Managed Care Jobs in Hawaii
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Search Results - Managed Care Jobs in Hawaii
Prisma Health-Honolulu
Overview
In this role you will support and influence the financial strategy behind payer contracts and managed care initiatives. You’ll analyze initiatives, model financial outcomes, and assist in contract negotiations to align with organizational...
Humana Inc-Honolulu
physicians as needed.
The position is full-time and remote, with a 40-hour work week and possible occasional travel. Requires MD/DO, board certification, unrestricted license, and knowledge of managed care and inpatient rehab settings.
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UnitedHealth Group-Honolulu
Share insights on product design/marketing and collect staff input
• Fulfill duties to meet department and company goals
• Maintain knowledge of Medicare regulations, managed care landscape, and legislative context
Key requirements
• Health, Life...
HMSA-Honolulu
and analysisDemonstrated working knowledge of managed care/health care business processes, systems and application for claims payment, network, and provider contract administration.Proficiency in project management skillsIntermediate working knowledge of Microsoft Office...
Abbott-Honolulu
Overview
As a Diabetes Sales Specialist, you drive growth for ADC Products by engaging healthcare providers across channels and regions. You collaborate with Managed Care, Retail, and Point of Care teams to expand access and influence decisions...
HMSA-Honolulu
Knowledge of managed care/health care business processes, systems and applications for delivered services such as claims, encounters, provider data, and/or patient/member data. Intermediate working knowledge of Microsoft Office applications including Word...
UnitedHealth Group-Honolulu
field; OR CPQH/CHCQM certification
• 2+ years of experience in managed care, Medicaid, maternal/child health, pediatrics, or population health
• Proven technical skills with Microsoft Excel, PowerPoint, Word, and Adobe PDF
• Solid organizational, time...
Humana Inc-Honolulu
on quality management, utilization management, and acute inpatient rehabilitation.
• Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid, or other medical management organizations, hospitals/ Integrated Delivery Systems...
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SCAN Health Plan-Honolulu
and corrective actions
• Actively support SCAN’s vision and goals
• Other duties as assigned
Key requirements
• Bachelor's Degree or equivalent experience
• 2+ years in managed care, healthcare, or case management
• 2+ years experience with seniors and remote...
Kapolei
findings.
• Research, interpret, and apply Medicaid payment policy, program integrity requirements, audit findings, federal and state requirements, managed care contract expectations, provider billing guidance, and operational procedures to support...
icims.com -
SCAN Health Plan-Honolulu
experience (or 4+ years in Healthcare/Managed Care)
• Experience with HEDIS and medical claims data preferred
• Advanced MS Office proficiency; strong MS SQL querying skills
• Snowflake experience preferred; SQL Server Reporting Services and Integration...
Sedgwick-Honolulu
with emphasis on data analysis or planning
• Knowledge of project management and insurance-related procedures or managed care systems (preferred)
• Strong Excel/data analysis skills
• Excellent verbal and written communication, including presentations
• PC...
Merck Sharp & Dohme (MSD)-Honolulu
and sustain senior-level relationships to support strategic engagement
• Align account plans with payer and managed-care considerations for optimal access
• Deliver regional business results and achieve P&L targets
• Embed a customer-centric vision across...
HMSA-Honolulu
as a team player and model courteous, helpful behavior
Key requirements
• Bachelor's degree
• five years of related work experience
• Proficiency in data reporting and analysis
• Working knowledge of managed care/health care business processes, claims...
HMSA-Honolulu
mathematics or statistics and four years of related experience; or equivalent
• Knowledge of managed care/business processes and data domains (claims, encounters, provider data, member data)
• Proficiency in Microsoft Office (Word, PowerPoint, Outlook...
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