Assoc Mgr Claims Jobs in Oklahoma

Job Information Humana Senior Claims Research & Resolution Professional - ... City Oklahoma Description The Senior Claims Research and Resolution Professional (Claims Manager) manages claims operations for the market. They..

Description The Network Operations Lead oversees Provider services and network development functionality. They maintain provider relations to support customer service activities through data integrity management and gathering of provider claims data ..

Description The Medicaid Oklahoma Pharmacy Director monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, ..

Best Buy The Retail Supervisor works closely with store leadership to train the store team. They drive exceptional customer service and meet business results by achieving revenue, margin, and operational targets. ..

Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..

Description The Senior Project Manager manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Senior Project Manager work assignments ..

Job Information Humana Senior Claims Research & Resolution Professional - ... Tulsa Oklahoma Description The Senior Claims Research and Resolution Professional (Claims Manager) manages claims operations for the market. They..

Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..

Description The BI Lead is an integral position in Network Strategy & Analytics team responsible for oversight, design, and development of network analytics applications, centered around ownership of strategic initiatives focused ..

Description Reports directly to the Vice President, Medical Management Operations and serves as a member of the HGB Executive Committee. Leads functions related to HGB's Care Management programs to include predictive ..

Job Information Humana Associate Director, Quality Improvement - Oklahoma City, OK in Oklahoma City Oklahoma Description The Associate Director, Quality Improvement provides strategic leadership for Humana's Oklahoma Medicaid Quality Program, in ..

Description Responsibilities Where you Come In The Manager, Medical/Financial Risk Evaluation identifies, assesses, and mitigates any medical or financial risk that arises from inadequate or failed processes, people, systems, or external ..

Description The Director, Provider Reimbursement is responsible for the leadership, strategy development and execution of Humana Military's provider reimbursement methodologies. This leader is responsible for timely and accurate implementation of Government ..

Description The AVP, Business Technology Solutions Implementation will oversees various system programs of a highly complex nature to deliver new technological solutions to meet business needs within a specified scope while ..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Tulsa Oklahoma Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..

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 situations or data requires ..

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 situations or data requires ..

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 situations or data requires ..

Best Buy The Retail Supervisor works closely with store leadership to train the store team. They drive exceptional customer service and meet business results by achieving revenue, margin, and operational targets. ..

Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward ..