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US - HI - Honolulu
June 26, 2024
• Conducts critical analysis of highly complex and sensitive member and provider inquiries, complaints, grievances and appeals for QUEST Integration, and applies internal policies and procedures, contractual provisions, and regulatory requirements. • Secures information from internal and external...
US - HI - Honolulu
May 1, 2024
Job Summary • Hybrid Work Environment - Must reside in Oahu • This position serves as the principal HMSA contact in sales and developing relationships with employer groups in the MRG, ASO, AFM and/or Union market place. • This position requires an in depth analysis of employer group...
US - HI - Keaau
June 2, 2024
• Assist customers in a timely and accurate manner in phone interactions. • Maintain quantity, timeliness, accuracy, and quality performance within established standards that support HMSA's ability to comply with customer performance requirements, while receiving and responding to inquiries. •...
Full-timeExempt Hybrid Work Environment - Must reside in Hawaii Pay Range: • $59,000 - $116,000 Note: • Individuals typically begin between the minimum to middle of the pay range Under minimal supervision, conducts detailed analysis and review of precertification requests, post-service and suspended...