Medical Management Compliance AnalystHMSA • Honolulu, HI, United States
Medical Management Compliance Analyst
HMSA • Honolulu, HI, United States
30+ days ago
Job type
- Full-time
Job descriptionMonitor and analyze regulatory / accreditation / business requirements to invoke recommendations for program and / or policy changes as appropriate for various lines of business. Lead / coordinate activities, which include internal audits, quality assurance control, quality improvement, provider satisfaction and department policies and procedures, to meet and / or maintain regulatory / accreditation / line of business requirements. Serve as a resource to internal and external staff regarding issues relating to administrative policies and procedures, medical policies, and researching and resolving problems. Edit all documentation generated by unit e.g., QIAs, reports, executive summaries, presentation materials, workplans, evaluations, annual plans, policies and procedures, minutes, agendas, provide feedback, and develop / generate monitoring reports / tools. Coordinate / schedule training opportunities and develop / present related reports and various documentation. Coordinate, support and document various department activities to ensure deliverables are completed by due date. Perform other duties (e.g., attend meetings) as assigned.
#LI-Hybrid
Create a job alert for this search
Compliance Analyst • Honolulu, HI, United States
Related jobs 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; ...Show more 
The Data Governance Analyst is responsible for contributing to the design and delivery of master data management, data quality, and metadata management processes, standards, capabilities, and solut...Show more
Fraud And Waste Professional 2.Become a part of our caring community and help us put health first.The Fraud and Waste Professional 2 is responsible for conducting comprehensive investigations of re...Show more
Work as part of a team in the Crisis and Triage Advice Line to provide telephonic triage, screening and crisis intervention for members seeking behavioral health services.Provide ambulatory behavio...Show more
At EY, we're all in to shape your future with confidence.We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go.Join EY and help ...Show more
Our client is seeking a highly skilled and certified.The Epic Willow Analyst plays a critical role in supporting and optimizing the pharmacy information systems within the Epic platform.This indivi...Show more
The Patient Access Optimization Analyst role is to configure and provide functional and technical support for access optimization initiatives.
This position also assists with the analysis, solutioni...Show more At a time when global technological developments and healthcare regulations are occurring and changing at an unprecedented rate, the success of large, complex global health companies requires regul...Show more 
Calling All Certified Medical Assistants!.Are you ready to make a difference while advancing your career? Join Hawaii's largest healthcare organization with locations across the island.We are s...Show more
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 more
This job supports one or more analytical aspects of the application product life cycle, within a sub-product scope (one or more application components).
Uses regular judgement and discretion to coll...Show more Lead provider performance management activities.Monitor technical, process, and business outcome metrics across all provider contract requirements and Service Level Agreements (SLAs).Recommend acti...Show more Principal Compliance Program Manager.The Oracle Data Center Organization is growing rapidly.The Oracle Cloud Infrastructure (OCI) footprint has grown over 400% in the last 2 years and is on track t...Show more Provides quality, objective, and professional analysis of relevant topics.Gathers and analyzes information to identify trends, issues, innovations, and solutions for priority business needs.Develop...Show more Conduct high quality, objective analysis to support performance optimization and strategic initiatives.Collect, interpret, and evaluate Key Performance Indicators (KPIs) and related information to ...Show more Datavant is a data platform company and the world's leader in health data exchange.Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format....Show more 
TS / SCI CI Poly (Please note this position requires full U.We are seeking a proactive and analytical Threat Analyst to join our team and play a critical role in identifying, analyzing, and mitigatin...Show more Business Systems Analyst - Clinical Systems •.AT TEKsystems we are supporting a local healthcare provider seeking a Business Systems Analyst with clinical healthcare systems experience.Under the gen...Show more
Medical Management Policy & Research Analyst I
HMSA • Honolulu, HI, United States
Full-time
Last updated: 30+ days ago • Promoted
Data Governance Analyst
TEKsystems • Honolulu, HI, United States
Full-time
Last updated: 11 days ago • Promoted
Fraud and Waste Investigator
Hawaii Staffing • Honolulu, HI, US
Full-time
Last updated: 22 days ago • Promoted
LMFT or LMHC-Crisis & Triage Management - Part Time 32 hours
Kaiser • WAIPAHU, Hawaii, United States
Part-time
Last updated: 30+ days ago • Promoted
Cyber Compliance (Vulnerability Management Lead) - Assistant Director
EY • Honolulu, HI, United States
Full-time
Last updated: 18 days ago • Promoted
Epic Willow Analyst
The Planet Group • Honolulu, HI, United States
Full-time
Last updated: 18 days ago • Promoted
Patient Access Optimization Analyst
Baylor Scott & White Health • Honolulu, HI, United States
Full-time
Last updated: 18 days ago • Promoted
Medical Device Regulatory Affairs Strategist
Hawaii Staffing • Honolulu, HI, US
Full-time
Last updated: 30+ days ago • Promoted
Certified Medical Assistants
Express Employment • Honolulu, HI, US
Full-time
Last updated: 30+ days ago • Promoted
Manager - Risk Management
Hawaii Pacific Health • Honolulu, HI, United States
Full-time
Last updated: 19 days ago • Promoted
Clinical Business Systems Analyst
Highmark Health • Honolulu, HI, United States
Full-time
Last updated: 18 days ago • Promoted
Manager, Provider Performance Management
HMSA • Honolulu, HI, United States
Full-time
Last updated: 30+ days ago • Promoted
Compliance ConMon (AMER) Principal PM
Hawaii Staffing • Honolulu, HI, US
Full-time
Last updated: 30+ days ago • Promoted
Pharmacy Performance Analyst
HMSA • Honolulu, HI, United States
Full-time
Last updated: 30+ days ago • Promoted
Performance Reporting Analyst, Command Center
HMSA • Honolulu, HI, United States
Full-time
Last updated: 30+ days ago • Promoted
Compliance Analyst
Hawaii Staffing • Honolulu, HI, US
Full-time
Last updated: 4 hours ago • Promoted • New!
Threat Analyst
Cymertek • Honolulu, HI, United States
Full-time
Last updated: 30+ days ago • Promoted
Business Systems Analyst, Clinical
TEKsystems • Honolulu, HI, United States
Full-time
Last updated: 11 days ago • Promoted