Business Operations Specialist

1 week ago


Honolulu, Hawaii, United States HMSA Full time
Job Summary

We 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 Responsibilities
  • Project Implementation
    • Serve as the subject matter expert for Pharmacy Management with regards to communications or notifications.
    • Collaborate with internal and external areas to ensure project notification needs are met.
    • Understand the communication needs and intent to ensure appropriate message is relayed to internal & external entities.
  • Information Validation
    • Validation of impact analyses related to Pharmacy Management notifications.
    • Validation of Pharmacy Management postings to & PRC.
    • Review of links to ensure information posted is accurate and up-to-date including but not limited to formulary documents, payment polices.
  • Benefit Support
    • Manage inquiries coming to Pharmacy Management.
    • Triage inquiries to ensure servicing needs identified and addressed.
    • Coordinate problem solving associated with inquiries.
  • System Maintenance
    • Monitor and evaluate accuracy of benefit delivery system through report development and review.
    • Defines and maintains system functionality for drug claims processor, including, but not limited to the drug claims processing, such as UM edits, formulary updates and benefit design & delivery.
Requirements

To be successful in this role, you will need to have excellent communication and problem-solving skills, as well as the ability to work effectively in a team environment. You will also need to have a strong understanding of business operations and be able to analyze complex data to identify trends and areas for improvement.

We offer a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and detail-oriented individual who is passionate about business operations, we encourage you to apply for this exciting opportunity.



  • Honolulu, Hawaii, United States HMSA Full time

    Provider Operations Business Analyst IIAs a key member of the HMSA team, you will serve as a subject matter expert on major corporate initiatives, projects, and process improvement activities. Your expertise will be instrumental in identifying operational issues affecting Provider Operations personnel and recommending solutions to ensure a satisfactory...


  • Honolulu, Hawaii, United States 1-800-GOT-JUNK? Full time

    Position OverviewThe ZAG Community of Businesses operates as a parent entity to various home consumer service franchises across North America, renowned for delivering exceptional customer service experiences.Role ResponsibilitiesWe are in search of an administrative expert and organizational specialist to enhance our operations department. This role...


  • Honolulu, Hawaii, United States Bishop & Company Full time

    Bishop & Co. is seeking a Temporary Senior Business Analyst for our client in Honolulu. This assignment is approximately 2 to 3 months and includes parking. The Senior Business Analyst will provide business operations support, including: **Key Responsibilities:** * Business operations support * Analysis and problem-solving * Collaboration with...


  • Honolulu, Hawaii, United States Go Auto Insurance Full time

    Business Technology Management Specialist - RemoteGo Auto Insurance is currently in search of a Business Technology Management Specialist to join our remote team. The successful candidate will be tasked with executing, maintaining, validating, and enhancing capabilities under the guidance of the Business Technology Management Team Lead.Overview:Assist with...


  • Honolulu, Hawaii, United States American Express Global Business Travel Full time

    About the RoleWe are seeking a highly skilled Travel Program Manager to join our team at American Express Global Business Travel. As a key member of our organization, you will be responsible for the day-to-day operation and execution of our travel program and related projects.Key ResponsibilitiesProvide Travel Operations and Customer Management Support...

  • Nurse Specialist

    4 days ago


    Honolulu, Hawaii, United States Platinum Business Full time

    Career Opportunities with Platinum Business CorporationA great place to work.Job SummaryWe are seeking a skilled Registered Nurse to join our team at Platinum Business Corporation. As a Registered Nurse, you will be responsible for providing high-quality patient care in a dynamic and fast-paced environment.Key ResponsibilitiesAssess patients' conditions for...


  • Honolulu, Hawaii, United States HMSA Full time

    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...


  • Honolulu, Hawaii, United States Booz Allen Hamilton Full time

    International Operations & Travel SpecialistThe Opportunity:As a project management specialist supporting international operations and travel, you will play a critical role in ensuring the success of our projects. With a strong focus on risk management, you will help identify and mitigate potential risks, ensuring that our projects stay on track and meet...


  • Honolulu, Hawaii, United States Davies Risk Services Full time

    About the JobDavies Risk Services is a leading provider of premium audit and loss control services, celebrating over 30 years in business. We're seeking highly motivated and self-directed individuals to join our team of field auditors as independent business owners.Job SummaryAs a Premium Audit Specialist, you'll work with clients to conduct reviews of...


  • Honolulu, Hawaii, United States Travel + Leisure Co. Full time

    Unlock Your Potential in a Dynamic Business EnvironmentAt Travel + Leisure Co., we're committed to delivering exceptional experiences for millions of travelers worldwide. As a Business Operations Coordinator, you'll play a vital role in supporting our Sales and Marketing processes, ensuring seamless execution and driving business growth.Key...


  • Honolulu, Hawaii, United States Zeus Fire and Security Full time

    {"title": "Security Operations Specialist", "content": "About the RoleThe Security Operations Specialist provides critical support to our customers by ensuring the security features of their alarm systems are functioning properly and responding to any issues that may arise. This role requires strong communication skills, attention to detail, and the ability...


  • Honolulu, Hawaii, United States TEKsystems Full time

    Overview:We are seeking a skilled IT Recovery Operations Specialist who will collaborate with IT teams overseeing both on-premises data centers and cloud infrastructures. The primary focus will be to ensure that testing and exercises effectively evaluate contingency strategies.Key Responsibilities:1. Under the guidance of the Department Manager, you...


  • Honolulu, Hawaii, United States Hawaiian Airlines Full time

    OverviewAt Hawaiian Airlines, we pride ourselves on delivering exceptional service with a touch of Hawaiian hospitality. Our commitment extends not only to our guests but also to our employees and the communities we engage with. Become a part of our dedicated team, where we focus on providing the best experience for our local residents and introducing our...


  • Honolulu, Hawaii, United States Zeus Fire and Security Full time

    About the RoleWe are seeking a highly motivated and experienced **VP, Operations Director** to join our team at Zeus Fire and Security. As a key member of our leadership team, you will be responsible for leading the day-to-day management of all operations activities, formulating strategic planning, and leading business development/sales activities to ensure...


  • Honolulu, Hawaii, United States Travel + Leisure Co. Full time

    Deliver Exceptional Support for Sales and MarketingWe're seeking a highly organized and detail-oriented Business Operations Coordinator to join our team at Travel + Leisure Co. As a key member of our Sales and Marketing team, you will be responsible for providing top-notch support to ensure the smooth operation of our business processes.Your Key...


  • Honolulu, Hawaii, United States Booz Allen Hamilton Full time

    Theater Operations SpecialistWe are seeking a highly skilled Theater Operations Specialist to join our team at Booz Allen Hamilton. As a key member of our operations team, you will play a critical role in supporting our clients' mission objectives.Key Responsibilities:Assist in refining and implementing a comprehensive theater movement and operations...


  • Honolulu, Hawaii, United States Wyndham Destinations Full time

    Join Us in Creating Memorable Vacations At Wyndham Destinations, our goal is straightforward: to create unforgettable vacation experiences. Our Vacation Ownership division encompasses renowned brands such as Club Wyndham, WorldMark by Wyndham, Margaritaville Vacation Club, Accor Vacation Club, and the innovative Sports Illustrated Resorts. With over 19,000...


  • Honolulu, Hawaii, United States Booz Allen Hamilton Full time

    About the RoleWe are seeking a highly skilled International Operations Specialist to join our team at Booz Allen Hamilton. As a key member of our operations team, you will play a critical role in supporting our clients' global operations and travel needs.Key ResponsibilitiesCollaborate with key stakeholders to initiate risk assessments, mitigation plans, and...


  • Honolulu, Hawaii, United States Booz Allen Hamilton Full time

    About the RoleWe are seeking a highly skilled and experienced Theater Operations Specialist to join our team at Booz Allen Hamilton. As a key member of our operations team, you will play a critical role in supporting our clients' mission-critical operations in a non-standard, OCONUS location.Key ResponsibilitiesAssist in refining and implementing a...


  • Honolulu, Hawaii, United States Platinum Business Corporation Full time

    Job Title: Licensed Practical NurseWe are seeking a skilled and compassionate Licensed Practical Nurse (LPN) to provide high-quality patient care in a dynamic and supportive environment at Platinum Business Corporation.Locations:Our healthcare provider operates in various locations, including medical facilities and clinics.Hours of Performance:The...