Manager, Medicare Risk Adjustment

Job Summary **Hybrid Work Environment - Must reside in Hawaii ** The Manager, Medicare Risk Adjustment has organization level responsibilities for the administration of all provisions/requirements of HMSA's Medicare Risk Adjustment program. They are responsible for managing the development and implementation of successful activities that improve the...

Leadership Identify, initiate, and manage organization-wide projects to ensure that all HMSA's Medicare Program contractual obligations are met or exceeded. Manages necessary changes to existing systems, operations or workflows to address new/revised requirements of CMS/DHS/MQD. Structures work plans and project scope to deliver business impact on high...

Leadership Identify, initiate, and manage organization-wide projects to ensure that all HMSA's Medicare Program contractual obligations are met or exceeded. Manages necessary changes to existing systems, operations or workflows to address new/revised requirements of CMS/DHS/MQD. Structures work plans and project scope to deliver business impact on high...

Leadership Identify, initiate, and manage organization-wide projects to ensure that all HMSA's Medicare Program contractual obligations are met or exceeded. Manages necessary changes to existing systems, operations or workflows to address new/revised requirements of CMS/DHS/MQD. Structures work plans and project scope to deliver business impact on high...

Job Description Founded in 1921, Straub Medical Center includes a 159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i. With over 200 physicians who are leaders in their fields, Straub provides its patients with diagnoses and treatments for more than 32 different...

Job Description Founded in 1921, Straub Medical Center includes a 159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i. With over 200 physicians who are leaders in their fields, Straub provides its patients with diagnoses and treatments for more than 32 different...

Quality Improvement Interventions Analysis and Development: Work as part of the Stars team to continuously identify, plan, develop, implement, and evaluate interventions. Develop reports, analyses, and data mining to support program planning and interventions. Complete program and initiative evaluations such as return on investment and health...

Job DescriptionFounded in 1921, Straub Medical Center includes a 159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i. With over 200 physicians who are leaders in their fields, Straub provides its patients with diagnoses and treatments for more than 32 different medical...

Financial Risk Management (FRM), an independent 2nd Line of Defense (LOD) risk management function, is looking to fill its Senior Program Manager of Capital and Liquidity Risk Oversight position to oversee the Company's capital and liquidity adequacy management activities and confirm they are being executed in accordance with sound banking principles. The...

Financial Risk Management (FRM), an independent 2nd Line of Defense (LOD) risk management function, is looking to fill its Senior Program Manager of Capital and Liquidity Risk Oversight position to oversee the Companys capital and liquidity adequacy Program Manager, Risk, Manager, Risk Manager, Senior, Program

Under the direction of the Manager, this position is responsible for supporting the development, enhancement, and management of the regulatory compliance and operational risk management programs, which includes the vendor management program for Pacific Century Life Insurance Corporation. In addition, this position is responsible for ensuring compliance with...

The Project Manager provides overall technical direction and project management to Environmental programs or projects of considerable size, scope or complexity and ensures that projects and tasks performed by the company are designed and conducted in accordance with applicable regulations, guidance, and client-specified requirements. The Project Manager...

Lead the oversight and monitoring of the medical cost trend improvement efforts, by driving cross functional teamwork efforts to identify, design, implement, and monitor initiatives that moderate the Organization's healthcare cost trends: Lead and manage a portfolio of activities with a sharp focus on enhancing healthcare cost outcomes through diversified...

CBRE Global Workplace Solutions (GWS) works with clients to make real estate a significant contributor to organizational productivity and performance. Our account management model is at the heart of our client-centric approach to delivering integrated real estate solutions. Each client is entrusted with a dedicated leader and is supported by regional and...

Do you have a heart for hospice? Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We believe all patients and families entrusted in our care deserve the highest level of compassion, respect, and quality of care. The Payor Verification Specialist...

Job Description AECOMis seeking anEngineering Design Project Managerbased inHonolulu, HIto lead and execute Federal, State, County, and private interdisciplinary design projects in a collaborative and design-focused environment in the Pacific region including but not limited to Korea, Japan, Guam and Hawaii. The role will be responsible for managing the...

Under the general direction of the Business Services Manager, provides support services to the Medicare Certified Division staff. Performs a variety of duties including verification of health insurance claims numbers and benefits coverages; process a Support Specialist, Business Services, Support, Business, Specialist, Healthcare

About us Project Vision Hawai‘i provides services (health screenings, vaccines, hearing and vision screening, diabetic retinopathy exams, vision exams, street medicine, as well as case management, CIS, housing, SNAP, and health insurance application assistance) in communities with significant access-to-care challenges related to income, lack of insurance,...

About usProject Vision Hawai'i provides services (health screenings, vaccines, hearing and vision screening, diabetic retinopathy exams, vision exams, street medicine, as well as case management, CIS, housing, SNAP, and health insurance application assistance) in communities with significant access-to-care challenges related to income, lack of insurance,...

Job DescriptionJob DescriptionMaintains client contact regarding coverages, policy changes and/or problems. This position has high client contact, authorizes policy changes, and makes important business decisions in commercial, and/or specialty lines of coverage. Reviews and obtains necessary information to evaluate and process new business and renewal...