, to encourage members to attend regular provider appointments and utilize medical services that support their health.Engage... with members and their families to discuss major health concerns and explore solutions to obstacles impacting service delivery...
and written communication skills. Excellent customer service skills. Ability to manage multiple priorities and deadlines...
Job Description: 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 pe...
delivery of service. This will include: Efficiently and comprehensively identify the inquirer's reason for contacting... with internal departments that support FEP benefit and claims processing activities such as Medical Management, Customer Relations...
Job Description: 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 sho...
with IT ecosystems, including cloud platforms (AWS, Azure), workflow tools (ServiceNow), managed service vendors (i.e., claims... systems. Experience supporting IT service lifecycle, including renewals, vendor transitions, and system implementations...
, sourcing decisions, vendor consolidations, and vendor transitions. Support medical cost containment initiatives, budget cycles... experience in procurement, category management, or vendor management. Experience negotiating mid-to-large operational service...
Job Description: Serve as Provider Operations subject matter expert on major department and corporate initiatives, projects, process improvement or any other major activity as assigned by management independently. Independently be able ...
Service Representative/HPA/Well-Being Consultant. Participate in the account planning process to help strategize... enrollment, billing and payment policies and procedures, and health care regulations such as the Hawaii Prepaid Health Care Act...
Job Description: Data Management: Reviews data sources and preps needed data. Identifies existing and new data sources. Performs data prototyping, if necessary, to agree what data can/not be used. Preps data for use in analysis...