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Hmsa Jobs (NOW HIRING)

HMSA

Provider Contracting Manager

Honolulu, HI · On-site

$88K - $117K/yr

HMSA Provider Strategy * You are responsible for being an active participant in the shaping, informing, leading, and implementing HMSA's overall corporate strategy to its providers. You are expected ...

HMSA

Health Plan Specialist - Hilo

Hilo, HI · On-site

$17.25 - $23/hr

Communicate and promote HMSA's brand message and commitment to service excellence. * Build enduring relationships with HMSA's customers/members and other consumers by becoming their personal trusted ...

HMSA

Retail Associate - Maui

Kahului, HI · On-site

$15.50 - $17/hr

Communicate and promote HMSA's brand message and commitment to service excellence. * Build enduring relationships with HMSA's customers/members and other consumers by becoming their personal trusted ...

HMSA

Medicare Sales Producer

Honolulu, HI · On-site

Educates prospective members about HMSA Medicare Advantage products, industry trends and the impact of these trends on cost. * Document all prospect inquiries, outcomes, and follow up on sales ...

HMSA

Account Relationship Consultant

Honolulu, HI · On-site

Protect HMSA's market share through the successful renewal and retention of assigned accounts by strategically aligning HMSA's value-proposition to address the customer's business needs. * Has the ...

HMSA

Accounts Receivable Representative

Honolulu, HI · On-site

$18.75 - $23.75/hr

Communicate and promote HMSA's brand message and commitment to service excellence. * Effectively and independently analyze and research inquiries from customers (internal and external) relating to ...

HMSA

Health Plan Navigator I - Keaau

Keaau, HI · On-site

$19.25 - $25.50/hr

Maintain quantity, timeliness, accuracy, and quality performance within established standards that support HMSA's ability to comply with customer performance requirements, while receiving and ...

HMSA

Medicare Sales Producer

Pearl City, HI · On-site

Educates prospective members about HMSA Medicare Advantage products, industry trends and the impact of these trends on cost. * Document all prospect inquiries, outcomes, and follow up on sales ...

HMSA

Team Lead - Customer Relations

Honolulu, HI · On-site

Must have thorough and comprehensive working knowledge of HMSA's plan provisions, eligibility requirements, benefits, claims processing, medical policies, payment policies, and administrative ...

HMSA

Provider Performance Advocate

Honolulu, HI · On-site

$17.25 - $23/hr

Manages patient gaps in care by establishing efficient and effective workflows between providers, patients, and HMSA. * Accountable for establishing and maintaining sustained engagement within ...

HMSA

Senior Auditor II

Honolulu, HI · On-site

$80K - $98K/yr

Perform risk-based, compliance, operational, financial and information technology audits and consulting projects for HMSA. Create and execute audit programs and consulting projects, report findings ...

HMSA

Compensation Analyst

Honolulu, HI · On-site

Administers HMSA's compensation programs including base pay, variable pay, bonuses, special recognition, and most forms of cash compensation. Ensures salary actions are within established guidelines ...

HMSA

Engineer - Desktop

Honolulu, HI · On-site

HMSA is a healthcare organization seeking a Desktop Engineer to implement and support their desktop and end-user environment. The role involves maintaining and supporting infrastructure ...

HMSA

Senior Auditor I

Honolulu, HI · On-site

$80K - $98K/yr

Perform audit support functions related to risk-based, operational, compliance, financial, and information technology audits, and consulting projects for HMSA. Assist in the execution of audit ...

HMSA

Senior Business Analyst, Command Center

Honolulu, HI · On-site

$91K - $118K/yr

Develop performance optimization strategies and tactics based on logical assumptions and facts considering resources, constraints, and HMSA values. * Helps to lead and contributes to strategic design ...

HMSA

Lead System Analyst

Honolulu, HI · On-site

Coordinate and undertake response to requests from executives, providers, and internal HMSA departments to support reimbursement methodology evaluations, which could lead to potential changes ...

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How much do hmsa jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for hmsa in the United States is $26.34, according to ZipRecruiter salary data. Most workers in this role earn between $15.14 and $30.77 per hour, depending on experience, location, and employer.

What is the highest paid job in health care?

In healthcare, anesthesiologists are among the highest-paid professionals, often earning over $300,000 annually. They require extensive training, including medical school and specialized residency, and work in operating rooms or surgical settings. Other high-paying roles include surgeons and certain specialized physicians.

Is HMSA a good place to work?

HMSA offers a range of healthcare-related roles with competitive benefits and a focus on member services. Employees often cite a collaborative environment and opportunities for professional development, though experiences can vary by position and department.

What opportunities for career growth are available to employees at HMSA?

HMSA offers a variety of career development paths, from entry-level positions in customer service or claims to advanced roles in management, healthcare analytics, and specialized insurance functions. Employees can benefit from internal training programs, mentorship, and support for further education or certifications relevant to the healthcare industry. Team members are encouraged to apply for internal postings and participate in professional development to grow their careers within the organization. This supportive environment helps motivated staff advance while continually building new skills and expertise in the health insurance sector.

How many employees does HMSA have?

HMSA, a health insurance organization, employs approximately 1,200 staff members. The company offers roles in customer service, claims processing, and healthcare administration, often requiring relevant certifications and experience. Employee numbers can vary with organizational changes and growth.

What are the key skills and qualifications needed to thrive in the Hmsa position, and why are they important?

To thrive at HMSA (Hawaii Medical Service Association), candidates typically need a background in healthcare administration, insurance, or customer service, along with a relevant degree or experience in a similar field. Familiarity with health insurance platforms, claims processing systems, and HIPAA compliance is often required, and certifications such as a health insurance associate (HIA) can be beneficial. Strong communication, organizational, and problem-solving skills are crucial for delivering excellent service and working effectively with both customers and team members. These abilities are important to ensure efficient processing, high-quality service, and compliance within the dynamic healthcare insurance environment.

What is an HMSA job?

An HMSA job typically refers to a position at the Hawaii Medical Service Association (HMSA), a nonprofit health insurance company in Hawaii. Jobs at HMSA span various fields, including customer service, healthcare administration, sales, and IT. Employees help manage health plans, assist members, and support medical providers. HMSA aims to improve healthcare access and affordability for Hawaii residents.

What is the highest-paying job in healthcare management?

The highest-paying roles in healthcare management are typically executive positions such as Chief Executive Officer (CEO) or Chief Operating Officer (COO) of healthcare organizations, with salaries often exceeding $150,000 annually. These roles require extensive experience, strong leadership skills, and often advanced degrees like an MBA or healthcare administration certification.
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Provider Contracting Manager

Provider Contracting Manager

HMSA

Honolulu, HI • On-site

$88K - $117K/yr

Other

Re-posted 25 days ago

Job description

HMSA Provider Strategy
  1. You are responsible for being an active participant in the shaping, informing, leading, and implementing HMSA's overall corporate strategy to its providers. You are expected to play an integral role in supporting, including implementing, various strategic provider initiatives and working closely with other HMSA Departments including Office of Payment Transformation, Finance and Accounting, Medical Management, Medicare and Medicaid Programs, IHMS, and Market and Product Strategy to coordinate and implement strategic provider initiatives. These responsibilities include, but are not limited to, the following:
    • Financial Strategy - Aligned with HMSA mission, vision, values and provider strategy, develop, shape and evaluate financial proposals being negotiated with providers, including value-based payment, HMSA's Advanced Hospital Care program, or other alternative payment models. Work closely with HMSA leadership, Finance and Accounting, Quality Management, Provider Operations, Medical Management, Office of Payment Transformation and Corporate Analytics departments to develop and/or evaluate financial proposals. Negotiate financial proposals directly with providers.
    • Negotiate Contracts - Negotiate standard and nonstandard agreements with providers by working closely with Legal, Business Integrity, Provider Operations, Finance and Accounting, Credentialing, Office of Payment Transformation and other HMSA departments to ensure that the arrangement reached with each provider is driving HMSA provider strategy balanced with mitigating corporate legal, regulatory and operational risks. This includes reviewing and evaluating redlined contracts, making language recommendations, negotiating directly with providers and their agents and being responsible for the overall negotiated arrangement with the the provider.
    • Monitor and manage the disbursement of funds for HMSA contract obligations for non-claims expenses. This includes programs/projects like strategic community investment funds, recruiting programs, and bonuses for quality or volume. Evaluate and communicate with Senior Executives and interested departments on program effectiveness.
  2. Relationship Management:
    • Provider Partnering - Develop close partnerships with providers to (1) lead and drive HMSA's mission, vision, values and provider strategy and (2) facilitate strategic contracting with providers. Monitor and evaluate status of HMSA relationship with providers to better inform HMSA provider and contracting strategy. Responsible for identifying and coordinating, among internal and external stakeholders, the resolution of provider issues.
    • HMSA Internal Partnering - Develop close partnerships with various HMSA Departments to continuously develop and improve upon HMSA's provider strategy. At a detailed level, coordinate provider contractual requirements to ensure appropriate implantation and administration of provider contracts and negotiated arrangements. This includes, but is not limited to, (1) working with Finance and Accounting to ensure adherence to broader HMSA financial requirements including revenue recognition, pricing and discounting policies, (2) understanding and evaluating the financial impact of provider proposals and working closely with Finance and Accounting to implement contractual requirements, and (3) working with departments focused on operational, regulatory, and clinical outcomes to ensure provider contracts meet requirements and render appropriate, quality, and affordable care to members.
  3. Internal Operations
    • Maintain contractual records and documentation such as receipt and control of all contract correspondence, customer contact information, contractual changes, status reports and other documents for all projects. Ensure that signed contracts are communicated to all relevant parties to provide contract visibility and awareness, interpretation to support implementation. Ensure all parties comply with contract terms. Ensure contract close-out, extension or renewal.
    • Develop and implement procedures for contract management and administration in compliance with company policy and to mitigate risk to company. As appropriate, contribute to or influence company policies. Develop and prepare regular reports on the status of contracts and negotiations based on detailed analysis.
  4. Other duties as assigned
    • As needed, work directly on corporate initiatives including strategic provider initiatives, provide guidance on contract matters to supervisors or other operational staff, including training to new project stakeholders and other employees in contracting practices and procedures.
    • Performs all other miscellaneous responsibilities and duties as assigned or directed.

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