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Hybrid Member Appeals & Case Resolution Specialist

Job in Honolulu, Honolulu County, Hawaii, 96814, USA
Listing for: HMSA
Full Time position
Listed on 2026-08-22
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Management
Salary/Wage Range or Industry Benchmark: 42000 - 68000 USD Yearly USD 42000.00 68000.00 YEAR
Job Description & How to Apply Below

HMSA in Hawaii seeks a full-time Exempt position to research and respond to member and provider appeals, complex complaints, grievances and inquiries related to health plan coverage. The role requires guidance from supervision as needed and offers a hybrid work environment with residence on Oahu.

The incumbent handles critical analysis, coordinates with internal teams, and ensures alignment with contracts and regulatory requirements. Salary ranges from $42,000 to $68,000 depending on experience.

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