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Legal Jobs At HMSA

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  • HMSA
  • Honolulu, HI United States
  • 03/27/2017
  • Administrative / Clerical
Analyze, research and develop policies, procedures and related documentation responsive to regulatory and contractual requirements. Analyze, research and develop reporting on member and provider appeals, grievances, and aspects of health plan coverage consistent with contract, regulatory and/or accr...  More Details
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  • HMSA
  • Honolulu, HI United States
  • 03/27/2017
  • Administrative / Clerical
**(ROC) Regular-on-Contract 1 year from date of hire**Provides high level administrative and clerical support to Member Advocacy and Appeals department. Duties and Responsibilities: Handles the intake, closing and reporting processes for all Department cases that involve complex confidential issues ...  More Details
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  • HMSA
  • Honolulu, HI United States
  • 03/27/2017
Independently investigates all other party liability data (Coordination of Benefits between multiple plans, and No Fault, Workers Compensation, Third Party Liability) to ensure accuracy and compliance with health plan administration and governmental rules and regulations. Duties and Responsibilities...  More Details
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  • HMSA
  • Honolulu, HI United States
  • 03/27/2017
  • Administrative / Clerical
Investigate potential Third Party Liability cases to determine primacy and ensure correct application of benefits and cost avoidance. Duties and Responsibilities: Investigate potential Third Party Liability (TPL) cases by contacting members, providers, attorneys, and other carriers for necessary inf...  More Details
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  • HMSA
  • Honolulu, HI United States
  • 03/27/2017
  • Healthcare
Engages members admitted to the hospital into appropriate programs to increase positive collaboration outcomes with hospital clinicians and staff. Provides coordinated case management services for members from admission to post discharge by working with healthcare providers, members and families, en...  More Details
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