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  NEW CAREER OPPORTUNITIES IN MILILANI! UTILITY Job Summary: A utility cle...  More Details
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  • HMSA
  • Kapolei, HI United States
  • 04/27/2017
  • Healthcare
Under minimal supervision, conducts detailed analysis and review of precertification requests, post-service and post-payment claims, concurrent review and facility monitoring by applying clinical expertise against HMSA medical and reimbursement policy criteria, plan benefits, and nationally-accepted...  More Details
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  • HMSA
  • Honolulu, HI United States
  • 04/27/2017
  • Administrative / Clerical
Performs operational quality assurance reviews in accordance with the BCBSA Member Touch Point Measures (MTM) program as well as for other Corporate / Government Quality Programs Duties and Responsibilities: Performs operational quality measures reviews as assigned for most lines of business and doc...  More Details
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  • HMSA
  • Honolulu, HI United States
  • 04/27/2017
Performs operational quality assurance reviews and provides expertise in resolving issues identified in accordance with the BCBSA Member Touch Point Measures (MTM) program as well as for other Corporate / Government Quality Programs Duties and Responsibilities: Performs operational quality measures ...  More Details
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  • HMSA
  • Honolulu, HI United States
  • 04/27/2017
  • Administrative / Clerical
Assists with and/or performs operational quality assurance reviews. This work helps HMSA measure and report plan performance for the BCBSA Member Touch Point Measures (MTM) program as well as for other Corporate / Government Quality Programs. Duties and Responsibilities: Assists with and/or performs...  More Details
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  • HMSA
  • Honolulu, HI United States
  • 04/27/2017
The Network Policy Analyst is responsible for the successful planning, design and management of provider network to comply with compliance standards and adequacy requirements that range in scope from short term, medium level importance to full coordination of Corporate Tactical Initiatives and Regul...  More Details
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