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...
and administering medications with physician authorization, and practicing OSHA safety standards. Utilizes the electronic medical... and orderly manner. Performs basic maintenance of medical equipment. Supports front office staff with answering phones...
Job Description: Under the general guidance of the Audit Manager: * Perform audit support functions related to risk-based, operational, compliance, financial, and information technology audits, and consulting projects for HMSA. Assist in ...
Job Description: 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 n...
in a cross functional team of Strategic Account Manager/Account Relationship Consultant/Account Service Representative/Health... of Hawaii Department of Commerce and Consumer Affairs or pass all four sections of the state licensing examination within three...
specific eligibility, benefit and provider requirement for selected service(s) based on member's primary line of business... validation of member specific eligibility, benefit and provider requirement for selected service(s) based on member's primary...
-service, such as government mandated tools, mobile apps and products, and member centric workflows between HMSA systems. Work... and respond to findings from the audit. Oversee and track government and BlueCross BlueShield Association Transparency mandates...
Job Description: Strategic planning and project management. Collaborate with cross-functional teams to develop comprehensive marketing plans and multiplatform campaigns to engage target audiences. Contribute to the development and i...
Job Description: Responsibilities include, but are not limited to the following: * Influence information strategy: By partnering with business unit leadership, and through the rationalization of the information value chain, the informatio...
functions for numerous departments within the scope of NCQA standards (e.g., Provider Services, Utilization Management, Medical... service commitments from core and support functional areas. Prioritize, track, and manage program deliverables. Ensure...