**Hybrid Work Environment - Must reside in Hawaii**
Pay Range: $59,000 - $116,000
Note: Individuals typically begin between the minimum to middle of the pay range
Under minimal supervision, conducts detailed analysis and review of inpatient hospital stays and suspended claims, by applying clinical expertise against HMSA medical and reimbursement policies, plan benefits, and nationally-accepted clinical guidelines to determine appropriateness of care for all HMSA members.