- Cardinal Health (Honolulu, HI)
- ** Manager , Managed Care ** **What Managed Care contributes to Cardinal Health** Practice Operations Management oversees the business and ... administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal… more
- CVS Health (Honolulu, HI)
- …License + Certified Case Manager (CCM) + Case Management experience + Managed Care experience + Telephonic case management and/or telephonic customer service ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...heart, each and every day. **Position Summary** This Case Manager RN position is 100% remote, and the employee… more
- Highmark Health (Honolulu, HI)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… more
- Humana (Honolulu, HI)
- …the (appropriate state) with no disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance,...delivery system. + Knowledge of MCG or Interqual. + Managed care experience. **Additional Information** **Work Days/Hours**… more
- CDM Smith (Honolulu, HI)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- CVS Health (Honolulu, HI)
- …utilizing and navigating multiple software programs concurrently. **Preferred Qualifications** - Managed care experience -Advanced training (ie, Board-certified ... requests pharmacist attendance for an onsite visit/assessment/audit. The Pharmacy Program Manager role includes: -Collaborate with an interdisciplinary care … more
- Hawaii Pacific Health (Honolulu, HI)
- …is proud to bring our patients and their families the best in medical care at a convenient, close-to-home location in West O'ahu. Our services here include: ... to ensure that all these services are delivered and managed in an efficient manner with friendly customer service....service. If you have a developed sense of health care operations and are skilled at integrating diverse processes… more
- Pacific Northwest National Laboratory (Honolulu, HI)
- …and opportunities of tomorrow. **Responsibilities** As a Senior Digital Project Manager , you are involved in leading strategic initiatives for the laboratory ... and oversee the quality of deliverables and products. The Senior Digital Project Manager takes a holistic project approach by collaborating with users, business, and… more
- UMB Bank (Honolulu, HI)
- As the **Portfolio Manager - BBBLC** **,** you will be responsible for assisting Business Banking and Practice Finance officers in the portfolio management ... activities (generally loans over $500,000) that are reviewed, decisioned and managed by the BBLC (Business Banking Loan Center). You will partner with and support… more
- Western Digital (Honolulu, HI)
- …years** in legal business consulting, legal technology innovation, or legal managed services * Strong technical program management with large-scale legal operations ... mental disability, medical condition, genetic information, protected medical and family care leave, Civil Air Patrol status, military and veteran status, or… more
- Highmark Health (Honolulu, HI)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... + 1 year in a clinical setting **Preferred** + 5 years in UM/CM/QA/ Managed Care + 1 year in advanced training and experience in cognitive behavioral therapy… more
- Cardinal Health (Honolulu, HI)
- …independently with minimal supervision. + Strong organizational skills. + Understanding of managed care contracts and fee schedules, including Medicare and ... and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the… more
- CDM Smith (Kapolei, HI)
- …demands. **Preferred Qualifications:** * SAM, CSAM (Certified Software Asset Manager ), or SAMS (Software Asset Management Specialist) certifications preferred. * ... Management tools, such as ServiceNow SAM, Flexera, Snow License Manager , or Certero. * Strong background in software license...Where it's a priority that the company takes good care of you and your family. Our employees are… more
- UMB Bank (Honolulu, HI)
- …assessment and underwriting of new SBCRE (Small Balance Commercial Real Estate) managed investment loans (non-owner occupied CRE loans $1,000,000 to $5,000,000) in ... all of or portions of the credit packages (as agreed with the relationship manager ) for submission to credit committee for approval (new business and renewals) +… more
- Cardinal Health (Honolulu, HI)
- …management preferred. + Familiarity with Medicare, Medicaid, commercial insurance plans, and managed care preferred. + Proficiency in billing software (eg ... open enrollment opportunities + Initiate and track all charity care applications + Work closely with other Financial Counselors,...and in team setting. + Deliver monthly KPI's to manager on time for prior month. + Regular attendance… more
- Highmark Health (Honolulu, HI)
- …in Business Administration/Management, Finance, or Economics **EXPERIENCE** **Required** + 5 - 7 years Managed Care Or + 5 - 7 years Health Insurance Industry + ... Registered Pharmacist or PharmD + 3 years in Health Plan, Pharmacy Benefit Manager (PBM) or Pharmaceutical manufacturer environment + Experience in a Health Plan or… more
- Queen's Health System (Honolulu, HI)
- …experience. * Experience with medical terminology, medical insurance, HMO, managed care , electronic medical record, computerized order entry, ... Medical Center. * May manage/oversee other areas in the absence of the Manager as assigned. II. TYPICAL PHYSICAL DEMANDS: * Essential: finger dexterity, seeing,… more
- Brink's (Honolulu, HI)
- …of cash and valuables management, digital retail solutions, and ATM managed services. Our customers include financial institutions, retailers, government agencies, ... grow within Brink's, with potential paths including becoming a Sales Manager . Day-to-day responsibilities include: + Identify and develop sales opportunities with… more