Caring for the people of Hawaii is our promise and our privilege. Working together with employers, partners, and physicians and other health care providers, we promote wellness; develop reliable, affordable health plans; and support members with clear, thoughtful guidance.
HMSA is the most experienced health plan in the state, covering more than half of Hawaii’s population. As a recognized leader, we embrace our responsibility to strengthen the health and well-being of our community.
Vision A Hawaii where families and communities enjoy ever healthier lives.
Purpose Together, we improve the lives of our members and the health of Hawaii. Caring for our friends, families, and neighbors is our privilege.
Career Opportunities
HMSA is Hawaii’s leading provider of health care coverage. Our success is largely due to the quality and dedication of our employees.
Work When you work at HMSA, you make a difference in the lives of the people of Hawaii.
Play Having fun is vital! Spending time doing things you enjoy and living life to the fullest makes each day better.
Coordinates case resolution with internal business areas to respond timely and accurately to provider inquiries regarding claims, benefits and medium complex issues that include medical, or payment policy questions and provider appeals. Res...
Program Leadership Function as the leader and champion of the Medicare Stars Program, risk adjustment operations, and Medicare cost of care initiatives. Collaborate with internal and external stakeholders to establish measure by measure tar...
Provides general production support: Monitor daily production performance and inventory levels as assigned. Conduct data and trend analysis to identify areas of improvements. Triage daily production issues. Recommend and implement interim w...
SIU case investigation management and resolution: Manage FWA case investigations, collaborate with federal, state and law enforcement entities, and provide applicable notifications as required. Maintain extensive documentation and evidence ...
Provide administrative and clerical support, including but not limited to the following activities: Coordinates, manages and maintains the calendar of department leadership. Ensures that meeting requests are accommodated in priority order. ...
Work with business owners on reporting requirements specified by government entities and plan sponsors ensure Customer Relations is compliant with the requirements. Define and communicate system changes needed to comply with the specified r...