- Analyzes encounter system processes within HMSA and external partners.
- Coordinates and reconciles exchange of data with external entities.
- Researches various claim-member-provider scenarios to determine root cause of data submission errors.
- Participates in discussions with internal staff to optimize encounter submission processes.
- Participates in projects to increase the scope or efficacy of encounters submission.
- Provides data to support financial reporting.
- Monitors government/vendor requirements changes.
- Ensures submission methodologies are compliant with published guidance.
- Documents new processes or procedures and updates existing documentation.
- Bachelor's degree and one year related experience; or an equivalent combination of education and experience.
- Conceptual knowledge of claims, health plan financial data, and health industry structure.
- Conceptual knowledge of Medicare Advantage, Medicaid, and/or ACA revenue cycles for payers.
- Intermediate working knowledge of Microsoft Office applications, including but not limited to Word, Excel, Outlook, and PowerPoint.
- Conceptual knowledge of SQL, SAS, or MicroStrategy.
Skills Required
- Bachelor's degree
- One year related experience
- Knowledge of claims and health industry structure
- Knowledge of Medicare Advantage, Medicaid, and/or ACA revenue cycles
- Intermediate knowledge of Microsoft Office
- Knowledge of SQL, SAS, or MicroStrategy
HMSA Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about HMSA and has not been reviewed or approved by HMSA.
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Healthcare Strength — Medical and dental coverage are described as solid, with preventive services and select zero‑cost features adding value in recent plan years. Employer-sponsored plans can have affordable premiums in certain groups and broad access options.
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Retirement Support — A 401(k) with company match and potential discretionary contributions forms a strong component of total rewards. Retirement support complements the core medical and dental package.
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Leave & Time Off Breadth — Paid holidays and PTO that increases with tenure provide meaningful time‑off flexibility. Time‑away benefits scale with service length.
HMSA Insights
What We Do
The Hawaii Medical Service Association (HMSA), an independent licensee of the Blue Cross and Blue Shield Association, is a reliable name in Hawaii health care. Established in 1938, we are the largest and most experienced provider of health care coverage in the state. Over half of Hawaii’s population have chosen HMSA for their health care coverage. We are dedicated to providing quality, affordable health plans; employee benefit services; and worksite wellness programs. HMSA also offers a variety of programs, services and support to help improve the health and well-being of our members and community.
