded. Escalates problems as required. Informs management... of issues. Reviews logs and maintains Information Technology Service Management tools to document changes and identify recurring...
Job Description: Program Management: Manages multiple high-level, mission-critical, cross-departmental programs and project(s), from design through implementation, with guidance from executive sponsors: Facilitates the definition o...
Management (UM), Case Management (CM), Medical Management (MM), and Disease Management (DM) activities to areas within the... daily customer service and claims processing operations and practice standards. This includes, but is not limited...
Job Description: Analyzes enterprise-wide financial performance to support strategic planning and decision-making processes Facilitates the development of sophisticated financial reporting frameworks that integrate multiple business seg...
Job Description: 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, an...
Job Description: Reporting, Research & Analysis Analyzes and forecasts premium revenue, risk adjustment payments, and other revenue streams related to lines of business with minimal guidance. Interprets financial and enrollment data...
Job Description: 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 dat...
experience. Two years of supervisory, management or leadership experience. Current Nursing License in the state of Hawaii... state of Hawaii....
Job Description: 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 den...