Jobs at HMSA

Lead provider reimbursement operations including methodology implementation for institutions, professionals, and ancillaries; manage staff; provide financial analysis and reporting for contracting and network access; participate in negotiations; ensure compliance with contracts and regulatory standards; coordinate fee reviews, audits, budgeting, and cross-functional projects; respond to ad-hoc data requests and represent the organization externally.

Lead category strategy, strategic sourcing, and vendor governance for business services. Manage RFx events, negotiate service contracts, drive cost savings, oversee vendor performance, analyze spend, support budgeting, and partner cross-functionally to ensure compliant contracts and value realization.

Lead product program management for healthcare products and health programs: plan and execute launches, manage vendors and governance, perform product analysis, support go-to-market and implementation, produce executive communications, and optimize program performance and compliance.

Lead IT category strategy, strategic sourcing, and vendor governance for SaaS, cloud, infrastructure, telecom, and managed services. Drive contract negotiations, cost optimization, cloud consumption and license management, vendor performance oversight, and cross-functional collaboration with IT, legal, finance, and risk to deliver measurable savings and compliance.

Support Medical Management by gathering and documenting reporting requirements, developing reports and analytics, participating in system implementations, providing user and system support, coordinating training, managing access and equipment requests, and leading assigned department activities under direction of senior staff and management.

Serve as a Provider Operations subject matter expert on projects and process improvements. Independently identify and articulate business needs, perform data analysis to find root causes and recommend solutions, document findings, and resolve complex provider inquiries via written and phone communication. Proactively research issues and support department initiatives.

Design, develop, integrate, test, document, deploy, and maintain applications. Participate in requirements analysis, solution design, data extraction/transformation, and release management. Build unit and integration tests, troubleshoot and provide Tier II/III support, follow architecture and quality standards, and mentor junior team members using agile or waterfall methods.

Prepare, clean, and validate data sources; perform descriptive and predictive analyses using statistical and time-series methods; document reproducible workflows; lead project definition and stakeholder meetings; present findings and train others on MicroStrategy and Excel.

Operate, maintain, and upgrade HMSA's network infrastructure; implement monitoring and security; perform packet captures and capacity analysis; support projects, vendors, and remote island locations; provide on-call and after-hours support; document configurations and follow change and compliance procedures.

Provide day-to-day support, maintenance, monitoring, and upgrades for network infrastructure. Perform packet captures, capacity analysis, security patching, change management, vendor coordination, documentation, and ITSM logging. Participate in on-call rotations, occasional overnight island travel, and long-term infrastructure planning while supporting remote locations across the Hawaiian Islands.

Provide operational support across facilities and service functions including AV setup, secure document disposal, inventory, meeting room and furniture setup, procurement, records management, event logistics, fleet and vendor coordination. Deliver timely customer service, maintain accurate records, troubleshoot and repair equipment, follow procedures, and support continuous improvement projects and process enhancements.

Serve and grow assigned employer accounts by proactively managing renewals, retention, and sales of HMSA products; collaborate with Strategic Account Managers and internal teams; perform business analysis and proposals; educate clients on industry trends; maintain account plans and records; resolve complex service issues.

Designs, develops, and maintains application systems; leads architecture, requirement analysis, and medium-sized projects; provides technical leadership, mentoring, and Tier II/III support; ensures quality, integration, testing, and production readiness across assigned application domains.

Manage and grow a portfolio of employer group accounts by selling HMSA and USAble products. Prospect new groups, retain/renew accounts, develop account strategies, analyze utilization and plan design, present proposals, coordinate cross-functional teams, lead account servicing teams, and maintain activity records and reports.

The Compensation Analyst evaluates job descriptions, administers compensation programs, analyzes salary data, and provides consultative advice on compensation strategies.

The BlueCard Business Analyst II provides production support, conducts data analysis, implements changes, develops training materials, and assists with project implementations.

The Case Resolution Specialist II conducts complex analysis of member and provider appeals, acts as a liaison, and resolves issues by negotiating sensitive matters and implementing changes based on findings.

Responsible for analyzing and resolving complex member and provider appeals and inquiries while ensuring compliance with policies, regulations, and accreditation standards. Works as a liaison to negotiate sensitive issues and identifies areas for improvement in processes. Assists in quality assurance and communicates trends and needs to management.

Responsible for managing HMSA's desktop infrastructure, including installations, troubleshooting, user training, and supporting remote locations across Hawaii. Collaborates with teams for system integration and project planning.

Responsible for analyzing, designing, developing, and supporting applications, ensuring compliance with standards, and providing ongoing maintenance and support for systems.