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 ...
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 ...
* Sustains mastery of encounter system processes within HMSA and external partners, for multiple lines of business. * Monitors trends in data exchange with external entities and recommends adjustments ...
* Sustains mastery of encounter system processes within HMSA and external partners, for multiple lines of business. * Monitors trends in data exchange with external entities and recommends adjustments ...
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 ...
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 ...
* Analyzes encounter system processes within HMSA and external partners. * Coordinates and reconciles exchange of data with external entities. * Researches various claim-member-provider scenarios to ...
* Analyzes encounter system processes within HMSA and external partners. * Coordinates and reconciles exchange of data with external entities. * Researches various claim-member-provider scenarios to ...
Engineer - Desktop
Honolulu, HI · Hybrid
Implements, Maintains and upgrades HMSA's endpoint and client software. * Installs, configures and troubleshoots computers and related peripherals, software and network connectivity. * Defines ...
Engineer - Desktop
Honolulu, HI · Hybrid
Implements, Maintains and upgrades HMSA's endpoint and client software. * Installs, configures and troubleshoots computers and related peripherals, software and network connectivity. * Defines ...
* Sustains strong knowledge of encounter system processes within HMSA and external partners. * Coordinates and reconciles data exchange with external entities, monitoring quality. * Researches complex ...
* Sustains strong knowledge of encounter system processes within HMSA and external partners. * Coordinates and reconciles data exchange with external entities, monitoring quality. * Researches complex ...
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 ...
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 ...
ACA, QUEST, Medicare, HMSA * Oversee data analysis functions that support contract negotiations and fee reviews. * Oversee out of network provider access strategies including: * Single case ...
ACA, QUEST, Medicare, HMSA * Oversee data analysis functions that support contract negotiations and fee reviews. * Oversee out of network provider access strategies including: * Single case ...
Participate in ad hoc projects to help enhance the provider experience with HMSA. These may include but are not limited to enhancements of provider online resources and development of content for the ...
Participate in ad hoc projects to help enhance the provider experience with HMSA. These may include but are not limited to enhancements of provider online resources and development of content for the ...
Account Servicing Advocate I
$14.25 - $19.75/hr
Contacting external partners who provide services for/to HMSA's members * Providing member or group education on enrollment, billing (bill resentment) and bill payment * Support unit in performing ...
Account Servicing Advocate I
$14.25 - $19.75/hr
Contacting external partners who provide services for/to HMSA's members * Providing member or group education on enrollment, billing (bill resentment) and bill payment * Support unit in performing ...
Health Plan Specialist - Hilo
$15.50 - $20.50/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 ...
Health Plan Specialist - Hilo
$15.50 - $20.50/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 ...
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 ...
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 ...
Develops strategies, objectives, and tactics to support enterprise and business unit goals while factoring in resource and other constraints, and HMSA values. * Monitors and takes appropriate action ...
Develops strategies, objectives, and tactics to support enterprise and business unit goals while factoring in resource and other constraints, and HMSA values. * Monitors and takes appropriate action ...
Graphic Artist II
Honolulu, HI · Hybrid
$125.60K - $150.30K/yr
Designs should promote/support HMSA's brand, be engaging, visually tells the story we're trying to convey, visually aligns across all material and communication channels, and helps drive the action ...
Graphic Artist II
Honolulu, HI · Hybrid
$125.60K - $150.30K/yr
Designs should promote/support HMSA's brand, be engaging, visually tells the story we're trying to convey, visually aligns across all material and communication channels, and helps drive the action ...
Work with the project team, HMSA departments and external. partners to monitor, collect, communicate, and distribute information * Appropriately identify communication needs and timelines;
Work with the project team, HMSA departments and external. partners to monitor, collect, communicate, and distribute information * Appropriately identify communication needs and timelines;
Accounting Analyst I
Honolulu, HI · On-site
$59.30K - $77.60K/yr
* Reviews and conducts analysis of financial statements for HMSA and other related entities in an accurate and timely manner. This includes preparation, summarization, and maintenance of source data in ...
Accounting Analyst I
Honolulu, HI · On-site
$59.30K - $77.60K/yr
* Reviews and conducts analysis of financial statements for HMSA and other related entities in an accurate and timely manner. This includes preparation, summarization, and maintenance of source data in ...
Protect HMSA's grow market share through the successful renewal and retention of assigned accounts and generate new sales. * Work in partnership with HMSA leadership and sales managers to develop ...
Protect HMSA's grow market share through the successful renewal and retention of assigned accounts and generate new sales. * Work in partnership with HMSA leadership and sales managers to develop ...
Provider Contracting Manager
Honolulu, HI · Hybrid
$88K - $117.70K/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 ...
Provider Contracting Manager
Honolulu, HI · Hybrid
$88K - $117.70K/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 ...
Work with HMSA departments and external partners to collect and distribute information, complete tasks, facilitate communication, and provide status updates to ensure coordination among groups.
Work with HMSA departments and external partners to collect and distribute information, complete tasks, facilitate communication, and provide status updates to ensure coordination among groups.
Investigator II
Honolulu, HI · Hybrid
Create and/or refresh and present SIU training to HMSA employees, employer groups, vendors and other business areas as needed. * SIU allegation intake and management: * Manage the intake ...
Investigator II
Honolulu, HI · Hybrid
Create and/or refresh and present SIU training to HMSA employees, employer groups, vendors and other business areas as needed. * SIU allegation intake and management: * Manage the intake ...
Hmsa information
See salary details
$8.89 - $13.70
16% of jobs
$15.17 is the 25th percentile. Wages below this are outliers.
$13.70 - $18.51
29% of jobs
The median wage is $19.71 / hr.
$18.51 - $23.32
19% of jobs
$27.58 is the 75th percentile. Wages above this are outliers.
$23.32 - $28.13
12% of jobs
$28.13 - $32.93
8% of jobs
$32.93 - $37.74
5% of jobs
$37.74 - $42.55
4% of jobs
$42.55 - $47.36
2% of jobs
$47.36 - $52.16
2% of jobs
$52.16 - $56.97
1% of jobs
$56.97 - $61.78
1% of jobs
$8
$26
$61
How much do hmsa jobs pay per hour?
As of May 30, 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 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 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 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.
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Other
Posted 11 days ago
Job description
- 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.
- 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.
- 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.
- Identifies and refers members with specific medical and/or behavioral health needs or complex case management and collaborates with case management staff as needed.
- Identifies and refers quality of care issues and suspected fraud, waste or abuse to the appropriate department.
- Participates in meetings and program design and improvement activities with the HMSA Behavioral Health Team.
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
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About HMSA
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Honolulu, HI, US
Year founded
1938