Compliance Coordinator HMSA

Responsible for completing activities that organize the department's ability to conduct auditing and monitoring along with other compliance related activities. Gathers, audits, and monitors documentation and data from compliance and/or operational reports. Assists with analyzing and reporting privacy incidents. Conducts compliance related verification...

Support the pharmacy strategy from a Medicare benefit design and delivery perspective. Maintain a deep understanding of Medicare benefits. Work with internal HMSA staff to drive benefit design and delivery that will foster ideal member care. Analyze business needs and data, develop feasible solutions, implement changes, and evaluate effectiveness of changes....

Support the pharmacy strategy from a Medicare benefit design and delivery perspective. Maintain a deep understanding of Medicare benefits. Work with internal HMSA staff to drive benefit design and delivery that will foster ideal member care. Analyze business needs and data, develop feasible solutions, implement changes, and evaluate effectiveness of...

Develop and maintain processes and reports for internal and external performance monitoring of all provider database and credentialing activities to ensure compliance with corporate performance and/or regulatory guidelines. Understanding of healthcare laws and regulations, program guidelines and HMSA contractual obligations that affect Provider...

Support the pharmacy strategy from a Medicare benefit design and delivery perspective. Maintain a deep understanding of Medicare benefits. Work with internal HMSA staff to drive benefit design and delivery that will foster ideal member care. Analyze business needs and data, develop feasible solutions, implement changes, and evaluate effectiveness of...

Serves as the compliance and privacy manager for assigned areas of the company or an SBU as applicable. Assists with regulatory and contract compliance for business managed by the Care Center or supported by corporate compliance. Responsible for the implementation of or support of the SBU and/or Corporate Compliance Program, Health Insurance Portability...

Coordinate and manage deliverables: Collaborate with subject matter experts to identify and implement process improvement Perform and/or coordinate planning, research, and analysis to ensure deliverables, documentation, and reporting are complete and meet contractual, compliance, and accreditation requirements Analyze busines issues and provide...

Job Summary Hybrid Work Environment - Must reside in Oahu** This position serves as the principal HMSA contact in sales and developing relationships with employer groups in the MRG, ASO, AFM and/or Union market place. This position requires an in depth analysis of employer group needs and corporate direction, and the ability to align HMSA product offerings...

Collect, analyze, and utilize data and feedback related to Claims to identify opportunities to improve the relationship between the business and the other entity. This will include direct communication and participation with the Vendor Management Office (VMO) and Transformation Management Office (TMO). Compile reports about incidents, events, and updates...

Collect, analyze, and utilize data and feedback related to Claims to identify opportunities to improve the relationship between the business and the other entity. This will include direct communication and participation with the Vendor Management Office (VMO) and Transformation Management Office (TMO). Compile reports about incidents, events, and updates...

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 the execution of audit programs and consulting projects, report findings and recommendations, and perform follow-up activities to ensure that...

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 the execution of audit programs and consulting projects, report findings and recommendations, and perform follow-up activities to ensure...

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 projects, report findings and recommendations, and perform follow-up activities to ensure that management has remediated findings in a timely...

Coordinate and deliver training programs using an appropriate mode (in-person or virtual) to provide understanding of department technology and workflows, relevant laws, and HMSA plans and benefits. Manage logistics of training including planning, scheduling, and preparation of necessary tools and materials. Assist the department with daily business...

Coordinate and deliver training programs using an appropriate mode (in-person or virtual) to provide understanding of department technology and workflows, relevant laws, and HMSA plans and benefits. Manage logistics of training including planning, scheduling, and preparation of necessary tools and materials. Assist the department with daily business...

Join our team as a Provider Operations Coordinator at our reputable companyDeveloping and managing processes and reports for internal and external performance monitoring of all provider database and credentialing activities to ensure adherence to corporate performance and regulatory guidelines.Understanding and applying healthcare laws, regulations, program...

Communicates directly with external partners and providers via phone, email or written correspondence in a professional, knowledgeable and timely manner to provide education; to obtain required documentation and/or clarification; and to provide direction in support of onboarding or provider claims inquiries. Coordinates with internal business for resolution...

Communicates directly with external partners and providers via phone, email or written correspondence in a professional, knowledgeable and timely manner to provide education; to obtain required documentation and/or clarification; and to provide direction in support of onboarding or provider claims inquiries. Coordinates with internal business for resolution...

Assist the Director to implement Credit Union policies, procedures and practices which include the organization's financial goals, objectives, and budgets. Make business improvement recommendations and coordinate with the Director to seek approval from the Board of Directors. Facilitate, organize, and plan all board meetings, credit union annual dinners and...

Assist the Director to implement Credit Union policies, procedures and practices which include the organization's financial goals, objectives, and budgets. Make business improvement recommendations and coordinate with the Director to seek approval from the Board of Directors. Facilitate, organize, and plan all board meetings, credit union annual dinners and...