Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselHIRemote$135,000–$185,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. Issue-spot and provide practical guidance on applicable laws and regulations, such as the Anti-Kickback Statute (AKS), Stark Law, False Claims Act, FDA/DEA requirements relevant to pharmacy and telehealth operations, state pharmacy/professional licensing, PBM contracting/network participation, and HIPAA/HITECH.
Healthcare Financial/Actuarial Manager Willis Towers Watson PLCHealthcare Financial/Actuarial ManagerHonolulu, HI$90,000–$120,000 / yearWTW provides a competitive benefit package which includes the following (eligibility requirements apply): Health and Welfare Benefits: Medical (including prescription coverage), Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care Flexible Spending Accounts, Group Accident, Group Critical Illness, Life Insurance, AD&D, Group Legal, Identify Theft Protection, Wellbeing Program and Work/Life Resources (including Employee Assistance Program). You will substantially contribute to a wide variety of complex analyses and projects involving the design, financing, and measurement and financial analysis of the full spectrum of employer health and group benefit programs including medical, dental, life, disability, voluntary benefits, etc.
Healthcare Insurance Sales Trainee - Paid Training Sagility LtdHealthcare Insurance Sales Trainee - Paid TrainingHonolulu, HIWhat You'll Learn and Do Conduct inbound, consultative sales conversations with Medicare-eligible individuals Assess customer needs and explain Medicare plan options clearly and compliantly Enroll customers into appropriate Medicare health plans Meet individual performance and enrollment goals Accurately document interactions and enrollments using internal systems Receive ongoing coaching, feedback, and mentorship to grow your sales skills. Must be a U.S. citizen High school diploma or equivalent Strong communication and basic computer skills Coachable mindset with a willingness to learn and accept feedback Ability to pass the Hawaii state Life & Health insurance exam (study support and costs covered) Willingness to work onsite up to 3 days per week post-training for team events, meetings, and collaboration.
Hybrid- Paid Healthcare Sales Trainee (Medicare) HGS Healthcare LLCHybrid- Paid Healthcare Sales Trainee (Medicare)HIWith paid training, licensing support, and direct exposure to Medicare sales, you'll gain real-world experience, strengthen your resume, and open doors to advancement in training, leadership, or specialized healthcare sales roles. Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members.
Strategic Account Executive - Healthcare UKGStrategic Account Executive - HealthcareHonolulu, HI$90,000–$95,000 / yearThis Account Executive will be in a role of focusing on both acute and non-acute care accounts between 1-500 employees; the role requires a hunter focus on existing accounts seeking to add on Payroll, HR, Talent, Benefits, and additional HCM products, as well as expanding their labor management solution with additional products such as absence management, scheduling, and the analytics solutions. This person will be tasked with creating and maintaining key stakeholder relationships, in the accounts, and maximize opportunities to attain and exceed annual sales goals for the territory and the UKG Healthcare sales team.
Director of Healthcare Swinerton BuildersDirector of HealthcareHonolulu, HIFull timeVoluntary benefits include additional term life insurance, long term care insurance, critical illness and accidental injury insurance, pet insurance, legal plan, identity theft protection, and other voluntary benefit options. Overall management of the operations and administration of assigned projects with bottom line profit accountability.
Mechanical Engineer - Healthcare Facilities Design - Honolulu, HI Stantec IncMechanical Engineer - Healthcare Facilities Design - Honolulu, HIHonolulu, HIWork collaboratively with project leaders, architects, design partners, peers, contractors, and other project stakeholders to define project objectives, deliverables, and success metrics, and develop innovative and practical solutions, and meet the project''s conditions of satisfaction. In this role, you will apply building mechanical engineering principles, your superior client service skills, and project management best practices to deliver projects that meet project requirements, exceed client expectations, and meet project financial and other objectives.
Healthcare Services Analyst I Hawaii Medical Service AssociationHealthcare Services Analyst IHonolulu, HIUse a variety of resources including, but not limited to on-line information files and databases, peer guidance, interviews with internal departments including clinical consultants, other Blue Cross/Blue Shield Plans and vendors. New Code Implementation: With the guidance of the Healthcare service analyst II, learns how to load new codes, downloading, processing and importing new codes (CPT, HCPC, ICD-10, etc.).
Case Management Manager AlohaCareCase Management ManagerHonolulu, HI$81,000–$110,000 / yearThe Case Management Manager manages the case management team and the care coordination of behavioral health members to develop and assess high-quality, cost-effective healthcare outcomes related to mental and behavioral health needs. Direct the daily activities of case management staff including reviewing and approving the caseloads of case management staff based on state requirements, case management staff experience, and member needs.
Senior Emergency Management Specialist / Planner Essential Healthcare Solutions LLCSenior Emergency Management Specialist / PlannerHonolulu, HIEssential Healthcare Solutions LLC is supporting Pinnacle Solutions & Consulting Group (PSCG), an SBA-Certified Service-Disabled Veteran-Owned Small Business (SDVOSB) headquartered in New Braunfels, Texas, in its search for motivated, solution-driven team players eager to embrace the responsibilities of working in a dynamic and professionally rewarding environment. The role combines reach-back planning work from our New Braunfels office with periodic deployment to JFOs, RFOs, and state emergency operations centers in direct support of prime contractor missions.
Case Management Supervisor AlohaCareCase Management SupervisorHonolulu, HI$70,000–$83,000 / yearThe Care Management Supervisor Supervises the case management team and the care coordination of behavioral health members to promote quality and efficacy of care management delivery related to mental and behavioral health needs. Experience with individuals who have special health care needs, including HIV/AIDS, developmental disabilities, medically fragile, older adults, individuals with physical disabilities, housing insecurity, mental health and substance use disorder and other vulnerable needs.
NewDigital Marketing Principles, Department of Marketing, Management, and Health Care Administration - Adjunct Faculty University of Maryland Global CampusDigital Marketing Principles, Department of Marketing, Management, and Health Care Administration - Adjunct FacultyPearl City, HawaiiAs a result, we actively seek faculty members who are scholar-practitioners: professionals who are actively and successfully engaged in their field who additionally wish to help the next generation of professionals grow in their knowledge and expertise through education. UMGC is also a leading higher education provider to the U.S. military, enrolling 55,000 active-duty service members, reservists, National Guard members, veterans, and family members annually.
Risk Management Specialist (Compliance & Risk Manager - 0081143T) University of HawaiiRisk Management Specialist (Compliance & Risk Manager - 0081143T)Honolulu, HIPossession of a baccalaureate degree in business administration, management, law/legal studies, healthcare administration/management, human health science (i.e., biology, psychology, neuroscience, human biology, nursing, pharmacy, etc.) or related field and 9 year(s) of progressively responsible professional experience with responsibilities for research, academic and/or clinical compliance matters; or any equivalent combination of education and/or professional work experience which provides the required education, knowledge, skills and abilities as indicated. In accordance with the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act, annual campus crime statistics for the University of Hawaii may be viewed at: https://www.hawaii.edu/titleix/help/campus-security/ , or a paper copy may be obtained upon request from the respective UH Campus Security or Administrative Services Office.
Medical Administration Specialist CABAN RESOURCES, LLCMedical Administration SpecialistHonolulu, HIFull timeGENESIS, AHLTA, ICD programs, government data repositories such as P2R2 Virtual Analyst, M2 Data Mart, Enterprise Data Warehouse (EDW), Population Health Operational Tracking and Optimization System, Defense. Using analytical skills and tested methodologies, conducts studies in support of various projects, program, processes or initiatives covering all aspects of military health care activities.
Psychiatrist AlohaCarePsychiatristHonolulu, HI$110–$150 / hourProvides clinical oversight and guidance on Substance Use Disorder issues, including issues such as the use of ASAM or other evidence-based assessments and treatment protocols, the use of MAT, is active in teaching or training staff and, upon approval, students or professional trainees. The Community Care Services (CCS) Psychiatrist (“Psychiatrist”) ensures access to direct clinical support and services to members upon assignment and for ongoing care, in particular, the members at a Level 4 or 5 in severity.
Chief of Staff to the Chief Operating Officer TriWest Healthcare AllianceChief of Staff to the Chief Operating OfficerHonolulu, HIRemoteFull timeTechnical Skills: Proficient in current trends in health care management with emphasis in customer service, network management, utilization and financial trends; collaboration skills to work with TriWest management team across multiple locations; networking skills with all levels, including subcontractors. • Works on multiple high level projects including logistical coordination, data analysis, contract management and written communications in support of various business initiatives of high visibility, applying project management tools and methodologies and leadership skills to meet or exceed deadlines.
Director, Provider Experience TriWest Healthcare AllianceDirector, Provider ExperienceHonolulu, HIRemoteFull timeThe Director ensures the delivery of exceptional service to providers and government stakeholders by directing cross-functional programs that enhance provider satisfaction, strengthen network engagement, and uphold contractual and regulatory compliance. Coaching / Training / Mentoring: Actively develops the skills and capabilities of direct reports and extended team members through constructive feedback, mentoring relationships, and structured development opportunities aligned with business outcomes.
Project Manager TriWest Healthcare AllianceProject ManagerHonolulu, HIRemoteFull timeTechnical Skills: Project management skills, including data analysis, facilitation and proficiency in the use of project management tools; ability to effectively interact and maintain effective working relationships with all levels of TriWest staff and with external shareholder organizations; ability to consistently meet meeting materials deadlines. Provides project management support for division and special company-wide projects and initiatives, supports TriWest's senior leadership with annual and day-to-day strategic and operational planning and projects, research activities, data analysis, drafts or edits plans and white papers related to specific initiatives.
Business Development Liaison (Full Time) Navian HawaiiBusiness Development Liaison (Full Time)HONOLULU, HI$74,000–$94,000 / yearThis role actively identifies new referral opportunities, conducts consistent field-based sales calls, builds relationships with referral sources and healthcare professionals, promotes organizational services through ongoing outreach and education, and identifies opportunities to generate new referrals. 1 year of experience in sales, business development, marketing, account management, community outreach, or healthcare-related relationship management Experience in hospice, palliative care, home health, senior living, healthcare services, or related healthcare sale preferred.
Strategic Performance Excellence Writer TriWest Healthcare AllianceStrategic Performance Excellence WriterHonolulu, HIRemoteFull timeCommunication / People Skills: Executive writing & storytelling; exceptional written communication skills with ability to synthesize complex technical and operational information; strong editorial judgment and structured writing discipline; ability to translate analytical findings into persuasive, defensible narratives; strong understanding of executive tone and government-facing professionalism. The Strategic Performance Excellence Writer serves as the enterprise writer and narrative architect for all Corrective Action Plans (CAPs) developed in response to government-issued Corrective Action Requests (CARs) across the TRICARE (T-5) and Community Care Network (CCN) programs.
Full Professor (0084134, 0085003T) University of HawaiiFull Professor (0084134, 0085003T)Honolulu, HIParticipates in strategic planning and implementation at the school level relevant to the strengthening of the department of OBGYN and collaborate with Hawaii Pacific Health (HPH), Hawaii Pacific Health Medical Group (HPHMG), the Queens University Medical Group (QUMG), Queens Health Systems (QHS), and other JABSOM clinical affiliates, providing a unique academic clinical faculty and clinician scientist perspective. Participates in the development of principles and processes to guide the strengthening of academic Obstetrics, Gynecology, and Womens Health (OBGYN) in the areas including competency-based medical education, premedical, undergraduate medical education (i.e., medical student), and graduate medical education (GME) program evaluation, research, and operations.
Pharmacy Operations Manager Walgreen CoPharmacy Operations ManagerHonolulu, HI$22.50–$31 / hourAssists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.
Medical Logistics Planner (MEDLOG) Na Ali'i Consulting & Sales, LLC.Medical Logistics Planner (MEDLOG)Honolulu, Hawaii$100,000–$155,000 / yearThe Nakupuna Companies use a market-based compensation strategy to ensure that our employees are compensated within applicable market ranges commensurate with multiple factors, including but not limited to the individual’s particular combination of education, knowledge, skills, competencies, and experience, as well as contract-specific affordability, organizational requirements, and position location. The selected candidate will provide subject matter expertise in medical logistics (MEDLOG), sustainment planning, operational readiness, and Health Service Support (HSS) coordination in support of Marine Corps and joint operational objectives.
Provider Program Manager- Provider Education TriWest Healthcare AllianceProvider Program Manager- Provider EducationHonolulu, HIRemoteFull timeAs part of an assigned team, develops effective collaborative relationships with TriWest's inter and intra-departmental stakeholders and other SMEs, C-Suite executives, and other leaders in Operations, Health Care Services, Provider Network, and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives. The Provider Program Manager ensures that strategic, enterprise-wide programs are well defined, planned, tracked, and communicated in a consistent manner; is responsible for collaborating with C-Suite executives and other stakeholders; and is responsible for deliverables that meet defined requirements and for utilizing project management best practices.
Provider Program Manager (Provider Credentialing Required) TriWest Healthcare AllianceProvider Program Manager (Provider Credentialing Required)Honolulu, HIRemoteFull timeAs part of an assigned team, develops effective collaborative relationships with TriWest's inter and intra-departmental stakeholders and other SMEs, C-Suite executives, and other leaders in Operations, Health Care Services, Provider Network, and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives. The Provider Program Manager ensures that strategic, enterprise-wide programs are well defined, planned, tracked, and communicated in a consistent manner; is responsible for collaborating with C-Suite executives and other stakeholders; and is responsible for deliverables that meet defined requirements and for utilizing project management best practices.
Provider Program Manager - Provider Strat Value Base Care TriWest Healthcare AllianceProvider Program Manager - Provider Strat Value Base CareHonolulu, HIRemoteFull timeAs part of an assigned team, develops effective collaborative relationships with TriWest's inter and intra-departmental stakeholders and other SMEs, C-Suite executives, and other leaders in Operations, Health Care Services, Provider Network, and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives. The Provider Program Manager ensures that strategic, enterprise-wide programs are well defined, planned, tracked, and communicated in a consistent manner; is responsible for collaborating with C-Suite executives and other stakeholders; and is responsible for deliverables that meet defined requirements and for utilizing project management best practices.
Vendor Manager Alto IncVendor ManagerHIRemote$108,000–$135,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. You'll be managing a broad portfolio of technology and services vendors across our five entities, driving governance into an estimated $10-15M of currently unmanaged spend, and working directly with Legal, Finance, Compliance, Security, and business leadership to make sure our vendor relationships are structured, compliant, and delivering value.
Director, Provider Network Compliance TriWest Healthcare AllianceDirector, Provider Network ComplianceHonolulu, HIRemoteFull timeIndependent Thinking / Self-Initiative: Applies critical thinking to prioritize high-impact work and drive results with minimal direction; demonstrates ownership and accountability by proactively identifying solutions, securing necessary resources, and following through to achieve outcomes aligned with organizational and compliance objectives. Computer Literacy: Demonstrates advanced proficiency in a multi-system Microsoft environment and internal platforms, including the TriWest Intranet, internet-based tools, and department-specific applications; leverages technology effectively to manage workflows, ensure data accuracy, and support compliant, efficient operations.
Director, Credentialing Operations TriWest Healthcare AllianceDirector, Credentialing OperationsHonolulu, HIRemoteFull timeIndependent Thinking / Self-Initiative: Demonstrates strong critical thinking and sound judgment to prioritize high-impact work and drive results; proactively identifies needs, solves problems, and mobilizes resources with minimal direction to achieve operational and organizational objectives. Computer Literacy: Demonstrates advanced proficiency in a multi-system environment, including Microsoft Office applications and credentialing platforms; effectively leverages internal systems, intranet resources, and industry tools to manage credentialing operations, ensure data integrity, and drive operational efficiency.
Program Manager, Strategic Performance Excellence TriWest Healthcare AllianceProgram Manager, Strategic Performance ExcellenceHonolulu, HIRemoteFull timeThe Program Manager, Strategic Performance Excellence supports the development and execution of Corrective Action Plans (CAPs) in response to government-issued Corrective Action Requests (CARs) across the TRICARE (T-5) and Community Care Network (CCN) programs. In addition, this role partners with the Quality Performance Improvement team to integrate preventive insights and leading indicators from Quality Improvement Plans into project plans, timelines, and reporting to help mitigate risks before they escalate.