Manager, Medicare Risk Adjustment

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...

Full-timeExemptHybrid Work Environment - Must reside in OahuPay Range: $73,154 - $121,252, position is eligible for an incentive bonusNote: Individuals typically begin between the minimum to middle of the pay rangeThe Manager, Medicare Programs has organization level responsibilities for the administration of all provisions/requirements of HMSA's Medicare...

Manage projects that involve research, analysis, planning, development, and implementation activities. Monitors the progress and timeline; communicating with project stakeholders, management, and other relevant parties. Will also focus on process improvement activities. Facilitate/participate in cross-functional workgroups. Ensure alignment with other teams...

Job Description:Under the direction of the Manager, leads and/or supports the implementation of Bank of Hawaiis (BOH) Operational Risk program including managing, executing and maturing risk and control assessment methodologies and workflows, new product and services risk reviews, overall operational risk governance and operational risk reporting...

Job Description: Under the direction of the Manager, leads and/or supports the implementation of Bank of Hawaii’s (BOH) Operational Risk program including managing, executing and maturing risk and control assessment methodologies and workflows, new product and services risk reviews, overall operational risk governance and operational risk reporting...

Develops and implements the risk management program in a manner that fulfils the mission and strategic goals of the organization. Complies with organizational policies, state and federal laws and accreditation standards related to corporate compliance, safety, security and risk management. Develops and implements systems, policies and procedures for the...

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...

We are seeking a well-trained, seasoned DON with Medicare experience to guide, lead and build a fast growing, results oriented Home Health and Home care business. As the fastest growing home care agency in Always Best Care franchise, we are expanding our services to skilled nursing. The Director of Nursing will be responsible for the coordination and serving...

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 Summary Hybrid Work Environment - Must reside in Hawaii ** Function as a business analyst for programs, projects, and other related tactical initiatives by helping to guide project teams and operational units in their planning, research, analysis, project management and communication efforts necessary to develop, modify and implement successful programs....

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,...

Summary You will serve as a INVENTORY MANAGEMENT SPECIALIST in the Public Works Business Line, Resources and Assessment Division of NAVAL FACILITIES ENG COMMAND HAWAII. DutiesYou will provide program management, oversight, guidance, and training for Inventory Management. You will review local procedures in all areas affecting inventory management and...

Job Description Job Description Join us at HEMIC! Voted one of Hawai`i Business’ Best Places to Work for 5 Years in a Row! As a HEMIC employee, you will get: People Who Care Voted one of Hawai`i Business’ Best Places to Work, and Pacific Business News’ Best Workplaces, our business is founded on caring for Hawai`i workers, Hawai`i businesses, and each...

POSITION SUMMARY Under the direction of the Customer Service Manager, performs duties related to the Customer Service department, that includes managing the acknowledgement and resolution of grievances and appeals from HDS members and providers, resolving member and provider escalations, coordinating and conducting Customer Service training, documenting...

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...

HPMG is searching for Clinical Documentation Educators (CDE) to be responsible for providing clinical documentation review, training and support, in all care settings, to physicians and providers. Synthesizes and analyzes local monitoring chart reviews and national audit findings to provide actionable feedback.JOB DUTIESFor the purposes of Risk Adjustment...

We are seeking a well-trained, seasoned DON with Medicare experience to guide, lead and build a fast growing, results oriented Home Health and Home care business. As the fastest growing home care agency in Always Best Care franchise, we are expanding our services to skilled nursing. If you are excited about joining a new and expanding company, where sky's...