New Code Implementation: * Act as lead in loading of new codes by following existing documented process and timeline for downloading, processing and importing new codes (CPT, HCPC, ICD-10, etc.
New Code Implementation: * Act as lead in loading of new codes by following existing documented process and timeline for downloading, processing and importing new codes (CPT, HCPC, ICD-10, etc.
Healthcare Services Analyst II
Honolulu, HI · On-site
New Code Implementation: * Act as lead in loading of new codes by following existing documented process and timeline for downloading, processing and importing new codes (CPT, HCPC, ICD-10, etc.
Healthcare Services Analyst II
Honolulu, HI · On-site
New Code Implementation: * Act as lead in loading of new codes by following existing documented process and timeline for downloading, processing and importing new codes (CPT, HCPC, ICD-10, etc.
ELECTRICAL ENGINEER III (EN-22) [1 vacancy]
$6.7K - $8.6K/mo
The Department of Planning & Permitting (DPP), Building Division, Electrical Code Branch, is seeking an independent Electrical Engineer to review moderately difficult electrical plans and ...
ELECTRICAL ENGINEER III (EN-22) [1 vacancy]
$6.7K - $8.6K/mo
The Department of Planning & Permitting (DPP), Building Division, Electrical Code Branch, is seeking an independent Electrical Engineer to review moderately difficult electrical plans and ...
PLANS EXAMINING ENGINEER V (EN-26) [5 vacancies]
Honolulu, HI · On-site
$8.9K - $10K/mo
Ready for a role where your engineering expertise drives safe, code-compliant building approvals? The Department of Planning and Permitting , Building Division is seeking experienced engineers for a ...
PLANS EXAMINING ENGINEER V (EN-26) [5 vacancies]
Honolulu, HI · On-site
$8.9K - $10K/mo
Ready for a role where your engineering expertise drives safe, code-compliant building approvals? The Department of Planning and Permitting , Building Division is seeking experienced engineers for a ...
ELECTRICAL ENGINEER V (EN-26) [1 vacancy]
Honolulu, HI · On-site
$8.9K - $10K/mo
In this role, you will ensure electrical plans comply with the National Electric Code and applicable regulations. You will also evaluate new or alternate materials and devices for safety and ...
ELECTRICAL ENGINEER V (EN-26) [1 vacancy]
Honolulu, HI · On-site
$8.9K - $10K/mo
In this role, you will ensure electrical plans comply with the National Electric Code and applicable regulations. You will also evaluate new or alternate materials and devices for safety and ...
Software Engineer Internships
Mililani, HI · On-site
Writing and debugging code in languages such as C#, Java, Python, or C++ * Participating on an Agile Scrum team, collaborating across design, development, and testing * Supporting the development of ...
Software Engineer Internships
Mililani, HI · On-site
Writing and debugging code in languages such as C#, Java, Python, or C++ * Participating on an Agile Scrum team, collaborating across design, development, and testing * Supporting the development of ...
PLANS EXAMINING ENGINEER V (EN-26) [5 vacancies]
$8.9K - $10K/mo
Ready for a role where your engineering expertise drives safe, code-compliant building approvals. The Department of Planning and Permitting, Building Division is seeking experienced engineers for a ...
PLANS EXAMINING ENGINEER V (EN-26) [5 vacancies]
$8.9K - $10K/mo
Ready for a role where your engineering expertise drives safe, code-compliant building approvals. The Department of Planning and Permitting, Building Division is seeking experienced engineers for a ...
ELECTRICAL ENGINEER III (EN-22) [1 vacancy]
Honolulu, HI · On-site
$6.7K - $8.6K/mo
The Department of Planning & Permitting (DPP), Building Division, Electrical Code Branch, is seeking an independent Electrical Engineer to review moderately difficult electrical plans and ...
ELECTRICAL ENGINEER III (EN-22) [1 vacancy]
Honolulu, HI · On-site
$6.7K - $8.6K/mo
The Department of Planning & Permitting (DPP), Building Division, Electrical Code Branch, is seeking an independent Electrical Engineer to review moderately difficult electrical plans and ...
ELECTRICAL ENGINEER V (EN-26) [1 vacancy]
$8.9K - $10K/mo
In this role, you will ensure electrical plans comply with the National Electric Code and applicable regulations. You will also evaluate new or alternate materials and devices for safety and ...
ELECTRICAL ENGINEER V (EN-26) [1 vacancy]
$8.9K - $10K/mo
In this role, you will ensure electrical plans comply with the National Electric Code and applicable regulations. You will also evaluate new or alternate materials and devices for safety and ...
Electrical Inspector - SR-19
Hilo, HI · On-site
$59K/yr
Advises electrical contractors or owners to comply with County Ordinances, National Electrical Code, engineered plans and specifications. * Investigates premises where fires occurred to determine ...
Electrical Inspector - SR-19
Hilo, HI · On-site
$59K/yr
Advises electrical contractors or owners to comply with County Ordinances, National Electrical Code, engineered plans and specifications. * Investigates premises where fires occurred to determine ...
MECHANICAL ENGINEER V (EN-26) [2 vacancies]
Honolulu, HI · On-site
$8.9K - $11K/mo
Consult architects, mechanical engineers and public on questions relating to Plumbing Code and other pertinent codes. Approve the issuance of buildings permits for plumbing work upon satisfaction ...
MECHANICAL ENGINEER V (EN-26) [2 vacancies]
Honolulu, HI · On-site
$8.9K - $11K/mo
Consult architects, mechanical engineers and public on questions relating to Plumbing Code and other pertinent codes. Approve the issuance of buildings permits for plumbing work upon satisfaction ...
Assistant Electrical Inspector - SR-16
Hilo, HI · On-site
$52K/yr
Reviews less complex electrical plans to determine whether proposed wiring and equipment meet code requirements. Notes appropriate permit fees according to established rates. Inspects electrical ...
Assistant Electrical Inspector - SR-16
Hilo, HI · On-site
$52K/yr
Reviews less complex electrical plans to determine whether proposed wiring and equipment meet code requirements. Notes appropriate permit fees according to established rates. Inspects electrical ...
Planning Inspector I - SR-16
Hilo, HI · On-site
$52K/yr
Investigates complaints and alleged violations of State and County laws relating to land use codes and of programs implemented by the Planning Department. * Researches and gathers information through ...
Planning Inspector I - SR-16
Hilo, HI · On-site
$52K/yr
Investigates complaints and alleged violations of State and County laws relating to land use codes and of programs implemented by the Planning Department. * Researches and gathers information through ...
MECHANICAL ENGINEER V (EN-26) [2 vacancies]
Honolulu, HI · On-site
$8.9K - $11K/mo
Prepare correspondence and technical reports pertaining to the Plumbing Code and related matters. **Actual salary commensurate with applicable experience, pending approval.** Enjoy excellent ...
MECHANICAL ENGINEER V (EN-26) [2 vacancies]
Honolulu, HI · On-site
$8.9K - $11K/mo
Prepare correspondence and technical reports pertaining to the Plumbing Code and related matters. **Actual salary commensurate with applicable experience, pending approval.** Enjoy excellent ...
Permanent Full-Time Reviews and processes complex plans and specifications for buildings and other structures for compliance with provisions of the Building, Housing and Zoning Codes and Ordinances ...
Permanent Full-Time Reviews and processes complex plans and specifications for buildings and other structures for compliance with provisions of the Building, Housing and Zoning Codes and Ordinances ...
Investigates complaints and alleged violations of State and County laws relating to land use codes and of programs implemented by the Planning Department. Researches and gathers information through ...
Investigates complaints and alleged violations of State and County laws relating to land use codes and of programs implemented by the Planning Department. Researches and gathers information through ...
Assistant Electrical Inspector - SR-16
Hilo, HI · On-site
$52K/yr
The electrical codes of the County of Hawai`i and National Electrical Codes; the National Electrical Codes; building and safety codes and other pertinent ordinances pertaining to electrical ...
Assistant Electrical Inspector - SR-16
Hilo, HI · On-site
$52K/yr
The electrical codes of the County of Hawai`i and National Electrical Codes; the National Electrical Codes; building and safety codes and other pertinent ordinances pertaining to electrical ...
Land Use and Building Plans Examiner (SR-19)
Wailuku, HI · On-site
$4.9K/mo
Permanent Full-Time Reviews and processes complex plans and specifications for buildings and other structures for compliance with provisions of the Building, Housing and Zoning Codes and Ordinances ...
Land Use and Building Plans Examiner (SR-19)
Wailuku, HI · On-site
$4.9K/mo
Permanent Full-Time Reviews and processes complex plans and specifications for buildings and other structures for compliance with provisions of the Building, Housing and Zoning Codes and Ordinances ...
RN - ER Float Pool
Kealakekua, HI · On-site
Member of the rapid response and code blue team as needed Client Details Address 79-1019 Haukapila St City Kealakekua State HI Zip Code 96750
RN - ER Float Pool
Kealakekua, HI · On-site
Member of the rapid response and code blue team as needed Client Details Address 79-1019 Haukapila St City Kealakekua State HI Zip Code 96750
Specialty Plans Examiner I (SR-11)
Wailuku, HI · On-site
$3.6K/mo
Receives training in applicable codes and ordinances for more complex plans. Receives applications and plans over the counter; answers inquiries and directs applicants to other agencies as necessary.
Specialty Plans Examiner I (SR-11)
Wailuku, HI · On-site
$3.6K/mo
Receives training in applicable codes and ordinances for more complex plans. Receives applications and plans over the counter; answers inquiries and directs applicants to other agencies as necessary.
Coding information
See Hawaii salary details
$13.99 - $17.87
0% of jobs
$17.87 - $21.75
0% of jobs
$21.75 - $25.63
16% of jobs
$26.50 is the 25th percentile. Wages below this are outliers.
$25.63 - $29.52
40% of jobs
$29.52 - $33.40
5% of jobs
$33.40 - $37.28
9% of jobs
$39.47 is the 75th percentile. Wages above this are outliers.
$37.28 - $41.16
9% of jobs
$41.16 - $45.05
10% of jobs
$45.05 - $48.93
6% of jobs
$48.93 - $52.81
3% of jobs
$52.81 - $56.69
2% of jobs
$13
$34
$56
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Full-time
Medical
Re-posted yesterday
Job description
- Research and Analysis:
- Research and respond to low to medium complexity internal and external inquires.
- Is proficient at utilizing a variety of resources including but not limited to on-line information files and databases, Medicare/other plan guidelines, plan certificates, provider contracts.
- Make recommendations and decisions independently.
- Benefit and policy analysis & implementation:
- Assess business impact of new benefits, changes in medical or reimbursement policies/guidelines and tactics assigned in strategic planning.
- Initiate, develop, coordinate and implement cost/benefit analysis of claims processing.
- Extract and analyze data using SQL, MicroStrategy and/or other tools as available.
- Develop documentation, including cost/benefit and business impact analysis and recommendations to implement and/or improve claims processing.
- Update and create CES pend resolutions.
- Drive implementation of changes through writing of Work Intake Form, participation in multi-department meetings, contribution and review of requirements, validation of test cases, and post-implementation monitoring.
- Focus on low to medium complexity project implementations.
- New Code Implementation:
- Act as lead in loading of new codes by following existing documented process and timeline for downloading, processing and importing new codes (CPT, HCPC, ICD-10, etc.).
- Prepare and submit files for review and configuration implementation.
- Review new codes in assigned categories, work with Medical Management and Configuration to ensure appropriate claims processing/editing based on new code review.
- Post-implementation trends and workflow improvements:
- Support audits of implemented policies and completed projects. Identify and investigate areas involving cost increases, uncontrolled payments and/or inequitable payments.
- Identification and resolution of issues and trends as a result of researching and responding to implementation requests, problem reports, and inquiries.
- Develop clear, concise documentation complex business scenarios. This documentation will be used to develop policy/project systems and workflow requirements.
- Software implementation:
- Participate in the unit's efforts to implement new projects, software or software modifications.
- Participate in the development of user requirements, test scenarios, and test validation activities.
- Continuing Education:
- Attends and successfully completes HMSA and Continuing Education training classes as assigned.
- Other duties as assigned
- Bachelor's degree or equivalent combination of education and work experience.
- Two years of related work experience.
- Effective verbal, written communication skills
- Excellent organizational and analytical skills
- Must possess working knowledge of medical terminology, anatomy, and health plan benefits.
- Good working knowledge of Microsoft Office programs
About Hawaii Medical Service Association
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Honolulu, HI, US
Year founded
1938