Manager, Membership Admin

1. Manage and lead a membership admin team by providing training, mentorship, and best practice solutions.
2. Manage daily operations of the membership admin team, including inventory analysis, tracking and resolution
3. Serve as the escalation point for complex or disputed cases and drive resolution within defined SLA.
4. Monitor and analyze key performance indicators (KPIs) and take corrective actions to improve efficiency, accuracy, and customer satisfaction
5. Collaborate with key stakeholders to include underwriting, LOB, legal, servicing teams to ensure a consistent and integrated approach to accurate and timely case processing.
6. Maintain documentation, audit trails, and reporting in line with internal controls and external compliance requirements.
7. Contribute to the development and implementation of new policies, procedures, and systems to improve membership admin operations.
8. Stay current with changes in laws, regulations, and industry best practices related to membership admin management. Performs all other miscellaneous responsibilities and duties as assigned or directed.

Hawaii Medical Service Association (HMSA) is a nonprofit health insurer in the state of Hawaii. HMSA was founded in 1938, is an independent licensee of the Blue Cross Blue Shield Association, and is the largest insurer in the state of Hawaii serving more than 700,000 people.