- Humana (Honolulu, HI)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director (Staff ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Humana (Honolulu, HI)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- J&J Family of Companies (Honolulu, HI)
- …+ Proficient in Microsoft Excel, common analytic tools + Solid understanding of Medical Claims desirable Preferred Knowledge, Skills and Abilities: * 2 years ... Associate Director , Immunology Medical Affairs Data Analytics...and an understanding of critical priorities through effective time management and prioritization strategies **Qualifications** + Required Minimum Education:… more
- Humana (Honolulu, HI)
- …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
- Trustmark (Honolulu, HI)
- …accounting of activities and sales. + Collaborate with and support the Client Management team to assure persistency goals are being achieved. + Review national ... Science degree preferably in a business-related area. + 10+ years of Group Medical and Employee Benefits experience. + Proven ability to establish and maintain… more
- Intermountain Health (Honolulu, HI)
- **Job Description:** This position is responsible for the effective management of assigned contractual associations with payers. The Senior Manager is responsible ... Manager is also responsible for the complete and effective management and/or resolution of department and organization projects as...of department and organization projects as assigned by the director or senior manager. The Senior Manager must be… more
- Marriott Vacations Worldwide (Lahaina, HI)
- …efficiently and creating a positive work culture among staff members. Supports Director of Operations in ensuring Hotel Operations meet the brand's standards, ... degree from an accredited university in Business Administration, Hotel and Restaurant Management , or related major; 4 years experience in the guest services, front… more
- Quadient (Honolulu, HI)
- …connection between their customers and what matters most. From mortgage approvals, medical results, and insurance claims , to accounts receivables, invoices and ... tone in all content materials. + Collaborate with the Director of Content Strategy to ensure content messaging aligns...best practices and content optimization. + Familiarity with content management systems and basic HTML/CSS skills. + Ability to… more
- Hawaii Pacific Health (Honolulu, HI)
- …services in collaboration with the managed care services department including referral management , patient steerage, and claims auditing. Under the general ... a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i and the… more