Whether you’re just starting out or a seasoned professional,
HMSA has job opportunities that can help you meet your career goals. To provide
a better sense of the organization, listed below are brief descriptions of a few
of the departments within the company.
Account Management & Sales
HMSA’s Account Management & Sales department provides our employer groups and
individual plan customers with the services of an account executive
and an account service coordinator.
Department staff work as plan consultants, respond to employer concerns, deliver
member education presentations, and serve as a liaison to other HMSA departments
on behalf of their customers.
This department continues to build and strengthen long-term relationships with
our employer group and individual customers by working closely with members and
prospective customers and demonstrating HMSA’s commitment to providing quality,
affordable health plans and employee benefit plans.
HMSA’s Claims Administration department is responsible for the accurate processing,
thorough review, and proper payment of all health care claims.
The department includes control and distribution staff who process new claims,
examiners who review the claims, analysts who produce claims processing data, and
department managers who see that our members receive the timely, accurate and
excellent service they expect from HMSA.
If you have an eye for detail, are good with numbers, and enjoy reviewing documents,
consider a job in HMSA’s Claims Administration department.
In writing, in person and over the phone, HMSA’s Customer Relations representatives
provide timely and accurate responses to a wide variety of member inquiries.
This department is the first place members turn for answers about their benefits,
claims, eligibility, membership, and other health plan-related questions. Therefore,
Customer Relations representatives must have extensive knowledge about HMSA’s plans
and policies, a caring attitude, and a commitment to superior service.
All new Customer Relations representatives complete a comprehensive training
program that provides the information they need to respond to HMSA members’ questions
HMSA’s Information Systems (IS) department is responsible for storing, distributing,
and protecting information; managing computer systems and applications; and developing
automated processes for HMSA.
The IS department is a full-service information technology provider that operates
both legacy and open systems technology platforms to support HMSA’s current and
future business needs.
HMSA’s IS department has many opportunities in project management, requirements
development, vendor management, application testing, and quality design.
Provider Services assists, educates, builds relationships, and strengthens
communication between HMSA and the health professionals that care for our members.
Supporting the largest health care provider network in the state, Provider
Services helps with providers’ contractual, administrative, and cost-containment
issues; shares information through print publications and online and telephone
access to HMSA eligibility and claims data; and manages provider information
databases for claims processing and other provider reimbursement programs.
Positions in Provider Services require strong skills in project management,
communications, and personal relations, with the ability to handle multiple
projects on tight deadlines.