HealthcareCrossing Jobs

IMMEDIATE OPENINGS for Overnights, Evening, and Days: CNAs, HHAs and Companion Caregivers - USA-OK-Asher

Mon, 28 Aug 2023 00:00:00 CDT

VISITING ANGELS of SE OKC supports approximately 100 clients and has a very satisfied staff of employees, some of whom have been with the agency over 9 years. We are growing and have an immediate ne...

Quality Improvement Nurse (Work at Home KS, AR, OK, MO, NE, IA) - USA-OK-Tulsa

Mon, 04 Sep 2023 00:00:00 CDT

Description The Senior Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Senior S...

Oklahoma Medicaid CMO, RVP Health Services - USA-OK-Tulsa

Sun, 10 Sep 2023 00:00:00 CDT

Description The OK Medicaid CMO, RVP Health Services (CMO)relies on medical background to create and oversee clinical strategy for the region. The CMO requires an in-depth understanding of how organi...

Commercial Medical Director - Work At Home - USA-OK-Tulsa

Mon, 26 Jun 2023 00:00:00 CDT

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of...

Lead Quality Technology Leader - Healthcare Services & Group (Remote) - USA-OK-Tulsa

Mon, 26 Jun 2023 00:00:00 CDT

Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new challenges and ...

Claims Process & Policy Professional 2 - USA-OK-Tulsa

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated repor...

Senior Provider Contracting Professional - WAH OK, AR, KS, MO, NE - USA-OK-Tulsa

Mon, 26 Jun 2023 00:00:00 CDT

Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides heal...

Patient Care Technician - PCT - USA-OK-Muskogee

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 21000EQXAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all ...

Associate Director, Problem, Incident and Event Management - USA-OK-Tulsa

Mon, 26 Jun 2023 00:00:00 CDT

Description The Associate Director, Problem, Incident and Event Management drives technical support teams to recover services during periods of service disruption or outages to key technology platfor...

Medical Director - Part Time - USA-OK-Tulsa

Mon, 26 Jun 2023 00:00:00 CDT

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situa...

APRN or PA - Mercy Clinic Urology - Oklahoma City - USA-OK-Oklahoma City

Mon, 26 Jun 2023 00:00:00 CDT

We’re a Little Different

Staff Utilization Management Pharmacist (Contract Position) - USA-OK-Tulsa

Mon, 26 Jun 2023 00:00:00 CDT

Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. Th...

Informaticist 2 - USA-OK-Tulsa

Mon, 26 Jun 2023 00:00:00 CDT

Description The Informaticist 2 coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informaticist 2 work...

Corporate Strategist - USA-OK-Tulsa

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities Humana's Corporate Strategy team is a small, high-performing organization that works closely with Humana's senior leadership to chart the course for the company's future...

Medical Director - Work at Home - USA-OK-Tulsa

Wed, 30 Aug 2023 00:00:00 CDT

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-OK-Tulsa

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Tulsa Oklahoma Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to suppo...

Medical Records Retrieval Specialist - Oklahoma City, OK - USA-OK-Oklahoma City

Mon, 26 Jun 2023 00:00:00 CDT

Description The Risk Adjustment Representative 2 (Medical Record Retrieval Rep) performs varied activities and moderately complex administrative/operational/customer support assignments. Performs com...

Business Support Coordinator 1 - Medical Records - USA-OK-Tulsa

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities The Business Support Coordinator 1 performs medical record content analysis to ensure compliance with requirements of the TRICARE contract. Prepare, scan, and stage for ...

Enterprise Clinical Operating Model (ECOM) Intern - USA-OK-Tulsa

Mon, 26 Jun 2023 00:00:00 CDT

Description The Intern - General 2 performs duties in field of study or profession. The Intern - General 2 performs varied activities and moderately complex administrative/operational/customer suppor...

Actuary, Analytics/Forecasting, Individual Dental and Vision - USA-OK-Tulsa

Mon, 26 Jun 2023 00:00:00 CDT

Description The Actuary, Analytics/Forecasting will develop the financial forecast for the dental and vision benefits included within Humana's growing Medicare Advantage business, as well as pricing ...