1,685 jobs in Wailua Homesteads, HI

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Associate Business Systems Analyst

Highmark Health
Wailua Homesteads, HI
**JOB SUMMARY**

This job supports one or more analytical aspects of the application product life cycle, within a sub-product scope (one or more application components). Uses minimal judgement and discretion to assist in collaboration with customers to understand capability needs, gather project specifications, create business cases and cost sheet analysis, translate high-level business needs into detailed requirements for new capabilities (and change request/enhancements on existing capabilities), analyze data to determine business problems, trends, or opportunities for process improvements, create/execute test cases, provide root cause analysis and corrective action plan, verify delivery of customer needs, and ensure quality delivery. Also supports identification, documentation, and resolution of risks, defects and issues. May analyze market trends for competitive insight to correlate into business value statements. Begins to build organizational and platform knowledge in one or more disciplines to advance professional track career. Requires basic understanding of end systems impact of changes across multiple systems.

**ESSENTIAL RESPONSIBILITIES**

+ Work with more senior team members, customers, Software Engineers, Architects, and Capability Managers to assist in capturing capability needs and driving quality business solutions. Assist with the creation and maintenance of deliverables such as business vision, requirements, personalization to different clients, and user interface design.

+ Participate in the full software development life cycle by actively participating on Agile scrum teams. Expansion into other roles will be based upon experience and needs such as Scrum Master, Business Technical Analyst, etc.

+ Support various aspects of requirements testing (e.g. testing plan, scenarios, documentation, defect management) to ensure minimal production defects are realized and completing analysis of the re
New
2d ago

Biomedical Technician

General Electric
Wailua Homesteads, HI
**Job Description Summary**

As the Biomed Technician II, you will respond to service calls within a hospital or healthcare system on the Big Island, HI. You will evaluate, diagnose, and perform repair and planned maintenance on biomedical equipment, providing service excellence to drive customer satisfaction.

At GE Healthcare, our machines, our software, our solutions, our services, and our people make a genuine difference to medical professionals and patients all over the world. That's because we never lose sight of what healthcare really needs-the human touch.

**Job Description**

**Responsibilities**

+ Evaluate customer biomedical equipment issues, implement appropriate repairs, and perform planned maintenance and safety/environmental inspections to support our customers' ability to deliver healthcare.

+ Adhere to company policies, procedures, and hospital protocols, to ensure regulatory and compliance requirements are met; ensure documentation of all work performed is captured.

+ Maintain strong relationships and frequent communications with customers to ensure resolution and proper follow-up, to ensure ongoing customer satisfaction.

+ Maintain proper care of tools and test equipment to ensure calibration and ability to deliver timely and accurate repairs/maintenance to our customers.

+ Identify and report all customer quality or compliance concerns immediately to the Quality Organization to ensure services are provided with the highest ethical standards.

**Qualifications**

+ Associate's or Bachelor's degree in Electrical Engineering, Biomedical Engineering, Mechanical Engineering, or related field; OR equivalent military education; OR participant in the formal GEHC Biomed/FE Services Internship or Military Externship program; OR High School Diploma/GED and 2+ years of experience servicing electrical, electronics, IT or mechanical eq
New
2d ago

Director Digital ProductOps

Highmark Health
Wailua Homesteads, HI
**JOB SUMMARY**

This job plays a critical role leading the Digital Product Hub as a function of the Digital Operating Model of Highmark Health. The incumbent leads a team that supports digital transformation efforts as the organization shifts towards a digital product and experience-oriented culture leveraging agile delivery methodologies. The incumbent will work with the VP, Digital Product Management and other enterprise leaders to drive operational strategy (structure, culture, people, resources, planning, and process). Leadership responsibilities include the oversight of matrixed Project staff (internal and contractor) that serve on Program(s)/Project(s) to deliver solutions for the business. Will lead through influence, actively collaborate with cross-functional subject matter experts and team members, develop project plans and roadmaps, identify key issues and dependencies, prioritize deliverables, and facilitate presentations and recommendations to senior leaders addressing complex issues. The incumbent will lead the Digital ProductOps team to drive operations that sustains an environment and culture where product teams can do their best work. Oversees the management of the enterprise digital asset and capabilities inventory. Maintains and updates inventory as new assets and capabilities are deployed or decommissioned. Acts as a subject matter expert to maximize efficiencies and utilization of existing digital capabilities. Oversees the management of the enterprise end-to-end digital roadmap within the Digital Product Hub, and provides transparency for stakeholders across the organization. Maintains and updates as new digital product management efforts are initiated and completed.

Facilitates governance process for the Digital Operating Model, including: managing intake, assessing requests, facilitating Steering Committees, tracking and reporting progress and outcomes, etc. Perform budget and resource management, project status reporti
9d ago

Lead User Experience & Design Analyst

Highmark Health
Wailua Homesteads, HI
**JOB SUMMARY**

This job works closely with business stakeholders across marketing, product, sales and technology to take digital projects from inception to launch, playing a lead role in one of the following areas [but with competency in all: information architecture, user experience design, user interface design, visual design, content strategy, and/or usability and research. Team members should have exceptional collaboration and communication skills, working to bring business objectives to life by building innovative digital experiences for social, mobile, web, and other digital channels, either internally or as part of a relationship with third party digital agencies.

**ESSENTIAL RESPONSIBILITIES** :

+ Provide subject matter expertise, innovative solutions, and detailed requirements to project teams on multiple, complex projects in one or more of the following areas: information architecture, user experience design, user interface design, visual design, content strategy, and/or usability and research.

+ Responsible for understanding business problems and collaborating with project teams and key stakeholders to take a project from inception through detailed requirements and implementation using one or many of the following methods: brainstorming exercises; sketching; rapid prototyping; research and usability tests; persona development; heuristic analysis; task analysis; and/or user needs analysis.

+ Responsible for developing and maintaining standards, processes, and best practices in either: information architecture, content strategy, user experience design, user interface design, visual design, or usability/research.

+ Build close relationships with digital strategists, marketing, product, and sales to understand strategies to ensure user experiences are designed in alignment with those strategies as they evolve and that standards, processes, and best practices evolve with the strategies. <
9d ago

Director Enrollment & Billing

Highmark Health
Wailua Homesteads, HI
**JOB SUMMARY**

This job is responsible for leading enrollment and billing operations for commercial group, individual and business partner functions. This position is responsible for motivating and cultivating a team to provide excellent service allowing for a consumer centric approach balanced with a cost competitive structure to achieve opportunities for additional business. Directs the technology and operations strategy related to member data exchanges, enrollment and OPL processing. Assess systems, processes and people and make recommendations. Define business requirements for software programs used to load, maintain, or transmit eligibility information. Responsible for delegation oversight for subcontractors as well as communicating strategic direction and business requirements related to Medicare enrollment processing and Other Party Liability identification and post payment recoveries. Review, document, and communicate software requirements to various vendors to ensure that both internal and external systems perform as required. Work with multiple external entities to ensure that the vendor's eligibility data is accurate and that the applicable membership software is performing as required. Provide oversight and direction of the outsourced IS production center for each product line.

**ESSENTIAL RESPONSIBILITIES**

+ Provide leadership and oversight of management for service operations. Participate in the formulation and execution of the division's service operations strategy and vision.

+ Establish, monitor and work with team to continuously improve on all aspects of enrollment & billing operations. Direct the daily production activities of team members to deliver accurate, timely and efficient service to customers. Ensures accurate and timely updates to membership records.

+ Ensure all operational processes are in compliance with established quality standards, government and industry regulations, an
New
3d ago

Service Delivery Leader

General Electric
Wailua Homesteads, HI
**Job Description Summary**

As the Service Delivery Leader, you will lead and manage a service delivery program that assists our customers in achieving their quality and financial goals through supporting their medical equipment. You will lead a team of both Diagnostic and Biomed Technicians responsible for providing maintenance and repair services on medical equipment, as well as the planning and execution of all resources/logistics. Success in this role is recognized through base compensation, plus a generous incentive compensation component.

GE Healthcare is a leading global medical technology and digital solutions innovator. Our mission is to improve lives in the moments that matter. Unlock your ambition, turn ideas into world-changing realities, and join an organization where every voice makes a difference, and every difference builds a healthier world.

**Job Description**

**Responsibilities**

Provide overall strategic direction, leadership and technical services management, including the following responsibilities:

+ Manage the day-to-day operations of the diagnostic imaging and biomedical engineering staff to ensure appropriate service levels are provided to the facility, including scheduling, distribution of work, and resource allocation.

+ Generate quotes for room moves, accessories, and non-standard repairs to aid our customers in planning for facility and business changes.

+ Track, monitor and report on service delivery metrics; ensure concise and comprehensive documentation of all services performed, including parts and labor.

+ Develop and maintain strong relationships and frequent communications with customers and sales to proactively identify customer needs, ensure resolution, proper follow-up, and ongoing customer satisfaction.

+ Promote a safe working environment and ensure compliance with company policies, procedures, and hospital
New
3d ago

Director Financial Accounting & Reporting

Highmark Health
Wailua Homesteads, HI
**JOB SUMMARY**

This job oversees the financial accounting and reporting activities for the Organization and certain subsidiaries in accordance with Generally Accepted Accounting Principles in the United States of America (GAAP) and Statutory Accounting Principles (SAP). The Organization, an integrated delivery and financing system, consists of insurance operations, provider operations and business platform/IT services. Accountabilities include directing the accounting and reporting department which is responsible for the internal and external financial statement compilation process, maintenance of general ledgers, operational accounting, research and implementation of applicable GAAP and SAP technical guidance and communicating implications of guidance to senior management. The incumbent leads various direct and indirect reports consisting of accounting and reporting managers, as well as lead and senior accountants and analysts that comprise the accounting and reporting department.

**ESSENTIAL RESPONSIBILITIES**

+ Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.

+ Direct the monthly financial close processes, supporting finance departments such as FP&A, treasury, cost accounting, tax, actuaries and subsidiary/affiliate finance units.

+ Timely and accurate issuance of various audited financial statements, board financial statements, debt holder filings and insurance department filings for the Organization and various subsidiaries. Coordinate external audit process/activities with external auditors. External auditors include Commonwealth of Pennsylvania
10d ago

Associate Application Developer

Highmark Health
Wailua Homesteads, HI
**JOB SUMMARY**

Assists in providing less complex application development services typically as part of a project team or in an application support role. Developers assist, analyze, design, code, test and implement less complex systematic solutions to meet customer requirements that adhere to Highmark IT standards and policies. Developers assist in providing less complex general support to maintain applications that meet the service levels, system availability, performance and quality levels required by their customers.

**ESSENTIAL RESPONSIBILITIES**

+ Responsible for assisting in analyzing, designing, coding, testing and implementing less complex application enhancements, as well as providing general production support, meeting defined scope, target dates and budgets with minimal or no defects.

+ Utilizes and participates in the full system less complex development life cycle, per current Highmark SDLC standards.

+ Assists in collaborating with customers, business analysts, partners, and IT team members to understand business requirements that drive the analysis and design of quality technical solutions. Concentrates on providing less complex innovative solutions to business needs.

+ Assists in providing required technical support, including release implementations, on-call and 24x7 supports when necessary.

+ Performs work in compliance with all Highmark and Highmark IT standards, policies and procedures.

+ Assists and actively participates on project teams in various project roles, including, but not limited to, Developer, Technical Lead and Project Manager, based upon level of experience.

+ Effectively communicates with team members, customers, partners and management, including assisting with or conducting less complex technical walkthroughs, reporting project status, enabling [facilitating? Promoting?] Vendor solutions and providing accurate and concise d
New
3d ago

Medical Policy Analyst

Highmark Health
Wailua Homesteads, HI
Responsible for medical research and developing utilization management pre-certification criteria for medical policies to be used by review, utilization, and case management nurses. Code changes into claims systems using national coding structure for processing accuracy and clinical appropriateness once medical policy has been established. Serves as a liaison to business units for correct coding of claims. Researches questions and issues from internal physicians and nurses as they related to development of medical policies.
ESSENTIAL RESPONSIBILITIES:

1. Responsible for the research, analysis, development, maintenance, coordination, and documentation of medical policy for Highmark's entire Commercial and Medicare Advantage lines of business and all products. Accountable for coordinating and ensuring that the appropriate system changes are implemented in concert with policy development and revisions.

Responsible for reviewing and analyzing all new, revised and deleted procedure codes published quarterly by the Centers for Medicare and Medicaid Services, the Blue Cross and Blue Shield Association, and the American Medical Association.

Evaluation of potential impacts to medical policy and initiates applicable policy revisions.

2. Coordinating database functions and policy issues with internal departments regarding Health Care Code System (HCCS) functions and policy issues. Review the International Classification for Diseases, (ICD-9, ICD-10) diagnosis code update for potential impacts to the database functions and policy issues. Responsible for all coordination's necessary related to policy maintenance and evaluates its impact to policy application and claims adjudication.

3. Reviewing and commenting on all policy circulations within the department. Review all policy drafts for accuracy and respond appropriately to the author of the policy.

4. Research inquiries and make policy decisions and/or recommenda
9d ago

Solution Activation Manager

Highmark Health
Wailua Homesteads, HI
**JOB SUMMARY**

This job will develop implementation plans and determine the key activities that will be essential for solution activation. The implementation plan for each solution will include all necessary software, hardware, data, documentation, training, process workflow changes, organizational changes and change management to activate the solution as designed in an agreed to timeframe, and within the approved budget.

**ESSENTIAL RESPONSIBILITIES**

+ Work with management to assemble project teams and work groups to produce deliverables required to achieve the objectives of a defined corporate program.Lead project managers and work group leaders in the development and maintenance of comprehensive plans for a defined solution.

+ Organize, direct and coordinate cross-functional activities to focus corporate resources on the successful delivery and implementation of the desired results for a defined solution and/or strategic initiative.

+ Work with the executive sponsor of a corporate program (VP or higher), and other management as required to achieve the objectives of a defined corporate program.Acquire detailed understanding of the business objectives for an assigned area.

+ Monitor and evaluate the progress, alignment and financial "health" of a cross-functional group of projects and related activities which together, constitutes a defined corporate program.Direct corrective action as needed to maintain the viability of the program. If required - Report to the executive team/sponsor/steering committee on the progress, business impacts and strategies around the program(s).

+ Assess risks that might jeopardize successful achievement of the desired results of a program, develop risk mitigation strategies and tactics, and implement risk mitigation plans.

+ As needed - Partners with procurement to develop and execute strategies related to the service/asset contracts.
8d ago

Graduate Intern (Python - Django/Flask, Rest API, React, SQL)

Highmark Health
Wailua Homesteads, HI
New
5d ago

Senior Kafka Application Developer

Highmark Health
Wailua Homesteads, HI
11d ago

Senior Client Advising Analyst

Highmark Health
Wailua Homesteads, HI
New
3d ago

Senior Claims Processor

Highmark Health
Wailua Homesteads, HI
New
3d ago

Director Prior Authorization

Highmark Health
Wailua Homesteads, HI
New
5d ago

Data Scientist

Highmark Health
Wailua Homesteads, HI
12d ago

Senior Digital Product Manager

Highmark Health
Wailua Homesteads, HI
9d ago

Senior Strategy Partner

Highmark Health
Wailua Homesteads, HI
New
5d ago

Enterprise Effectiveness Consultant

Highmark Health
Wailua Homesteads, HI
New
4d ago

Production Support Application Developer

Highmark Health
Wailua Homesteads, HI
New
3d ago

Digital Product Manager

Highmark Health
Wailua Homesteads, HI
9d ago

Senior Data Governance Consultant

Highmark Health
Wailua Homesteads, HI
New
5d ago

Associate Application Developer

Highmark Health
Wailua Homesteads, HI
New
5d ago

Solution Analyst

Highmark Health
Wailua Homesteads, HI
New
4d ago

Grievance and Appeals Analyst

Highmark Health
Wailua Homesteads, HI
New
4d ago

Senior Digital ProductOps Manager

Highmark Health
Wailua Homesteads, HI
9d ago

Sales Support Analyst

Highmark Health
Wailua Homesteads, HI
8d ago

Cyber Response and Forensics Analyst

Highmark Health
Wailua Homesteads, HI
8d ago

Undergraduate Intern - Marketing for United Concordia Dental

Highmark Health
Wailua Homesteads, HI
11d ago

Lead Data Reporting Analyst

Highmark Health
Wailua Homesteads, HI
9d ago

Lead Design Producer

Highmark Health
Wailua Homesteads, HI
9d ago

Senior Analytic Data Integrator

Highmark Health
Wailua Homesteads, HI
8d ago

Senior Internal Business Systems Analyst

Highmark Health
Wailua Homesteads, HI
New
5d ago

CRNA - Float

Highmark Health
Wailua Homesteads, HI
New
4d ago

DesignOps Manager

Highmark Health
Wailua Homesteads, HI
New
4d ago

RN Care Coordinator - ECCM (Harrisburg & surrounding areas)

Highmark Health
Wailua Homesteads, HI
New
3d ago

Lead Contract Management Consultant

Highmark Health
Wailua Homesteads, HI
New
4d ago

Finance Innovation & Transformation Internship - Undergraduate

Highmark Health
Wailua Homesteads, HI
New
4d ago

Production Support Business Systems Analyst

Highmark Health
Wailua Homesteads, HI
New
3d ago

Associate Digital Product Manager

Highmark Health
Wailua Homesteads, HI
9d ago

Full Time Jobs In Wailua Homesteads, HI