Job Description

Employment Type
Full-time
Exempt or Non-Exempt
Non-exempt [Non-ex.]
Job Summary
Hybrid Work Environment - Must reside on Oahu**
Pay Range: $53,000 to $99,000
Note: Individuals typically begin between the minimum to middle of the pay range
Conduct activities under limited oversight that support government regulations, accreditation standards and specific HMSA line of business requirements.
Minimum Qualifications
Associate degree and one (1) year of related work experience; or equivalent combination of education and work experience.
Demonstrated oral and written communication skills.
Proven organizational and time-management skills.
Basic working knowledge of Microsoft Office applications, including but not limited to Word, Excel, Outlook, and PowerPoint.
Duties And Responsibilities
Revise and/or develop medical policies adopted from the BCBSA in conjunction with assigned medical director and in accordance with Development and Approval of Medical Policy administrative policy; process includes appropriate and timely implementation and publication.
Assist with activities related to the revision and/or development of medical policies, code reviews, and TEC topic research, which include Service Now ticket submissions and Workfront ticket requests (tickets include data requests and medical policy page updates).
Assist with the revision and update of MM C&S Unit assigned PRC pages. Collaborate with HMSA Communications Department with the accuracy of PRC page content and in the submission Workfront requests.
Support MM sponsored meetings by preparing and distributing an agenda, minutes, and documents to be discussed, and taking minutes (meetings to include UMC, OMD, TEC, Policy Workgroup).
Research and respond to requests from internal departments/units requesting information on new technology (including research supporting TEC activities) and medical policies.
Performs all other miscellaneous responsibilities and duties as assigned or directed.

Job Tags

Full time, Work experience placement, Work at office,

Similar Jobs

Oracle

Principal Research Scientist, Comp Vis & ML (PhD) Job at Oracle

...Job Description Description The Machine Learning Research Group is searching for an outstanding PhD researcher with experience... ...employees to give back to their communities through our volunteer programs. We're committed to including people with disabilities...

DSL Express

Class A Owner - Operator OTR Driver Job at DSL Express

...time only. We are offering the first 10 owners a ONE TIME DEAL. 92% linehaul (92/8) with... ...DSL Express is NOW HIRING OWNER OPERATORS who want to make good money with a great... ...weekly even in this crappy market. Team drivers make about 1.7 times more gross per peek...

PPS-HPS

Fitter/Welder Job at PPS-HPS

...opportunity in Olmsted Falls, OH. The welder fitter will lay out, fit, and fabricate metal components to assemble handrails using MIG Welding principles Primarily Flux core Fitting Experience 5 years structural steel/fab shop Mechanical Aptitude...

Corning

HR Consultant, Durham Job at Corning

...Requisition Number: 71989 The company built on breakthroughs. Join us. Corning is one of the worlds leading innovators in glass, ceramic, and materials science. From the depths of the ocean to the farthest reaches of space, our technologies push...

jobgether

Remote Portfolio Management Consultant Job at jobgether

...This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Portfolio Manager. In this role, you will be instrumental in managing a diverse portfolio of larger commercial credits, ensuring it meets key objectives of soundness, profitability...

Medical Management Policy & Research Analyst I Job at HMSA, Honolulu, HI

Z1hMY0tieUIrcWRKUVBtbEtXSGxaTGx0RlE9PQ==