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Utilization Management Business Analyst
3 weeks ago
- Utilize project management techniques to coordinate focused medical review projects as assigned. Conduct analysis to understand utilization trends. Document and present relative data and recommendations to management and/or oversight committees. Collaborate to implement strategies to improve quality outcomes and control healthcare cost trend in alignment with corporate initiatives.
- Collaborate with reporting SMEs to create reports or dashboards to reflect impact of UM programs as demonstrated by direct cost savings and/or changes in provider behavior. Create and maintain requirements documents for each report or dashboard.
- Identify, research, and resolve issues by making sound decisions in accordance with policies and procedures. Respond to telephone and written inquiries from providers and internal customers. Act as a liaison between Medical Management and internal departments. Build professional relations with various stakeholders
- Create and maintain policy, procedure, and desktop instruction documentation. Assist with education and training to HMSA staff and providers regarding Medical Management activities/projects and seek input and cooperation for the development of new programs.
- Support and participate in department and corporate workgroups and projects, as assigned.
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
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Business Analyst III
1 week ago
Honolulu, United States PMI (Project Management Institute) Full timeBusiness Analyst IIIUnited States * Virtual Req #531Monday, July 15, 2024Are you a dreamer, innovator, thinker and a do-er who believes in contributing to something that makes difference? Pursue your passion. Join PMI. How You'll Make a Difference You will use your extensive knowledge of and vast experience with business analysis principles, practices,...
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Business Analyst
3 weeks ago
Honolulu, United States TEKsystems Full timeJob DescriptionJob Description6 month contract to hireSummary of Job Duties: - Develop and author procedures and workflows for Business Analysis group to standardize and document requirements processes- Work closely with business stakeholders to observe, elicit and define business requirements to support changes to process, procedures and use of software...
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Business Analyst
2 weeks ago
Honolulu, Hawaii, United States Queen's Health System Full timeRESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: Works with the Senior Analyst to identify options for improving business systems and bridges the needs of the business with the use of information technology. Along with the Senior Analyst, works as a liaison among stakeholders to elicit, analyze, communicate and validate requirements for changes to...
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Business Systems Analyst
1 day ago
Honolulu, United States TEKsystems Full timeAloha! One of our local banks is looking for a Business Systems Analyst who has experience working with core banking systems or any loan origination systems. This person must Tier 1 troubleshooting background within the Financial industry. Please see more details below and apply if interested. Description: We are currently seeking a collaborative,...
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Startup Business Development Analyst
2 months 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 months 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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Business Process Analyst
3 weeks ago
Honolulu, United States Akima Full timeJob Summary: The Business Process Analyst plays a critical role in improving operational efficiency by working closely with project stakeholders to define, refine, and document business and user requirements as Stories. This position involves collaborating with Platform Administrators to ensure that these Stories are developed, tested, and delivered...
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Business Systems Analyst, Ancillary
2 weeks 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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Business Systems Analyst, Ancillary
2 weeks ago
Honolulu, Hawaii, United States Hawaii Pacific Health Full timeJob DescriptionHawai'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 programs...
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Utility Manager
6 days ago
Honolulu, United States Dragados Full timeCoordinates with different Utility Owners, agencies, departments and subcontractors involved within the specified segment. Ensure coordination of the involvement of Utility companies. Ensures compliance with all applicable regulations. Ensures constr Utility, Manager, Manufacturing, Construction, Owner
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Access Management Analyst
1 day ago
Honolulu, United States Hawaii Pacific Health Full timeJob Description Summary: Under the general supervision of the Department Manager or designee, provides overall IT administrative and/or system support for the Information Technology Department. Works with multiple priorities and projects in a fast-paced environment, with strong attention to detail and excellent customer service skills. Hawai‘i Pacific...
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Analyst IV, Digital Business
1 month ago
Honolulu, United States wm Full timeWM Analyst IV, Digital Business - Mergers and Acquisitions Honolulu , Hawaii Apply Now As an EEO/Affirmative Action Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, or veteran status. WM, a Fortune 250 company, is...
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Provider Operations Business Analyst I
1 week ago
Honolulu, United States HMSA Full timeServe as Provider Operations subject matter expert on major department and corporate initiatives, projects, process improvement or any other major activity as assigned by management independently. Independently be able to ensure Provider Operations' needs are addressed; must be able to clearly articulate business needs so that the department is not...
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Senior Business Analyst
1 month ago
Honolulu, United States HMSA Full timeDemonstrates proficiency in bringing a cross functional perspective to complex business analysis activities and projects to support the implementation of corporate projects involving new systems and functions, enhancements to existing systems and functions. Implementation responsibilities for projects of medium to large size and scope include: Collaborate...
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Utility Manager
4 days ago
Honolulu, United States Dragados Full timeJob Responsibilities: Coordinates with different Utility Owners, agencies, departments, and subcontractors involved within the specified segment. Ensure coordination of the involvement of Utility companies. Ensures compliance with all applicable regulations. Ensures construction is in accordance with its defining documents. Generates all necessary reports...
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Honolulu, United States Management Systems International Full timeManagement Systems International (MSI), a Tetra Tech Company, is a Washington, D.C. metro area management consultancy with a 40-year history of delivering results for our clients. Our expertise is in the fields of monitoring and evaluation; democracy and governance; peace and stability; rule of law and accountability; education; gender and inclusion;...
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Asset Management Analyst
4 days ago
Honolulu, United States Ryder Full timeSummary: The Asset Management Analyst position is designed to execute enhanced asset management processes that pertain to our fleet management and revenue monitoring activities. Primarily, this individual will provide support for the asset team through data and analytics. The primary goal of the Asset Management Analyst is to provide enhanced asset analysis...
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Asset Management Analyst
1 week ago
Honolulu, Hawaii, United States Ryder System Full time_Job Seekers can review the Job Applicant Privacy Policy by clicking HERE. )_Summary - The Asset Management Analyst position is designed to execute enhanced asset management processes that pertain to our fleet management and revenue monitoring activities. Primarily, this individual will provide support for the asset team through data and analytics. The...
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Senior Budget Analyst
2 weeks ago
Honolulu, United States Watermark Risk Management International, LLC Full timeCome make your mark with Watermark! ️ FOUNDED BY USAF VETERANS in 2007, we are proud to be a Service-Disabled Veteran Owned Small Business. SUBJECT MATTER EXPERTS specializing in security and risk management. We’re intimately familiar with DOD security programs and mission requirements.⭐ OUR CORE VALUES drive every action we take as a company. We...
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Senior Budget Analyst
1 week ago
Honolulu, United States Watermark Risk Management International, LLC Full timeCome make your mark with Watermark!🎖️ FOUNDED BY USAF VETERANS in 2007, we are proud to be a Service-Disabled Veteran Owned Small Business.🌎 SUBJECT MATTER EXPERTS specializing in security and risk management. We’re intimately familiar with DOD security programs and mission requirements.⭐ OUR CORE VALUES drive every action we take as a company....