Clinical liaison Jobs in Honolulu, HI
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Clinical liaison • honolulu hi
Last updated: 5 hours ago
Serve as the primary liaison for complex escalated claim inquiries from providers, members, account management, and internal departments.Research and resolve complex claim discrepancies, denials, a...Show moreLast updated: 5 hours ago
The Information Systems Manager Clinical Platforms, manages a core functional team of IS professionals to deliver on architecture design, run-the business operations and projects while monitoring p...Show moreLast updated: 3 days ago
Clinical Social Worker Health Care Facility Surveyor - Hawaii (#1248).Employee retirement plan (401k) with a generous match and immediate vesting.Company-issued and company-paid Amex card for trave...Show moreLast updated: 28 days ago
Provides excellent patient care by assisting in collaboration, development, implementation, revision and reporting of the case management program.Acts as a liaison between the patient, family, nurs...Show moreLast updated: 30+ days ago
Serve as the primary liaison for complex escalated claim inquiries from providers, members, account management, and internal departments.Research and resolve complex claim discrepancies, denials, a...Show moreLast updated: 2 days ago
Army Service Component Command (ASCC) Liaison Officer.Fort Shafter, HI (United States Army Pacific / USARPAC).The contractor will serve as the.AMC across all programs, policies, and sustainment eff...Show moreLast updated: 30+ days ago
Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i and the Pacific R...Show moreLast updated: 3 days ago
Exciting Opportunity for Audiologists in Honolulu, HI for Full-time positions.Health, Dental, and Vision insurance options available for eligible employees.We offer competitive guaranteed pay, a su...Show moreLast updated: 20 days ago
Two (2) positions, #0082911T and #0085755T, to begin approximately April 2026, non-tenure, 11-month, temporary, full-time positions funded by G funds as appropriated by SB1252, with secured funding...Show moreLast updated: 5 days ago
JOB TITLE: Manager Clinical Quality EXEMPTION STATUS: Exempt.POSITION LEVEL: JOB CODE: 2EA207 JOB GRADE:.JOB FAMILY: EA-Quality VERSION: 06/25/20 Final.Develops, implements, maintains and evaluates...Show moreLast updated: 30+ days ago
Japan with operations in the U.With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery, research, and development to bri...Show moreLast updated: 3 days ago
Excellent Full Benefits Package, Industry Leading Compensation Package (Base Salary + Bonus Structure) and much more!).Minimum: 2-5 years, recent hospice sales experience only.Local candidates only...Show moreLast updated: 14 days ago
Registered Nurse (RN) | Emergency Room (ER) / Trauma.TravelNurseSource is working with Host Healthcare to find a qualified ER/Trauma RN in Hilo, Hawaii, 96720!.Host Healthcare is an award-winning t...Show moreLast updated: 30+ days ago
Clinical and Facilities Coordinator.Transdev is seeking a customer-focused and detail-oriented Clinical and Facilities Coordinator to support our Non-Emergency Medical Transportation (NEMT) operati...Show moreLast updated: 3 days ago
The Oracle Health Data Intelligence (HDI) Platform is looking for a highly motivated and experienced Lead Clinical Informaticist to support AI-driven and science-focused projects within HDI.Clinica...Show moreLast updated: 3 days ago
The Opportunity: Serving our Kupuna across Oahu.Hawaii is built on a foundation of trust, respect, and community.We are seeking a sophisticated Business Development professional to lead our expansi...Show moreLast updated: 30+ days ago
Job Description Home Health Registered Nurse (RN) Job Summary Provides excellent patient care by assisting in collaboration, development, implementation, revision and reporting of the case manageme...Show moreLast updated: 30+ days ago
Clinical Psychologist, Tripler Army Medical Center, Honolulu, HI.This position is located within Tripler Army Medical Center (TAMC) Hawaii.TriplerArmy Medical Center isseekingClinical Psychologists...Show moreLast updated: 10 days ago
It is a 100% onsite position, in Honolulu,Hawaii.No Criminal convictions for crimes, against persons or property, including but not limited to abuse, assault, or theft, which may relate to the indi...Show moreLast updated: 8 days ago
- Promoted
- New!
Claims Liaison Coordinator
Hawaii Medical Service AssociationHonolulu, HI, United StatesFull-time
- Promoted
IS Manager Clinical Platforms
Baylor Scott & White HealthHonolulu, HI, United StatesFull-time
Clinical Social Worker Health Care Facility Surveyor
Impact Recruiting SolutionsAiea, Hawaii, United StatesFull-time
Quick Apply
Temp - RN - Home Health (Days) Kāne‘ohe, HI
Vivo Health StaffKāne‘ohe, Hawaii, USFull-time
- Promoted
Claims Liaison Coordinator
HMSAHonolulu, HI, United StatesFull-time
Army Service Component Command (ASCC) Liaison Officer
MbSolutions IncHonolulu, HI, USAFull-time
Quick Apply
- Promoted
Clinical Instructor - Edgewood University
Hawaii Pacific HealthHonolulu, HI, United StatesFull-time
Clinical Audiologist - Honolulu, HI - FULL TIME
Commonwealth Medical ServicesHonolulu, HI, USFull-time
Quick Apply
READVERTISEMENT Asst/Assoc/Prof (H3-H5M11, 0082911T & 0085755T)
University of Hawai‘iHonolulu, HIFull-time +2
Clinical Quality Manager
Fresenius Medical CareHonolulu HawaiiPart-time
- Promoted
Medical Director, Clinical Research
Sumitomo PharmaHonolulu, HI, United StatesFull-time
Senior Hospice Sales Liaison
EthosHonolulu, HI, USFull-time
Quick Apply
- Promoted
Travel Registered Nurse - Emergency Room (ER) / Trauma - $1,720 to $1,873 per week in Hilo, HI
TravelNurseSourceHonolulu, Hawaii, USFull-time
- Promoted
Clinical Facilities Coordinator
TransdevPearl City, HI, United StatesFull-time
- Promoted
Senior AI Clinical Informaticist
OracleHonolulu, HI, United StatesFull-time
Senior Healthcare Liaison
Stern At Home TherapyHonolulu, Hawaii, United StatesFull-time
Quick Apply
Temp - RN - Home Health (Days) Kane ohe, HI
Geaux Care StaffingKane‘ohe, Hawaii, USFull-time
- Promoted
Clinical Psychologist
Defense Health AgencyHonolulu, HI, United StatesFull-time
Clinical Office Assistant/Scheduler
Omm IT SolutionsHonolulu, HI, usFull-time
- software product manager (from $ 151,548 to $ 241,000 year)
- technical engineer (from $ 66,250 to $ 235,700 year)
- technical program manager (from $ 142,988 to $ 234,170 year)
- general dentist (from $ 26,000 to $ 228,000 year)
- art director (from $ 190,850 to $ 227,975 year)
- software engineering manager (from $ 158,125 to $ 219,400 year)
- architecture (from $ 95,150 to $ 216,613 year)
- federal (from $ 112,500 to $ 216,500 year)
- consulting (from $ 112,650 to $ 210,800 year)
- technical account manager (from $ 126,469 to $ 209,600 year)
- Gainesville, FL (from $ 73,125 to $ 156,000 year)
- Pasadena, TX (from $ 77,513 to $ 151,125 year)
- Pasadena, CA (from $ 77,513 to $ 151,125 year)
- Round Rock, TX (from $ 71,313 to $ 140,000 year)
- Little Rock, AR (from $ 71,313 to $ 140,000 year)
- Madison, WI (from $ 47,300 to $ 139,184 year)
- Phoenix, AZ (from $ 80,000 to $ 127,580 year)
- Meridian, ID (from $ 112,515 to $ 126,750 year)
- Garden Grove, CA (from $ 43,875 to $ 125,000 year)
- Bakersfield, CA (from $ 110,356 to $ 123,718 year)
The average salary range is between $ 71,109 and $ 100,000 year , with the average salary hovering around $ 80,046 year .
Claims Liaison Coordinator
Hawaii Medical Service AssociationHonolulu, HI, United States5 hours ago
Job type
- Full-time
Job description
Claims Resolution & Support
Serve as the primary liaison for complex escalated claim inquiries from providers, members, account management, and internal departments.
Research and resolve complex claim discrepancies, denials, adjustments, and payment issues within established service-level agreements (SLAs).
Coordinate with claims examiners, configuration, and payment integrity teams to ensure accurate claim adjudication.
Document and maintain claim processing instructions and workflows to ensure accurate and efficient processing.
Provide guidance and mentoring to Claims Liaison Specialists.
Analysis & Reporting
Perform root-cause analysis of claim errors, payment delays, and provider/member complaints.
Compile and present findings to leadership with recommended solutions.
Track claim trends and prepare reports on recurring issues, financial impact, and compliance risks.
Stakeholder Communication
Provide clear and timely communication of claim resolutions to providers, members, and internal stakeholders.
Develop strong working relationships with provider relations, customer service, utilization management, and network management teams.
Function as a subject-matter resource on claim workflows and policies.
Process Improvement & Compliance
Identify opportunities to improve claims workflows, system configuration, and provider/member experience.
Participate in cross-functional workgroups to implement corrective actions and process enhancements.
Ensure adherence to state, federal, and accreditation guidelines (e.g., CMS, HIPAA, NCQA).
Performs all other miscellaneous responsibilities and duties as assigned or directed.