HealthcareCrossing Jobs

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...

CNA - Fri, Sat, Sun - USA-OK-Moore

Mon, 26 Jun 2023 00:00:00 CDT

Great people deserve a great place to work and Senior Helpers is hiring CHHAs for Monday to Friday in Moore-Norman, Midwest City & Del City. Senior Helpers is proud to be the first and only national i...

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 ...

Director, National Medicaid Care Management Strategy and Practice - USA-OK-Tulsa

Mon, 26 Jun 2023 00:00:00 CDT

Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. T...

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...

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

Wed, 30 Aug 2023 00:00:00 CDT

Medical Director - Florida Medicaid - USA-OK-Tulsa

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Tulsa Oklahoma Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignme...

Senior Clinical Pharmacy Advisor, Clinical Program Innovation - USA-OK-Tulsa

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Tulsa Oklahoma Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad e...

Fraud and Waste Investigator - Work At Home (Anywhere in the US) - USA-OK-Tulsa

Mon, 05 Dec 2022 00:00:00 CST

Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Tulsa Oklahoma Description Humana is looking for an experienced Healthcare Investigator to join its industry ...

Chief Medical Officer/Regional VP, Health Services - USA-OK-Tulsa

Mon, 05 Dec 2022 00:00:00 CST

Job Information Humana Chief Medical Officer/Regional VP, Health Services in Tulsa Oklahoma Description For more than 60 years, Humana's business has centered around human care, rooted in empathy and ...

Medical Records Retrieval Specialist - Tulsa, OK - USA-OK-Tulsa

Tue, 03 Jan 2023 00:00:00 CST

Description The Medical Record Retrieval Specialist (Risk Adjustment Representative) travels to provider offices within the region and scans medical records into a secure system. The records are revi...

APRN Certified NP or Physician Assistant - Gastroenterology and IBD Center - Oklahoma City, OK - USA-OK-Oklahoma City

Wed, 08 Mar 2023 00:00:00 CST

IBD & Gastroenterology

$10,000 SIGN-ON - Emergency Medicine Physician Assistant - USA-OK-Kingfisher

Mon, 27 Mar 2023 00:00:00 CDT

Emergency Medicine

Grievances and Appeals Medical Director - Nationwide - USA-OK-Tulsa

Mon, 17 Apr 2023 00:00:00 CDT

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interp...

RN Care Manager - Remote, nationwide - USA-OK-Tulsa

Sat, 22 Apr 2023 00:00:00 CDT

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies an...

Medical Director - Behavioral Health - Tricare - USA-OK-Tulsa

Thu, 20 Apr 2023 00:00:00 CDT

Grievances and Appeals Medical Director - Weekends Required - USA-OK-Tulsa

Thu, 20 Apr 2023 00:00:00 CDT

Behavioral Health Medical Director - Tricare - USA-OK-Tulsa

Thu, 04 May 2023 00:00:00 CDT

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately comple...

Physician Assistant or APRN Oncology and Hematology Oklahoma City, OK - USA-OK-Oklahoma City

Fri, 23 Jun 2023 00:00:00 CDT

Mercy Clinic Oncology and Hematology Advanced Practitioner Opportunity in Oklahoma City, Oklahoma at Mercy! This group is powered by 9 Physicians, 1 Advanced Practitioner, and an engaged support staff...

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...