Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Honolulu, HIRemoteFull timeComplies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).
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.
NewHealthcare Scheduler HiHealthCareHealthcare SchedulerHonolulu, Hawaii$42,000–$52,000 / yearWe encourage an active, Hawaii lifestyle by supporting our employees’ interests, efforts, and activities; HiGroup is proud to be recognized as one of the Best Places to Work in Hawaii for several years in a row! Other Requirements: This position works directly with clients, patients and staff from varying demographics and backgrounds, the Healthcare Scheduler must be able to communicate and listen carefully and professionally.
Category Manager Healthcare Operations Hawaii Medical Service AssociationCategory Manager Healthcare OperationsHonolulu, HIAnalyze health operations vendor spend and utilization trends to identify savings opportunities; deliver and track quantifiable cost savings, cost avoidance, and value creation across health operations spend. Partner with the Chief Procurement Officer (CPO) and operations leadership to develop multi-year category strategies for Healthcare operations vendors.
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.
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.
Fire Area Service Support Coordinator Johnson ControlsFire Area Service Support CoordinatorHawaiiJohnson Controls, a global leader in thermal management, mission-critical building systems, energy efficiency, and decarbonization, helps customers use energy more productively, reduce carbon emissions, and operate with the precision and resilience required in rapidly expanding industries such as data centers, healthcare, pharmaceuticals, advanced manufacturing, and higher education. Under general supervision, coordinates customer service requests, from initiation to service completion, and maximizing technical resource productivity and profitability by efficiently scheduling and dispatching Technicians with guidance from the Team Leads.
Fire Area Service Support Coordinator Johnson Controls International PlcFire Area Service Support CoordinatorHonolulu, HI$35–$42 / hourJohnson Controls, a global leader in thermal management, mission-critical building systems, energy efficiency, and decarbonization, helps customers use energy more productively, reduce carbon emissions, and operate with the precision and resilience required in rapidly expanding industries such as data centers, healthcare, pharmaceuticals, advanced manufacturing, and higher education. Under general supervision, coordinates customer service requests, from initiation to service completion, and maximizing technical resource productivity and profitability by efficiently scheduling and dispatching Technicians with guidance from the Team Leads.
Support Service Account Manager / Service Advisor - Kapolei, HI Freightliner NorthwestSupport Service Account Manager / Service Advisor - Kapolei, HIKapolei, HawaiiFull timeHelping customers satisfy their transportation needs since 1986, GTC is an expanded network of 19 dealerships doing business as Gordon Truck Centers, Freightliner Northwest, Western Star Northwest, TrailerCraft, Western Mountain Bus, and Freightliner of Hawaii. Gordon Truck Centers, Inc. uses the E-Verify program, which confirms employment authorization of all newly hired employees and most existing employees through an electronic database maintained by the Social Security Administration and Department of Homeland Security.
NewLead Medical Support Assistant U.S. Department of Veterans AffairsLead Medical Support AssistantHonolulu, HI$68,444–$88,979 / yearMSAs at this level develop and/or maintain effective and efficient communication with the patient, interdisciplinary coordinated care delivery model teams, VA medical centers, and other agencies (e.g., assist with communications during the inpatient to outpatient discharge; communicate with non-VA medical facilities; prepare correspondence to notify patients of normal lab results; manage a system for follow-up care such as consults, tests, etc.). Assignments at this level include but not limited to: The Lead MSA works collaboratively in an interdisciplinary coordinated care delivery model (i.e., PACT, Specialty, C&P and Call Center) and performs all related duties such as customer service and other duties assigned for the proper and timely treatment of patients and assure appointment schedules are maintained by MSA staff for one or more outpatient clinics.
Support Service Account Manager / Service Advisor Kapolei, HI Gordon Truck Centers, Inc.Support Service Account Manager / Service Advisor Kapolei, HIKapolei, HIHelping customers satisfy their transportation needs since 1986, GTC is an expanded network of 19 dealerships doing business as Gordon Truck Centers, Freightliner Northwest, Western Star Northwest, TrailerCraft, Western Mountain Bus, and Freightliner of Hawaii. Gordon Truck Centers, Inc. uses the E-Verify program, which confirms employment authorization of all newly hired employees and most existing employees through an electronic database maintained by the Social Security Administration and Department of Homeland Security.
Customer Service Representative - Kauai, Hilo or Oahu AlohaCareCustomer Service Representative - Kauai, Hilo or OahuLihue, HI$17–$19.50 / hourThe Customer Service Representative is a customer-focused, detail-oriented service representative that supports customers through inbound and outbound phone, digital, and occasional face-to-face service channels, using the highest degree of expertise, courtesy, and professionalism with the objective of retaining the customer's business and ensuring their on-going satisfaction. Through our community partnerships we offer innovative services such as connection to social service agencies, Native Hawaiian healing services and in-home primary care for qualified members.
Customer Service Representative Ethos Veterinary HealthCustomer Service RepresentativeHonolulu, HIFull timeOur team of board-certified specialists and highly trained emergency professionals work collaboratively in a modern, state-of-the-art facility equipped with in-house laboratory services, ultrasonography, CT, MRI, and electrochemotherapy. Veterinary Emergency + Referral Center of Hawaii (VERC) is a 24-hour emergency and specialty veterinary hospital providing advanced medical care across the Hawaiian Islands.
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.
Medical Equipment Customer Service Representative Rotech Healthcare Inc.Medical Equipment Customer Service RepresentativeHonolulu, HawaiiWith hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. As a national leader in ventilators, oxygen therapy, sleep apnea treatment, wound care, diabetic solutions, and other home medical equipment, we empower patients to manage their health from the comfort of home.
NewClient Services Associate, Home Care Bayada Home Health Care, Inc.Client Services Associate, Home CareHonolulu, HIPartner with Client Services Managers, Clinical Managers, Recruiting Managers, and other office colleagues to support reliable service delivery and a positive employee experience. If you are energized by helping people, solving problems, building relationships, and supporting a team that makes a difference in the lives of clients and families, we invite you to apply.
NewAlice Care Coodinator Imua Family ServicesAlice Care CoodinatorKAHULUI, HIThe Care team will provide strengths-based, relationship-focused monthly care coordination for beneficiaries in the Kama'aina Credit for ALICE Pilot, connecting participants to community resources, documenting contacts and outcomes in Relief Compass, and escalating concerns as needed. Care Coordination provides regular monthly engagement, resource navigation, and individualized support—delivered with cultural humility, trauma-informed practice, and minimal participant burden—to help families stabilize and advance toward long-term economic security.
Provider Program Manager - APM TriWest Healthcare AllianceProvider Program Manager - APMHonolulu, HIRemoteFull timeDevelops 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.
Solutions Program Manager TriWest Healthcare AllianceSolutions Program ManagerHonolulu, HIRemoteFull timeThe Solutions Program Manager is responsible for ensuring that our strategic, enterprise wide programs are well defined, planned, tracked and communicated in a consistent manner, responsible for building partnering relationships with C-Suite executives and other stakeholders; responsible for on time, within budget and quality implementation of enterprise wide programs; responsible for executing project management best practices. • As part of the Program Manager's Team, develop effective collaborative relationships with TriWest's C-Suite executive and other leaders in Operations, Health Care Services, Provider Network and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives.
NewAdministrative Coordinator, Home Health Bayada Home Health Care, Inc.Administrative Coordinator, Home HealthHonolulu, HI$19–$22 / hourThis full-time role serves as an important first point of contact for clients, families, clinicians, referral partners, and visitors while helping the office team coordinate services efficiently and professionally. Answer and triage incoming phone calls, route inquiries appropriately, and provide courteous support to clients, families, clinicians, and referral sources.