Hawaii Pacific Health Jobs

Job Information

Hawaii Pacific Health Specialist, Managed Care - Utilization Mgmt in Honolulu, Hawaii

Job Description

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 Region with high quality, compassionate care. Its four medical centers - Kapi'olani, Pali Momi, Straub and Wilcox - specialize in innovative programs in women’s health, pediatric care, cardiovascular services, cancer care, bone and joint services and more. Hawai'i Pacific Health is recognized nationally for its excellence in patient care and the use of electronic health records to improve quality and patient safety.

Hawai‘i Health Partners is a physician-led accountable care organization with the goal of providing high quality care, increased efficiency and optimal patient health. We believe that greater clinical integration, collaboration and shared accountability among a network of independent physicians, employed Hawai‘i Pacific Health physicians, and Hawai‘i Pacific Health hospitals and clinics will create better health outcomes for the people of Hawai‘i.

If you're a high-organized team player, you could be our next Managed Care Specialist. You will serve as a customer service representative for all internal and external customers. Our team is responsible for screening and processing detailed department records.

Location: Hawaii Pacific Health, Honolulu, HI

Work Schedule: Day - 8 Hours

Work Type: Full Time Regular

FTE: 1.000000

Bargaining Unit: Non-Bargaining

Exempt: No

Minimum Qualifications: Associate's Degree with related experience or an equivalent combination of education, training, and/or related work experience. One (1) year of customer service and managed care experience.

Preferred Qualifications: Two (2) years in utilization management. Five (5) years of customer service. Knowledge in health plan guidelines. Proficient in Windows Operating Systems, MS Office Applications. Familiarity with basic medical terminology and CPT, ICD-10 and H.C.P.C.S. codes.

EOE/AA/Disabled/Vets

Position Specialist, Managed Care - Utilization Mgmt

Category Administrative

Employment Type Employee

Location Hawaii Pacific Health, Honolulu, HI

Req ID 13328

Hawaii Pacific Health is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by federal or state law.

Please review the Office of Federal Contract Compliance Programs (OFCCP) flyer here and supplement here.

Hawaii Pacific Health does not unlawfully discriminate against applicants and employees for inquiring about, discussing or disclosing their pay, or in certain circumstances, the pay of their co-workers. The complete provision is listed here.

If you are an individual with a disability and would like to request an accommodation for help with your online application, please call (808)535-7571 or email jobs@hawaiipacifichealth.org. Concerns or complaints should be brought to the attention of the Director, Workforce Development.

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