Care Worker UM, HMSA

Job SummaryWe are seeking a highly skilled Utilization Management Business Analyst to join our team at HMSA. As a key member of our Medical Management department, you will play a critical role in coordinating focused medical review projects, analyzing utilization trends, and developing strategies to improve quality outcomes and control healthcare costs.Key...

Job SummaryWe are seeking a skilled Behavioral Health Navigator to join our team at HMSA. As a Behavioral Health Navigator, you will play a critical role in supporting our members with their mental health needs.Key ResponsibilitiesAssessment and Triage: Conduct thorough assessments of members' mental health needs using standardized tools such as the PHQ-9...

Key Responsibilities:As a Utilization Management Business Analyst, you will play a critical role in coordinating focused medical review projects and analyzing utilization trends to inform data-driven recommendations to management and oversight committees. You will collaborate with reporting SMEs to create reports and dashboards that reflect the impact of UM...

Job SummaryWe are seeking a highly skilled Business Analyst to join our team at HMSA. As a key member of our Pharmacy Management team, you will be responsible for managing activities related to communication and notification efforts.Main ResponsibilitiesCoordinate and facilitate deliverables and timelines to ensure notifications are sent within required...

Job SummaryWe are seeking a highly skilled Business Operations Analyst to join our team at HMSA. As a key member of our Medical Management department, you will play a critical role in coordinating focused medical review projects and analyzing utilization trends to inform business decisions.Key ResponsibilitiesUtilize project management techniques to...

Job SummaryWe are seeking a highly skilled Senior Manager, Financial Reporting to join our team at HMSA. This is a critical role that requires strong leadership and technical skills to manage financial reporting for HMSA and its subsidiaries.Key ResponsibilitiesManage financial reporting for HMSA and its subsidiaries to ensure timely preparation of financial...

Job SummaryWe are seeking a highly skilled Financial Data Analyst to join our team at HMSA. As a key member of our Clinical Integration Division, you will play a critical role in leading provider negotiations and projects that drive business growth and improvement.Key ResponsibilitiesDevelop and analyze complex data sets to inform business strategies and...

Leave and Accommodation ManagementAs a key member of the Human Resources team at HMSA, the Leave and Accommodation Specialist plays a critical role in ensuring compliance with employment laws and maintaining a fair and non-discriminatory work environment.The ideal candidate will have extensive knowledge of leave and accommodation programs and policies,...

Job SummaryWe are seeking a highly skilled Business Analyst to join our team at HMSA. As a Business Analyst, you will play a critical role in managing activities related to communication and notification efforts.Key ResponsibilitiesProject ImplementationServe as the subject matter expert for Pharmacy Management with regards to communications or...

Job SummaryWe are seeking a skilled Healthcare Coordinator to join our team at HMSA. As a key member of our healthcare team, you will be responsible for coordinating care for our members, ensuring they receive timely and appropriate medical care and services.Key ResponsibilitiesConduct Assessments and Develop Care Plans: Conduct timely face-to-face...

Job Title: Community Health WorkerAt HMSA, we are seeking a highly motivated and compassionate Community Health Worker to join our team. As a Community Health Worker, you will play a vital role in promoting health, recovery, resiliency, and wellness in our community.Key Responsibilities:Establish and Maintain Trusting Relationships: Build and maintain strong...

Job SummaryWe are seeking a highly skilled Clinical Pharmacist to join our team at HMSA. As a Clinical Pharmacist, Quality Programs, you will play a critical role in developing and implementing pharmacy quality programs that drive improved patient outcomes and quality scores.Key ResponsibilitiesEvaluate and develop pharmacy quality programs to improve...

Job Description**Job Title:** Quality Improvement Director**Job Summary:** We are seeking a highly skilled Quality Improvement Director to lead our Quality Improvement program, ensuring compliance with accreditation, regulatory, and program requirements. The successful candidate will oversee project teams, provide guidance to subject matter experts, and...

Job SummaryWe are seeking a highly skilled Clinical Pharmacist to join our team at HMSA. As a Clinical Pharmacist, Quality Programs, you will be responsible for developing and implementing pharmacy quality programs to improve patient outcomes and enhance the quality of care provided by our members.Key ResponsibilitiesQuality Program Development: Develop,...

Job SummaryAs a Senior Financial Healthcare Data Analyst III at HMSA, you will lead provider negotiations and projects that drive business growth and strategic initiatives. You will provide comprehensive statistical analysis from multiple sources to support corporate strategies and initiatives for all Lines of Business.Key ResponsibilitiesLead complex...

Job SummaryAs a Senior Financial Healthcare Data Analyst III at HMSA, you will lead provider negotiations and projects that include the Clinical Integration Division, Health Management Operations, Finance Division, and Executive Leadership. Your comprehensive statistical analysis will support corporate strategies and initiatives for all Lines of Business.Key...

Job SummaryWe are seeking a highly skilled Medical Management Vendor Relations Analyst to join our team at Hawaii Medical Service Association. As a key member of our team, you will be responsible for coordinating and managing deliverables of utilization management programs by delegated vendors.Key ResponsibilitiesEnsure that program deliverables,...

Job SummaryWe are seeking a skilled Behavioral Health Navigator to join our team at Hawaii Medical Service Association. As a Behavioral Health Navigator, you will play a critical role in providing exceptional care to our members.Key ResponsibilitiesConduct telephonic screenings of members using standardized diagnostic tools to identify additional care...

Job SummaryFresenius Medical Care North America is seeking a skilled Master Social Worker to join our team. As a Social Worker, you will play a vital role in providing psychosocial services to patients with End Stage Renal Disease (ESRD) treated by our facility.Key ResponsibilitiesAssess patients' psychosocial status, strengths, and areas of need to develop...

About the RoleThis is a remote customer advocate role supporting Magellan Health's members and providers in Hawaii. As a Customer Experience Associate, you will be responsible for facilitating care and service, handling incoming and outgoing calls, and administering intake documentation into the appropriate systems.Key ResponsibilitiesProvide exceptional...