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Contract Specialist Paralegal Jobs in Hawaii

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Job info
Company
In-House
Experience
Min 2 yrs required
Location
Honolulu, HI
Posted Date
Sep 16, 17
Info Source
Employer
Case Resolution Specialist I Duties: Research and... plan coverage consistent with contract, regulatory and/or accreditation requirements.... With guidance from management, conducts critical analysis of highly complex and sensitive member and provider appeals, inquiries and grievances and applies internal policies and... read more
Company
In-House
Experience
Min 4 yrs required
Location
Honolulu, HI
Posted Date
Sep 16, 17
Info Source
Employer
plan coverage consistent with contract, regulatory and/or accreditation requirements.... Conducts critical analysis of highly complex and sensitive member and provider appeals, inquiries and grievances and applies internal policies and procedures, contractual provisions, and regulatory requirements. Secures information from internal and... read more
Company
In-House
Experience
Min 5 yrs required
Location
Honolulu, HI
Posted Date
Sep 14, 17
Info Source
Employer
plan coverage consistent with contract, regulatory and/or accreditation requirements.... Also assists with ensuring compliance with 1) state and federal laws, rules and regulations affecting member rights; 2) contractual obligations as it relates to complaints and appeals; 3) accreditation related requirements.... read more
Company
In-House
Experience
Min 3 yrs required
Location
Honolulu, HI
Posted Date
Sep 14, 17
Info Source
Employer
plan coverage consistent with contract, regulatory and/or accreditation requirements.... Analyzes, researches and develops all appeals and grievance reporting including but not limited to department inventory, trending, regulatory requirements, audits, employer group and internal department scheduled and ad hoc requests. Understands... read more
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