Member Appeals & Resolutions Specialist II
Hawaii Medical Service Association
The Hawaii Medical Service Association is looking for a Member Appeals and Grievances Specialist to conduct critical analysis of member and provider appeals. You will secure information to resolve issues and function as a liaison representing HMSA's objectives. This role involves negotiating sensitive issues and participating in cross-departmental committees. Candidates should have a Bachelor's degree and strong communication skills. The ideal candidate will help implement changes to ensure compliance with regulations. #J-18808-Ljbffr
- ...Conducts critical analysis of highly complex and sensitive member and provider appeals, inquiries and grievances and applies internal policies... ...changes to policies and procedures are needed based on case resolutions, statutory or regulatory changes, or accreditation...Suggested
- ...Job Purpose The Youth Engagement Specialist II (YES II) is an experienced youth development... ...and informal guidance to other team members. The YES II builds strong... ...Supports emotional regulation and conflict resolution using evidence-informed approaches Leads...SuggestedImmediate startWeekend workAfternoon shift
- ...respect. At Island Palm Communities, our team members are responsible for our growth and... ...The General Maintenance Technician - HVAC Specialist may specialize as a COM (Change of Occupancy... ..." based on assessment in HVAC. HVAC II should have knowledge of the principles of...SuggestedFull timeWork at officeFlexible hours
- ...housing into homes. We recognize that our team members are responsible for our growth and... ...The General Maintenance Technician - HVAC Specialist may specialize as a COM (Change of Occupancy... ..." based on assessment in HVAC. HVAC II should have knowledge of the principles of...SuggestedWork at officeFlexible hours
- ...Labor Relations Specialist II The Honolulu Police Department is hiring a Labor Relations Specialist II in Honolulu. This position performs a variety of technical work in the resolution of grievances. What You Will Do: Manage grievance processes across all collective...SuggestedContract work
$105k - $150k
...Intelligence Specialist II ID 2026-9643 Type Full Time W/Benefits Ret Match Location : Location US-HI-Honolulu Security Clearance Top Secret Overview/ Job Responsibilities Position is contingent upon contract award and...Full timeContract workWorldwide- ...The State-of-Hawai seeks a Corrections Program Specialist II to develop and evaluate policies and programs related to the state's corrections program. This role requires a bachelor's degree and prior experience in professional counseling or social services. Responsibilities...
$42k - $48k
...The University of Hawaii FCU is seeking a Member Relationship Officer for the McCully Branch in Honolulu. This role entails providing high-quality member service, promoting credit union products, and processing transactions efficiently. Candidates should have two to three...$4,725 per month
...Closing Date: Continuous Position Specific Description Recruitment Number 26-102JC , Purchasing & Specifications Specialist II, SR-18*, Honolulu. *Salary rate effective July 1, 2026. Summary of Duties As an advanced trainee, performs a variety...Permanent employmentFull timeContract workTraineeship- ...for Juice Bar operations. The role requires food preparation, inventory management, and providing excellent customer service to gym members. Responsibilities include ensuring the Juice Bar is clean and fully stocked, greeting customers, and meeting sales goals. Join us...Flexible hours
- ...more. Come join Child & Family Service and Help us serve thousands in our communities! SUMMARY OF DUTIES The DV Specialist II is primarily responsible for providing direct services to participants who are involved in domestic/family violence working with...Full timeContract workLocal areaFlexible hours
$17 per hour
...competition for all levels of ability: from entry-level to college- and Olympic-level athletes. Punahou Aquatics is seeking a Aquatics Specialist II (Assistant Waterpolo Coach). The ideal candidate will work with students ranging from 12-18 years old that are in both the...Hourly paySummer workWeekend workDay shiftAfternoon shift- ...An established insurance firm in Hawaii is seeking a Corporate UW Specialist II to serve as the subject matter expert across personal and commercial lines of business. The role involves conducting product research, managing underwriting review activities, and collaborating...Remote workFlexible hours
- ...We are looking to fill a Scientist II or III - Metrology Specialist position working as a full-time employee of Parexel FSP on long-term assignment onsite at one of our clients located in Rahway, NJ. This position offers full benefits, sick time, 401K, paid holidays...Full time
$65.4k - $91.7k
...management processes, including forms, queues, and automation rules.? Define, track, and report on KPIs and SLAs such as incident resolution time, change success rate, and request volume, delivering dashboards and reports for leadership.? Facilitate process design and...Contract workWork at office$125k - $130k
...located nationwide Back 2d ICS Authorizations Program Analyst II #2764 United States Apply X Facebook LinkedIn Email Copy Position... ...to put our signature on each one of our employees. When you are a member of Signature Performance, you are a part of a solutions-based...Full timeTemporary workFor contractorsRemote workMonday to Friday$92.3k - $166.85k
...Sr. Intelligence Management Specialist – Honolulu, HI (Joint Base Pearl Harbor‑Hickam) Job... ...direction. Collaborates and works with other IC members on information sharing, driving... ...collection, and addressing disputes and conflict resolution. Develops concise, insightful, and...Contract work$73.45k - $132.78k
...Position Intelligence Management Specialist – Honolulu, Hawaii (Joint Base Pearl Harbor‑Hickam... .... Collaborates and works with other IC members on information sharing, driving... ...addressing analytic disputes and conflict resolution. Develops concise, insightful, and comprehensive...Contract work$46 - $56 per hour
...About the Role Leidos is seeking a COMSEC Specialist to support efforts for the Service,... ...Contractor safeguard. Train other local team members as secondary COMSEC Local Elements in operating... ...to Top Secret. DoD 8570 IAT Level II Certification—such as the CompTIA Security+...Hourly payContract workFor contractorsLocal areaRemote work$27 - $30 per hour
...Come join our amazing company and work from home! The Closing Specialist ll will be responsible for providing general administrative support to the title closing department and function as a whole. Perform all duties in accordance with the company’s policies and procedures...Work experience placementWork from home- ...67T Description Title: Program Specialist (Outreach & Volunteer Program Specialist... ...determine the cause of the problems and the resolution of the problems in an effective,... ...organizations, groups, team leaders and members, and individuals. Demonstrated ability...Permanent employmentFull timeTemporary workPart timeFor contractorsWork experience placementInternshipWork at officeImmediate startRemote work
$6,000 per month
...Ability Specialist - C409BN We're determined to make a difference and are proud to be an... ...Leave of Absence claims from intake through resolution. Conduct thorough reviews of medical... ...or high-risk claims to senior team members or management as appropriate Ensure all...Full timeTemporary workPart timeWork at officeRemote work3 days per week$75k - $113.3k
...across the organization. As a Deal Desk Specialist on the Deal Desk team at PagerDuty, you... ...will train, mentor and educate other members of the Deal Desk global team to enable... ...threatening issues to appropriate leaders when resolution cannot be achieved at the virtual team...Work at officeLocal areaFlexible hoursShift work$17.35 per hour
...payments, teller checks, money orders, and cash advances. Responsible for assisting with the direction and administration of Branch member service and new account opening. Performs most complex Teller functions as needed. Balances each day's transactions and verifies...Full timePart timeFlexible hours- ...Job Description Position Summary Responsible for assisting with branch member service, new account and lending operations. Completes required reports, file maintenance, and related record keeping duties as required. Assists in researching and resolving branch and member...Full timeFlexible hours
$23.75 - $35.15 per hour
...training program This position is for a full-time Maintenance Tech II to work at Wisteria Vista (91 units) and Birch Street (52 units)... ...onsite housing is a requirement of the position, any household members over 18 years of age who will be living onsite with the...Hourly payFull timeLive inLocal areaImmediate startFlexible hours$23.75 - $35.15 per hour
...training program This position is for a full-time Maintenance Tech II to work at Aloha Iā Halewilikō. A 140-unit property in Aiea, HI.... ...onsite housing is a requirement of the position, any household members over 18 years of age who will be living onsite with the...Hourly payFull timeLive inLocal areaImmediate startFlexible hours$23.75 - $35.15 per hour
...Maintenance Technician II Explore a career at EAH Housing. Start or continue a career in real estate development and management... ...onsite housing is a requirement of the position, any household members over 18 years of age who will be living onsite with the candidate...Hourly payFull timeLive in$36k - $48.5k
...Team player with a positive attitude Ability to collaborate with others across departments High attention to detail Associate II (along with the above qualifications): ~1-year general office experience Associate III (along with the above qualifications):...Work at officeLocal areaFlexible hours$41.75 - $42.75 per hour
...Maintenance Technician II Our Maintenance Technician II assist us to ensure guestrooms, public areas, back-of-house spaces, and supporting... ...Hilton values is essential. HGV offers outstanding Team Member travel discount programs and much more through Perks at Work,...Hourly payFull time
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