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Government Law Jobs In Hawaii, United States

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  • Page 1 of 7

Matched 35 Listings

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  • HMSA
  • Honolulu, HI United States
  • 05/25/2017
Develop professional skills and business knowledge geared toward progression into the Contract Compliance Coordinator, MS Operations Business Analyst, or Enrollment Business Management Coordinator positions. The Sr. Business Specialist II is responsible for ensuring overall understanding of Membersh...  More Details
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  • HMSA
  • Kapolei, HI United States
  • 05/25/2017
  • 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
  • 05/25/2017
  • Legal
Protects corporate assets through the detection of complex analysis and practices authorized or unauthorized, which cause unjustifiable expenditures and to pro-actively identify areas vulnerable to fraud and abuse. Work closely with law enforcement investigators to resolve these issues. Track and re...  More Details
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  • HMSA
  • Honolulu, HI United States
  • 05/25/2017
  • 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
  • 05/25/2017
  • Financial Services
Coordinate and conduct auditing of enrollment records received manually and/or through automation for government lines of business to ensure data integrity and compliance with applicable laws, regulations, contractual performance standards as well as functional policies and procedures. Assist in tra...  More Details
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