The Role
Leads internal operations process and systems optimization, service provider governance, claims-area corrective initiatives, and improvement projects. Ensures implementations meet service-level agreements, timelines, and quality standards. Builds and manages teams through recruiting, coaching, performance management, training, and career development. Partners with internal and external stakeholders to achieve organizational goals and improve operational performance.
Summary Generated by Built In
Job Summary & ResponsibilitiesPreferred Qualifications
- Lead and manage the function providing oversight of all matters relating to the maintenance and enhancement of internal operations processes and systems to support HMSA's operational and related programs.
- Governance and relationship oversight of service providers which includes ensuring all new benefits/processes are implemented accurately while corrective actions are also completed according to Service Levels Agreements (SLAs).
- Project management leadership for all improvement/corrective activities for the claims area. Includes working effectively with internal and external partners to ensure timelines and quality standards are achieved as expected.
- Develop and lead an effective unit by effectively recruiting, developing, managing performance, and motivating staff to meet organizational goals.
- Interview, hire, mentor, develop staff for the Internal Operations job family
- Implement creative recruiting techniques to address staffing needs
- Administer disciplinary actions and termination when necessary
- Identify training needs & oversee development of training programs
- Promote career growth through coaching and development opportunities
- Recognize achievements and inspire staff toward higher levels of performance and quality
- Performs all other miscellaneous responsibilities and duties as assigned or directed
#LI-Hybrid
- Bachelor's degree and six years of related work experience or an equivalent combination of education and experience.
- Four years of previous supervisory/management experience
- Strong interpersonal and communication skills.
- Expert project and process management skills
- Experience leading diverse teams to meet organizational goals
- Experience performing service provider governance
- Intermediate level knowledge of Microsoft Office applications. Including but not limited to Word, Outlook, and Power Point. Basic level knowledge of Excel.
Skills Required
- Bachelor's degree and six years of related work experience, or equivalent combination of education and experience
- Four years of supervisory or management experience
- Strong interpersonal and communication skills
- Expert project and process management skills
- Experience leading diverse teams to meet organizational goals
- Experience performing service provider governance
- Intermediate knowledge of Microsoft Office applications, including Word, Outlook, and PowerPoint
- Basic knowledge of Microsoft Excel
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.
