33 Jobs Found
Magellan Health Services Transition of Care Specialist I HMSA Honolulu, HawaiiThis position is responsible for development and implementation of transitional care support for members in inpatient or residential settings stratified as low complexity care management needs in Medicaid, Medicare, and Whole Health markets. Supports members enrolled in C...
Strategic Partnerships & Strategy Execution Collaborates with CI executives, HMSA leadership and Provider leadership in setting the strategic direction for the partnership, as well as developing and executing short and long-term population health strategies that align with the respective Value-Based Payment Agreements. Operationalizes new clinical...
a. Project management and facilitationDevelops and maintains project plans, timelines, and scope documents for strategy initiatives.Proactively manages deliverables, timelines, and budget:Monitors and takes appropriate action to ensure various task and system-related deliverables are accomplished in an accurate and timely manner.Develops strategies...
Under the general guidance of the Director:Perform risk-based, compliance, operational, financial and information technology audits and consulting projects for HMSA. Create and execute audit programs and consulting projects, report findings and recommendations, and perform follow-up activities to ensure that management has remediated findings in a ...
Under the general guidance of the Director:Perform risk-based, compliance, operational, financial and information technology audits and consulting projects for HMSA. Create and execute audit programs and consulting projects, report findings and recommendations, and perform follow-up activities to ensure that management has remediated findings in a ...
a. Helps to lead and contributes to strategic design, implementation, and management of strategy roadmaps, strategic frameworks, and initiatives.Works with key stakeholders to strategically design and implement strategy initiatives with guidance from executive sponsors, subject matter experts, and other staff as needed.Utilizes systems-thinking to ...
Hybrid Work Environment - Must reside on OahuPay Range: $57,629 - $88,159Note: Individuals typically begin between the minimum to middle of the pay range.The Senior Auditor I reports to the Audit Manager and is responsible for performing audit support tasks related to risk-based, operational, compliance, financial, and information technology audits...
Responsible for managing the member portal and member servicing tools which enables customers, providers, and stakeholders to have a seamless HMSA experience. Build, support, and maintain effective communication strategies with enterprise stakeholders and external product vendors/third parties. Lead cross-functional product teams through the proce...
Under the general guidance of the Audit Manager:Perform audit support functions related to risk-based, operational, compliance, financial, and information technology audits, and consulting projects for HMSA. Assist in the execution of audit programs and consulting projects, report findings and recommendations, and perform follow-up activities to en...
Audit and review operational quality measures as assigned for All Private Business and/or FEP lines of Business and document errors without assistance and assist other staff in resolving audit issues errors noting the probable cause or causes, impact to HMSA (if applicable) and recommendations for correction. Skills and knowledge required includes:...