Presents vendors' UM program description, program evaluation, and delegation oversight audit reports to HMSA's cross-functional committees * Meets regularly with vendor's operational areas to assist ...
Presents vendors' UM program description, program evaluation, and delegation oversight audit reports to HMSA's cross-functional committees * Meets regularly with vendor's operational areas to assist ...
Presents vendors' UM program description, program evaluation, and delegation oversight audit reports to HMSA's cross-functional committees * Meets regularly with vendor's operational areas to assist ...
Presents vendors' UM program description, program evaluation, and delegation oversight audit reports to HMSA's cross-functional committees * Meets regularly with vendor's operational areas to assist ...
Presents vendors' UM program description, program evaluation, and delegation oversight audit reports to HMSA's cross-functional committees * Meets regularly with vendor's operational areas to assist ...
Presents vendors' UM program description, program evaluation, and delegation oversight audit reports to HMSA's cross-functional committees * Meets regularly with vendor's operational areas to assist ...
Creation of the electronic file within the Utilization Management (UM) management system for review. * Adhering to the guidelines and processes for management of documents within the Fax Manager ...
Creation of the electronic file within the Utilization Management (UM) management system for review. * Adhering to the guidelines and processes for management of documents within the Fax Manager ...
Creation of the electronic file within the Utilization Management (UM) management system for review. * Adhering to the guidelines and processes for management of documents within the Fax Manager ...
Creation of the electronic file within the Utilization Management (UM) management system for review. * Adhering to the guidelines and processes for management of documents within the Fax Manager ...
Creation of the electronic file within the Utilization Management (UM) management system for review. * Adhering to the guidelines and processes for management of documents within the Fax Manager ...
Creation of the electronic file within the Utilization Management (UM) management system for review. * Adhering to the guidelines and processes for management of documents within the Fax Manager ...
Creation of the electronic file within the Utilization Management (UM) management system for review. * Adhering to the guidelines and processes for management of documents within the Fax Manager ...
Creation of the electronic file within the Utilization Management (UM) management system for review. * Adhering to the guidelines and processes for management of documents within the Fax Manager ...
Creation of the electronic file within the Utilization Management (UM) management system for review. * Adhering to the guidelines and processes for management of documents within the Fax Manager ...
Creation of the electronic file within the Utilization Management (UM) management system for review. * Adhering to the guidelines and processes for management of documents within the Fax Manager ...
Clinical Reviewer, Nurse Practitioner/Physician Assistant (Oncology)(Evening Hours preferred)
Honolulu, HI · On-site
$107K - $139K/yr
Medical
Responsible for coordinating with UM staff to ensure timely and accurate communication of clinical decisions. * Responsible for completion of UM projects and participation in site visit reviews.
New
Clinical Reviewer, Nurse Practitioner/Physician Assistant (Oncology)(Evening Hours preferred)
Honolulu, HI · On-site
$107K - $139K/yr
Medical
Responsible for coordinating with UM staff to ensure timely and accurate communication of clinical decisions. * Responsible for completion of UM projects and participation in site visit reviews.
New
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
... UM work plan. This detailed clinical judgment includes determination of inpatient hospital stays as medically appropriate for the member's clinical condition or whether the stay requires referral to ...
... UM work plan. This detailed clinical judgment includes determination of inpatient hospital stays as medically appropriate for the member's clinical condition or whether the stay requires referral to ...
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
... UM work plan. This detailed clinical judgment includes determination of inpatient hospital stays as medically appropriate for the member's clinical condition or whether the stay requires referral to ...
... UM work plan. This detailed clinical judgment includes determination of inpatient hospital stays as medically appropriate for the member's clinical condition or whether the stay requires referral to ...
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
Care Coordinator
Honolulu, HI · On-site
$19 - $25.75/hr
Medical
Dental
Vision
Retirement
PTO
... UM) reports, BH reports, member service reports, HEDIS, QI reports, and claims resolutions. * Participate in staff meetings and training, take minutes/attendance, and post on BH Share Point. * Assist ...
Care Coordinator
Honolulu, HI · On-site
$19 - $25.75/hr
Medical
Dental
Vision
Retirement
PTO
... UM) reports, BH reports, member service reports, HEDIS, QI reports, and claims resolutions. * Participate in staff meetings and training, take minutes/attendance, and post on BH Share Point. * Assist ...
Um information
See Hawaii salary details
$40.5K - $52.2K
15% of jobs
$52.2K - $63.9K
8% of jobs
$65.6K is the 25th percentile. Wages below this are outliers.
$63.9K - $75.7K
15% of jobs
The median wage is $83.1K / yr.
$75.7K - $87.4K
20% of jobs
$87.4K - $99.1K
11% of jobs
$104.9K is the 75th percentile. Wages above this are outliers.
$99.1K - $110.8K
13% of jobs
$110.8K - $122.5K
5% of jobs
$122.5K - $134.2K
3% of jobs
$134.2K - $145.9K
4% of jobs
$145.9K - $157.6K
3% of jobs
$157.6K - $169.3K
3% of jobs
$40.5K
$93K
$169.3K
How much do um jobs pay per year?
As of Aug 16, 2026, the average yearly pay for um in Hawaii is $92,969.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,000.00 and $108,600.00 per year, depending on experience, location, and employer.
What is an Um?
It appears that 'Um' is not a recognized job title in any standard industry or profession. If you are referring to a specific job or role, please provide more context or clarify the job title. There are no established roles or responsibilities associated with 'Um' as a job title.
What are the key skills and qualifications needed to thrive as an Um, and why are they important?
I'm sorry, but 'Um' is not a recognized real-world professional occupation, so I cannot provide an answer.
What is the difference between Um vs Customer Service Representative?
| Aspect | Um | Customer Service Representative |
|---|---|---|
| Required Credentials | High school diploma or equivalent; technical skills | High school diploma; communication skills |
| Work Environment | Call centers, technical support settings | Retail, call centers, online support |
| Industry Usage | Tech, telecommunications, IT | Retail, hospitality, telecom |
| Common Search Intent | Technical support, troubleshooting | Customer inquiries, issue resolution |
Um typically refers to roles focused on technical support or specialized assistance, often requiring technical skills and certifications. Customer Service Representatives handle general customer inquiries and support across various industries. While both roles involve communication, Um roles are more technical, whereas Customer Service Representatives focus on customer relations and problem-solving.
What job categories do people searching Um jobs in Hawaii look for?
The top searched job categories for Um jobs in Hawaii are:
What cities in Hawaii are hiring for Um jobs?
Cities in Hawaii with the most Um job openings:
Full-time
Re-posted 19 days ago
Job description
- Coordinate and manage deliverables of aspects of utilization management programs by delegated vendors:
- Ensures that program deliverables, documentation, and reporting are complete and meets contractual, compliance, and accreditation requirements.
- Develops data templates and submission forms.
- Maintains program documentation for auditing purposes.
- Analyzes business issues, including but not limited to new services, contract deliverables, enhancements, etc.
- Troubleshoots workflow issues as well as member/provider complaints and recommend solutions to management and internal departments.
- Reviews status reports to ensure projects progress on schedule within prescribed guidelines. Modify plans as required. Prepares project reports for management, partners, or others as required.
- Identifies and implements opportunities for process improvement in workflows and infrastructure operations. Initiate change and evaluate impact.
- Ensures that program deliverables, documentation, and reporting are complete and meets contractual, compliance, and accreditation requirements.
- Program interaction/Committee involvement
- Presents vendors' UM program description, program evaluation, and delegation oversight audit reports to HMSA's cross-functional committees
- Meets regularly with vendor's operational areas to assist with oversight of the vendor program and services
- Provides coordination and guidance to other departments and external resources in managing work to support efficient program operations.
- Leads coordination of internal cross-departmental meetings
- Provides training and consultation to vendor staff on an as-needed basis
- Subject matter expertise on program compliance
- Facilitates quarterly UM file reviews with Medical Director's guidance
- Acts as a liaison between vendors and HMSA departments for various audit activities
- Coordinates with vendors to ensure timely and accurate reporting of UM decisions as required by state and federal agencies
- Provides subject matter expertise in evaluating vendors' compliance with NCQA UM standards
- Prepares vendors' documentation in consultation with Quality Improvement department for submission to NCQA during re-accreditation surveys
- Performs all other miscellaneous responsibilities and duties as assigned or directed
#LI-Hybrid
- Bachelor's degree and three years of work experience or equivalent combination of education and experience.
- Working knowledge/skills in project management/coordination
- Working knowledge in issues identification, data collection, and validation
- Strong oral and written communication skills with the ability to provide information to management, providers, vendors, and other employees.
- Basic working knowledge in Microsoft Office applications, including Word, Excel, and Outlook.
Working knowledge of database and spreadsheet 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