- Guardian Life (Honolulu, HI)
- ** Complex Claims Manager , LTD Claims ** The Complex Claims Manager , LTD Claims is responsible for making accurate decisions on assigned ... honest manner + Demonstrates self-awareness and embraces feedback **Reporting Relationship:** The Complex Claims Case Manager , LTD Claims reports to the… more
- Humana (Honolulu, HI)
- …part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. ... The Manager , Fraud and Waste works within specific guidelines and...and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives… more
- Amentum (Kekaha, HI)
- Amentum is seeking a **Contracts Manager ** for a position on **Kauai, HI.** Supporting the Contracts and Procurement Departments, manages the day-to-day operations ... with DCAA and DCMA. + Responsible for development, submittal, negotiation of claims , and Requests of Equitable Adjustment. + Provides day-to-day management and… more
- Elevance Health (Kapolei, HI)
- …as part of consideration for employment. **eCOB Specialist II** + Job Family: CLM > Claims Support + Type: Full time + Date Posted:Apr 16, 2024 + Anticipated End ... members on multiple platforms. Fully proficient in all key areas; performs multi complex functions and interprets complex rules, laws and contracts. Accountable… more
- J&J Family of Companies (Honolulu, HI)
- …for growth, integrity and innovation. This position will work closely with the Manager of Promotional and Educational Compliance as well as content creators across ... will prepare instruction manuals, and other supporting documents that communicate complex and technical information to customers. This position has overall… more
- Humana (Honolulu, HI)
- …the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Stantec (Honolulu, HI)
- …Management Group is seeking a Resident Engineer to work on large, complex transportation construction projects with construction values in excess of $500M. This ... Phase constructability and construction sequencing reviews. + Supports Construction Manager and project team during the Preconstruction Phase, developing procedures,… more