HealthcareCrossing Jobs

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...

Associate VP, Technology Solutions, Pharmacy - USA-OK-Tulsa

Mon, 19 Jun 2023 00:00:00 CDT

Job Information Humana Associate VP, Technology Solutions, Pharmacy in Tulsa Oklahoma Description The Associate Vice President of Technology Solutions acts as a liaison and collaborates with the busin...

Quality Improvement Program Lead (National Medicaid Quality) - USA-OK-Tulsa

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Tulsa Oklahoma Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be resp...

Manager, Care Management Social Services-WAH Nationwide - USA-OK-Tulsa

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Manager, Care Management Social Services-WAH Nationwide in Tulsa Oklahoma Description Job Description Summary The Manager, Care Management leads teams of social work and social ...

Clinical Manager - USA-OK-Tulsa

Sat, 08 Apr 2023 00:00:00 CDT

About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be p...

Health Information Management Professional - USA-OK-Tulsa

Mon, 17 Apr 2023 00:00:00 CDT

Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require ...

Medical Director - Claims Management - USA-OK-Tulsa

Thu, 20 Apr 2023 00:00:00 CDT

Medical Director - South Central - 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

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...

Clinical Manager - USA-OK-Oklahoma City

Thu, 04 May 2023 00:00:00 CDT

Telephonic Behavioral Health Care Manager - USA-OK-Tulsa

Thu, 04 May 2023 00:00:00 CDT

Job Information Humana Telephonic Behavioral Health Care Manager in Tulsa Oklahoma Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs an...

Clinical Manager - Home Therapies - USA-OK-Muskogee

Fri, 28 Apr 2023 00:00:00 CDT

PURPOSE AND SCOPE:Responsible for the day-to-day program operations and supporting the growth of the assigned single site Home Therapies program in coordination with the Business Unit management, in-c...

AVP, Stars and Risk Adjustment National Medical Director - USA-OK-Tulsa

Mon, 01 May 2023 00:00:00 CDT

Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Tulsa Oklahoma Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented P...

Enterprise Risk Management Lead-US-Remote - USA-OK-Tulsa

Fri, 23 Jun 2023 00:00:00 CDT

Job Information Humana Enterprise Risk Management Lead-US-Remote in Tulsa Oklahoma Description The Sales Conduct Risk Management Lead a critical member of Humana's Third Party Risk Management Program ...

Facility Administrator - USA-OK-Oklahoma City

Sun, 28 May 2023 00:00:00 CDT

About this role: As a Facility Administrator with Fresenius Medical Care, you will manage and oversee the daily operations of the dialysis clinic. You will collaborate with the Medical Director and th...

Nurse Advocate - Remote - 2167946 - USA-OK-Oklahoma City

Mon, 05 Jun 2023 00:00:00 CDT

Job Code 2167946 At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of milli...

Nurse Advocate - Remote - 2167946I - USA-OK-Oklahoma City

Mon, 05 Jun 2023 00:00:00 CDT

Job Code 2167946I At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of mill...

RN Registered Nurse - Discharge Planning - USA-OK-Tulsa

Tue, 20 Jun 2023 00:00:00 CDT

Details Department: Case Management Schedule: PRN - Day Shift. Every other Saturday and Sunday, 8:00am - 4:30pm Facility: Ascension St. John Medical Center Location: Tulsa, OK Benefits Paid t...

Physician GoHealth Moore, OK - USA-OK-Moore

Fri, 09 Jun 2023 00:00:00 CDT

We are se...

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 ...