Provider Operations Business Analyst
4 weeks ago
- 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 Operations' business areas.
- Effectively work with external and internal teams on implementing changes and/or corrective action plans to improving outcomes and increase efficiencies identified as a result of the performance monitoring.
- Lead, coordinate and represent Provider Operations on project teams and interdepartmental efforts by coordinating efforts, creating and/or contributing to requirement documents and developing test cases related to provider data.
- Prepare case files for presentation to Provider Operations Leadership and Credentialing Committee in order to satisfactorily meet all standards as required by HMSA policies and procedures, State and Federal regulatory requirements and all relevant accreditation standards pertaining to the credentialing for HMSA providers in all lines of business including commercial, Medicare, Medicaid and ACA products.
- Develop and maintain Provider Operations program descriptions, policies and procedures based on current state and federal requirements, accreditation standards, and internal process updates.
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
- To include database management for any escalations
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Business Analyst
2 weeks ago
Honolulu, United States Highgate Full timeYearly Highgate is a premier real estate investment and hospitality management company widely recognized as an innovator in the industry. Highgate is the dominant player in U.S. gateway markets including New York, Boston, Miami, San Francisco and Honolulu, with a rapidly expanding presence in Europe, Latin America, and the Caribbean. Highgate’s portfolio...
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Business Analyst
2 months ago
Honolulu, United States Hawaii Growth - Honolulu Full timeCompensation Type: Yearly Highgate Hotels: Highgate is a premier real estate investment and hospitality management company widely recognized as an innovator in the industry. Highgate is the dominant player in U.S. gateway markets including New York, Boston, Miami, San Francisco and Honolulu, with a rapidly expanding presence in Europe, Latin America, and the...
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Business Analyst
3 weeks ago
Honolulu, United States Hawaii Growth - Honolulu Full timeCompensation Type: Yearly Highgate Hotels: Highgate is a premier real estate investment and hospitality management company widely recognized as an innovator in the industry. Highgate is the dominant player in U.S. gateway markets including New York, Boston, Miami, San Francisco and Honolulu, with a rapidly expanding presence in Europe, Latin America, and the...
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Business Analyst
2 months ago
Honolulu, United States Highgate Full timeCompensation Type Yearly Highgate Hotels Highgate is a premier real estate investment and hospitality management company widely recognized as an innovator in the industry. Highgate is the dominant player in U.S. gateway markets including New York, Boston, Miami, San Francisco and Honolulu, with a rapidly expanding presence in Europe, Latin America, and the...
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Business Analyst
3 weeks ago
Honolulu, United States 'Alohilani Resort Waikiki Beach Full timeCompensation Type:Yearly Highgate Hotels: Highgate is a premier real estate investment and hospitality management company widely recognized as an innovator in the industry. Highgate is the dominant player in U.S. gateway markets including New York, Boston, Miami, San Francisco and Honolulu, with a rapidly expanding presence in Europe, Latin America, and the...
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Junior IT Business Analyst
1 week ago
Honolulu, United States Hawaii Gas Full timeOverview: The Junior IT Business Analyst will collaborate with clients, advocating for information technology needs and assisting them in improving their business and technical processes. The Junior IT Business Analyst will partner with clients to perform feasibility studies and lead IT projects, raising clients' awareness of emerging IT capabilities and...
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Startup Business Development Analyst
2 weeks ago
Honolulu, United States NanoNest Homes Full timeSeeking a motivated and dedicated individual to join our dynamic startup. This is a unique opportunity to grow rapidly within the company as we expand nationwide. **This position includes potential stock options** About Us: NanoNest Homes is an innovative startup revolutionizing the housing industry with our state-of-the-art, eco-friendly modular tiny homes....
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Startup Business Development Analyst
1 week ago
Honolulu, United States NanoNest Homes Full timeSeeking a motivated and dedicated individual to join our dynamic startup. This is a unique opportunity to grow rapidly within the company as we expand nationwide. **This position includes potential stock options** About Us: NanoNest Homes is an innovative startup revolutionizing the housing industry with our state-of-the-art, eco-friendly modular tiny homes....
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Business Systems Analyst, Ancillary
1 month ago
Honolulu, United States Hawaii Pacific Health Full timeJob Description Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i and the Pacific Region with high quality, compassionate care. Its four medical centers - Kapi'olani, Pali Momi, Straub and Wilcox - specialize in innovative...
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Startup Business Development Analyst
2 weeks ago
Honolulu, United States NanoNest Homes Full timeSeeking a motivated and dedicated individual to join our dynamic startup. This is a unique opportunity to grow rapidly within the company as we expand nationwide. **This position includes potential stock options**About Us:NanoNest Homes is an innovative startup revolutionizing the housing industry with our state-of-the-art, eco-friendly modular tiny homes....
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Startup Business Development Analyst
2 weeks ago
Honolulu, United States NanoNest Homes Full timeSeeking a motivated and dedicated individual to join our dynamic startup. This is a unique opportunity to grow rapidly within the company as we expand nationwide. **This position includes potential stock options** About Us: NanoNest Homes is an innovative startup revolutionizing the housing industry with our state-of-the-art, eco-friendly modular tiny...
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Startup Business Development Analyst
3 weeks ago
Honolulu, United States NanoNest Homes Full timeSeeking a motivated and dedicated individual to join our dynamic startup. This is a unique opportunity to grow rapidly within the company as we expand nationwide. **This position includes potential stock options**About Us:NanoNest Homes is an innovative startup revolutionizing the housing industry with our state-of-the-art, eco-friendly modular tiny homes....
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Startup Business Development Analyst
11 hours ago
Honolulu, United States NanoNest Homes Full timeSeeking a motivated and dedicated individual to join our dynamic startup. This is a unique opportunity to grow rapidly within the company as we expand nationwide. **This position includes potential stock options**About Us:NanoNest Homes is an innovative startup revolutionizing the housing industry with our state-of-the-art, eco-friendly modular tiny homes....
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Operations Analyst, Operations Excellence
3 weeks ago
Honolulu, United States ProService Hawaii Full timeJob DescriptionJob DescriptionJOIN YOUR PROHANAListed as one of Hawaii's Best Places to Work for over 17 years and Hawaii's Top 250 Businesses, at ProService our PROhana isn't just your co-workers, it's your community. Being a member of our PROhana means you'll be joining a team of other high performing individuals committed to and...
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Operations Analyst, Operations Excellence
2 weeks ago
Honolulu, United States ProService Hawaii Full timeJob DescriptionJob DescriptionJOIN YOUR PROHANAListed as one of Hawaii's Best Places to Work for over 17 years and Hawaii's Top 250 Businesses, at ProService our PROhana isn't just your co-workers, it's your community. Being a member of our PROhana means you'll be joining a team of other high performing individuals committed to and...
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Operations Analyst, Operations Excellence
1 week ago
Honolulu, United States ProService Hawaii Full timeJob DescriptionJob DescriptionJOIN YOUR PROHANAListed as one of Hawaii's Best Places to Work for over 17 years and Hawaii's Top 250 Businesses, at ProService our PROhana isn't just your co-workers, it's your community. Being a member of our PROhana means you'll be joining a team of other high performing individuals committed to and...
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Business Data Analyst
1 week ago
Honolulu, United States Dice Full timeDice is the leading career destination for tech experts at every stage of their careers. Our client, TEKsystems c/o Allegis Group, is seeking the following. Apply via Dice today! TEKsystems in Hawaii is looking for a Business Data Analyst with experience with SQL, ETL, and Excel to support one of the local healthcare companies in Hawaii! This role is remote,...
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Medicare Business Analyst
3 weeks ago
Honolulu, United States Dice Full timeDice is the leading career destination for tech experts at every stage of their careers. Our client, TEKsystems c/o Allegis Group, is seeking the following. Apply via Dice today! Hello, one of Hawaii's largest Healthcare organizations is looking for a Medicare Business Analyst to join their team for a new healthcare plan implementation. Healthcare experience...
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Junior Analyst
5 days ago
Honolulu, United States SANS Institute Full timeSANS Institute (SANS) launched in 1989 as a cooperative for information security thought leadership, it is SANS’ ongoing mission to empower cyber security professionals with the practical skills and knowledge they need to make our world a safer place. We fuel this effort with high quality training, certifications, scholarship academies, degree programs,...
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Junior Analyst
1 day ago
Honolulu, United States SANS Institute Full timeSANS Institute (SANS) launched in 1989 as a cooperative for information security thought leadership, it is SANS ongoing mission to empower cyber security professionals with the practical skills and knowledge they need to make our world a safer place. We fuel this effort with high quality training, certifications, scholarship academies, degree programs, cyber...