- Hawaii Pacific Health (Lihue, HI)
- …physicians and other caregivers working together to create a healthier Hawai'i. Patient Services Administration supports the hospital/clinic leadership and ... resource planning, medical staff relationships, and research and education initiatives. The Patient Services Administration team works closely with other… more
- Queen's Health System (Kamuela, HI)
- …* Under the general direction of the Administrator, Director of Nursing, supervises patient care services staff on assigned shift. * As a member of the ... quality patient care through effective management of the activities of the total patient care services during his/her assigned shift. * In the absence of the… more
- Queen's Health System (Honolulu, HI)
- …and objectives approved by the Board of Trustees. Makes a significant contribution to patient care quality and service . Functions as an organizational leader and ... RESPONSIBILITIES I. POSITION DESCRIPTION/ACCOUNTABILITY: A director functions at a high organizational level, providing leadership and direction in the development… more
- Baylor Scott & White Health (Honolulu, HI)
- …and resolve issues with efficiency resulting in improved utilization of appropriate patient care services . Collaborates with medical, clinical, HIM and other ... **Job Summary** The Director , Denial Resource Center is responsible for the...BSWH departments to ensure BSWH patient care services are necessary, timely and… more
- Humana (Honolulu, HI)
- …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... The Corporate Medical Director works on problems of diverse scope and complexity...and decisions regarding the appropriateness and medical necessity of services provided by other healthcare professionals in compliance with… more
- Evolent (Honolulu, HI)
- …SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement and practice ... in the **New Mexico** . Reporting to the National Provider Engagement Sr. Director , you will be responsible for building and managing relationships with oncology… more
- Evolent (Honolulu, HI)
- …person" by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or ... Are you ready to make a meaningful impact on patient care in a non-clinical setting? Join our Utilization...Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional… more
- Norstella (Honolulu, HI)
- Director , Global Compensation & Benefits Company: Norstella Location: Remote, United States Date Posted: Sep 2, 2025 Employment Type: Full Time Job ID: R-1452 ... cycle Evaluate - bring the right drugs to market MMIT - identify barrier to patient access Panalgo - turn data into insight faster The Dedham Group - think… more
- Highmark Health (Honolulu, HI)
- …payers. Programs will include but not be limited to fee for service , pay-for-value programs, episode payments, prospective bundled payments, gain share and risk ... requested. **EDUCATION** **Required** + Bachelor's Degree in Business, Finance, Healthcare Administration , or Related Field **Substitutions** + 6 years of relevant… more
- Highmark Health (Honolulu, HI)
- …to evaluate the medical necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic peer to peer discussions ... (DO) **Substitutions** + None **Preferred** + Master's Degree in Business Administration /Management or Public Health **EXPERIENCE** **Required** + 5 years in… more
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