Edmond Jobs

Medical Management Auditor (Children's)','1223138','!*!Position Purpose: Responsible for the auditing of corporate, health plan, and specialty company staff related to clinical systems entry and/or processes Develop and maintain the audit process..

Manager, Utilization Management','1223162','!*!Position Purpose: Perform duties to conduct and manage the day to day operations of the utilization management function. Communicate with staff to facilitate daily department functions. Review analyses..

FQHC Provider LIaison','1223194','!*!Position Purpose: Serve as a liaison to targeted Federally Qualified Health Centers (FQHC) to analyze, develop, implement and monitor clinical quality improvement initiatives to achieve healthy outcomes. Drive..

Maintenance Coordinator - First Americans Museum','FFM00107','NANA Management Services','NANA Management Services','Maintenance & Repair','US-OK-Oklahoma City','','','Day Job','May 14, 2021','!*!About NMS Built on a culture of safety and integrity, NMS delivers award-winning, integrated support..

Data Analyst I','1223139','!*!Position Purpose: Responsible for analytic data needs of the business unit. Manage multiple, variable tasks and data review processes, as well as mass data entry, maintenance, and update..

Provider Engagement Administrator I','1223190','!*!Position Purpose: The Provider Engagement Administrator I is the internal and external liaison for the Provider Network Department who maintains positive working relationships with participating physicians, participating..

Tribal Liaison','1223208','!*!Job Profile Summary Position Purpose: Act as the liaison regarding the delivery of behavioral health services to Native Americans Responsible for providing development and training to Native American Tribes..

Supervisor, Intake Specialist (Children's)','1223161','!*!Position Purpose: Supervise the day to day operations of the intake area; with direct supervision to the Intake Specialists Supervise day to day activities of the Intake..

Provider Claim Resolution Analyst','1223195','!*!Position Purpose: Oversee the reimbursement strategies and overpayment recoveries. Responsible for providing claims coding, and pricing expertise to initiatives and act as key contact for third party..

Facilities Maintenance Technician','FFM00108','NANA Management Services','NANA Management Services','Maintenance & Repair','US-OK-Oklahoma City','','','Day Job','May 14, 2021','!*!About NMS Built on a culture of safety and integrity, NMS delivers award-winning, integrated support services to a..

Provider Engagement Administrator III','1223196','!*!Position Purpose: The Provider Engagement Administrator is the internal and external liaison for the Provider Network Management Department who maintains positive working relationships with participating physicians, participating..

Manager, Vendor Management','1223206','!*!Position Purpose: Manage all aspects of vendor activity, including but not limited to dental, ancillary, pharmacy and vision vendors for the Health Plan. Manage vendor utilization including work..

Provider Data Management Analyst I','1223204','!*!Position Purpose: Perform provider data management related activities based on plan and contract specifications and standard business rules – includes data analysis and entry, review of..

Community & State Health Plan Chief Medical Officer - OklahomaThe C&S Plan Chief Medical Officer has accountability for ensuring that local health plan, Enterprise Clinical Services (ECS) and UnitedHealthcare (UHC)..

Supervisor, Intake Specialist','1223160','!*!Position Purpose: Supervise the day to day operations of the intake area; with direct supervision to the Intake Specialists Supervise day to day activities of the Intake Specialists..

Clinical Nurse Liaison','1223199','!*!Position Purpose: Serve as a liaison for external groups and providers regarding clinical information from the Operations and Medical Management teams Implement and manage procedures for tracking, identifying..

Job Description A top Engineering Firm in the OKC Area is looking to add a Municipal Engineer to their growing team! If you are interested in working with a company..

Manager, Provider Engagement Strategy','1223200','!*!Position Purpose: Assist in the development and management of governance and utilization of strategies related to provider performance management, engagement, and communication. Manage tool strategy, governance and..

Provider Network Support Specialist I','1223192','!*!Position Purpose: Perform day to day duties of assuring that providers (individual, group, ancillary, etc.) are set up accurately in the provider information system for state..

Supervisor, Program Coordination (Children's)','1223143','!*!Position Purpose: Perform collaborative duties for the development and implementation of all Coordinated Care programs (OB/NICU, Asthma, Diabetes, ER, General/Catastrophic); Provide support and supervision to ensure quality..

Perform various duties to support technical functions of the Enterprise Data & Innovation department. This could include, but is not necessarily limited to: data integration, database design, software programming, software..

Manager, Provider Relations','1223201','!*!Position Purpose: Responsible for maintaining existing and developing new provider relations, and assisting with contracting activities Manage the staff in contracting area including work flow, training and communication..

Provider Engagement Administrator II','1223188','!*!Position Purpose: The Provider Engagement Administrator II is the internal and external liaison for the Provider Network Management Department who maintains positive working relationships with participating physicians,..