Job Description: Under the general guidance of the Director: * Perform risk-based, compliance, operational, financial and information technology audits and consulting projects for HMSA. Create and execute audit programs and consulting pro...
Job Description: Responsible for analysis, design, development, integration, maintenance and support of applications. Responsibilities include, but may not be limited to, the following: Leads and/or participates in the project planning ...
replacement plans. Maintains inventories as appropriate. Monitors Key Performance Indicators and maintains service levels... Information Technology Service Management tools to document changes and identify recurring problems. Identifies the training...
Job Description: 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 ...
medical policy and clinical guidelines to render pre- or post-service clinical decisions as described in the Medical...Job Description: Applies appropriate medical necessity criteria for Applied Behavior Analysis from an established...
Job Description: 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 supp...
with the state of Hawaii Department of Commerce and Consumer Affairs or pass all four (4) sections of the state licensing... state of Hawaii is a condition of employment. Must have valid driver's license, access to an automobile with current...
for non-covered or nonparticipating provider services in addition to soliciting claims and other related medical information... to resolve them upon initial inquiry to best service the member as well as minimize the number of cases escalated to senior...
with Medical Director's guidance Acts as a liaison between vendors and HMSA departments for various audit activities Coordinates...
's position and concerns to management and decision makers. Triages cases to resolve them upon initial inquiry to best service...