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Clinical UM Specialist : Medical Review & Authorizations
Job in
Kapolei, Honolulu County, Hawaii, 96709, USA
Listed on 2026-03-01
Listing for:
HMSA
Full Time
position Listed on 2026-03-01
Job specializations:
-
Healthcare
Healthcare Administration
Job Description & How to Apply Below
A prominent health services organization located in Kapolei, Hawaii, is looking for a detail-oriented individual to evaluate and process clinical review requests, communicate with provider offices, and manage authorization files. Candidates will utilize multiple systems for eligibility validation and respond to provider inquiries efficiently. The ideal applicant should be skilled in adherence to internal policies and regulatory requirements, ensuring smooth operations of the clinical review process.
Competitive compensation and further training opportunities are available.
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