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

Enterprise Medical Recruiting

Family Medicine near Fresno, CA - Sign-on & Visa Eligible Job at Enterprise Medical Recruiting

...bonus potential, competitive benefits package, and loan repayment opportunities ~$30K Sign-on/Relocation ~ H1B and J1 visa waiver sponsorship available Community Highlights: Nestled in the Central Valley, Madera offers a captivating blend of rich history, agricultural...

Elite Construction Company

Skilled Electrician Helper Job at Elite Construction Company

...Elite Construction is seeking a Residential/ Commercial Electrician HELPER to assist with our many commercial/residential projects in the Valdosta/ Thomasville/ Tifton area. Must have a driver's license and a car (no exceptions). Hard working and dependable need only...

Family Resource Home Care

Caregiver Job at Family Resource Home Care

...Come join our award-winning caregiving team! If you are passionate about improving lives, you belong... .... Pay varies depending on the clients care needs, ranging between $18.50-$20.50 per hour. Why Family Resource Home Care? ~ Flexible Scheduling . We work with...

South Shore Habitat for Humanity

Community Engagement Coordinator Job at South Shore Habitat for Humanity

...Job Title: Community Engagement Coordinator Reports To: Executive Director Employee Class: Full Time Date updated: December 2025 For 38 years South Shore Habitat for Humanity (SSHH) has been helping individuals build and improve a place to call home....

CMTA, Inc.

Lighting Designer - Energy Solutions Job at CMTA, Inc.

...our large and growing company. This position will work with a team of engineers to design, bid, project manage, and commission LED lighting retrofit and replacement projects for various clients of CMTA. Our ideal candidate is typically a self-motivated individual who...

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

ZzNiUU1Zekl1bVRpdGtVUVc1eFh0NzkwbXc9PQ==