The Role
Serves as a subject matter expert for electronic enrollment inquiries and transactions. Investigates and corrects processing errors, handles complex membership changes, identifies system and data-flow issues, manages problems through resolution, and recommends process improvements. Collaborates with vendors, employer groups, internal teams, and management offices while analyzing data, documenting root causes, developing workarounds, and training stakeholders on approved solutions.
Summary Generated by Built In
Job Summary & ResponsibilitiesPreferred Qualifications
- Act as a point-of-contact and subject matter expert. Communicate with vendor and internal stakeholders to quickly and accurately obtain or provide information regarding enrollment related inquiries accurately, professionally, and timely. Remain apprised of electronic enrollment processes, transactions, and potential operational issues in order to effectively resolve issues and/or provide input on internal and cross-departmental projects.
- Work to gain operational efficiencies by identifying and resolving system-related data flow discrepancies. Investigate transactions that did not go through the processing system by completing research and correcting errors within expected standards of performance for quality and timeliness. Process all levels of membership changes and/or complex transactions that involve special handling. This duty requires having an effective working relationship with our vendor partner and an elevated understanding of the end-to-end processes between our employer groups, electronic platform vendor, and HMSA.
- Assist with preventive maintenance by analyzing and logging potential processing issues and root problems. Manage open issues from identification to resolution and closure. Synthesize relevant data to recommend viable solutions and workarounds and train the necessary individuals on the approved workarounds.
- Collect, analyze, and utilize data and feedback to identify opportunities to improve the relationship between the business and the other entity. This will include direct communication and participation with the Vendor Management Office (VMO) and Transformation Management Office (TMO).
- Performs all other miscellaneous responsibilities and duties as assigned or directed
#LI-Hybrid
- Associate's degree and two years of work experience or training; or equivalent combination of education and related experience.
- Problem solving skills
- Effective verbal and written communication skills
- Basic knowledge of Microsoft Office applications. Including but not limited to Word, Excel, Outlook, and Power Point.
Skills Required
- Associate degree and two years of work experience or training, or an equivalent combination of education and related experience
- Problem-solving skills
- Effective verbal and written communication skills
- Basic knowledge of Microsoft Office, including Word, Excel, Outlook, and PowerPoint
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.
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The Company
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.
