ZipRecruiter

Log In

1

Hmsa Jobs (NOW HIRING)

HMSA

Medical Management Specialist I

Kapolei, HI · On-site

Utilization of various resources to confirm HMSA's clinical review requirements; as required, educate and/or respond to provider office with outcome. * Creation of the electronic file within the ...

HMSA

Manager, Accounting

Honolulu, HI · On-site

* Oversee and manage accounting operations for HMSA and its subsidiaries, including general ledger and reconciliation activities. Streamline processes and implement efficiencies to optimize financial ...

HMSA

Engineer - Desktop

Honolulu, HI · On-site

Implements, Maintains and upgrades HMSA's endpoint and client software. * Installs, configures and troubleshoots computers and related peripherals, software and network connectivity. * Defines ...

HMSA

Senior Software Engineer

Honolulu, HI · On-site

$121K - $159K/yr

Provides work direction and leadership to assigned projects following HMSA's project management methodology. * Reviews and provides input to the requirements for the implementation of business ...

HMSA

BlueCard Program Coordinator

Kapolei, HI · On-site

Monitor and effectively manage inventory of unresolved complex inquiries to provide timely follow-up and accurate resolution of BlueCard claims for HMSA customers. * Use ITS, Blue2 systems, reference ...

HMSA

Case Resolution Specialist I

Honolulu, HI · On-site

Assists Supervisor and Coordinator in working as a liaison with providers, members and internal decision makers in representing HMSA objectives, goals, and expectations for meeting contractual ...

next page

Showing results 1-20

All JobsHmsa Jobs

Hmsa information

See salary details

$8

$26

$61

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.
More about Hmsa jobs
What cities are hiring for Hmsa jobs? Cities with the most Hmsa job openings:
What are the most commonly searched types of Hmsa jobs? The most popular types of Hmsa jobs are:
What job categories do people searching Hmsa jobs look for? The top searched job categories for Hmsa jobs are:
Hmsa jobs near you
Utilization Reviewer (Applied Behavior Analysis)

Utilization Reviewer (Applied Behavior Analysis)

HMSA

Honolulu, HI • On-site

Other

Re-posted 25 days ago

Job description

  1. Applies appropriate medical necessity criteria for Applied Behavior Analysis from an established medical policy and clinical guidelines to render pre- or post-service clinical decisions as described in the Medical Management UM work plan. This detailed analysis includes evaluating the care of members with autism spectrum disorder to determine medical necessity and benefit coverage applicable for all HMSA medical plans and contracted government programs. Responsibilities include, but are not limited to:
    • Demonstrating understanding and application of clinical review criteria, decision rules, medical protocols and other criteria to determine the appropriateness of Applied Behavior Analysis.
    • Documenting care summaries and outcomes of reviews appropriately to meet regulatory and program requirements.
    • Consulting with Medical Directors on issues encountered during review of medical records in situations when the complexity of the member's management is unclear; there is a potential denial of services; or a potential for reducing the services requested.
  2. Evaluates suspended claims against medical records to determine the medical necessity and appropriateness of certain ABA services, frequency patterns and irregularities in billing. Irregularities may include up coding, over billing, etc.
  3. Communicates timely, accurate information either verbally or in writing using knowledge of medical/reimbursement policies, plan benefits and clinical judgment to internal MM staff, providers, members and other authorized persons. For denied services, ensures the denial, benefit and appeal language are accurate and consistent with department procedures, accreditation and regulatory guidelines.
  4. Identifies and refers members with specific medical and/or behavioral health needs or complex case management and collaborates with case management staff as needed.
  5. Identifies and refers quality of care issues and suspected fraud, waste or abuse to the appropriate department.
  6. Participates in meetings and program design and improvement activities with the HMSA Behavioral Health Team.
  7. Performs all other miscellaneous responsibilities and duties as assigned or directed.
#LI-Hybrid

Apply