Clinical Jobs in Oklahoma

Description The Quality Assurance, Clinical Professional 2 consults and collaborates ... and quality. The Quality Assurance, Clinical Professional 2 work assignments are ... you should strongly consider the Clinical Quality..

... part of Humana within the Clinical IT area. We are looking ... test data management program. The Clinical Test Data Quality Lead will ... responsible for modeling the multiple..

Description Lead, Technology Solutions (Clinical UM) The Lead, Technology Solutions ... strategic technology partner for Humana's clinical business areas including Clinical Operations (focusing on Utilization management), ... Operations (focusing on..

Description Do you enjoy helping those in need? Do you love researching, analyzing medical documents to determine if something was missed? Have you ever considered yourself a detective for medical claims ..

... resources, which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... of moderately complex to complex..

Job Information Humana UM Administration Coordinator 2 - Part Time - Work at Home (Friday-Sunday Schedule) in Tulsa Oklahoma Description (Friday - Sunday Schedule) The UM Administration Coordinator 2 contributes to ..

Job Information Humana Senior Medical Auditing Professional: REMOTE/WORK AT HOME in Tulsa Oklahoma Description The Senior Medical Coding Professional acts as the team SME (Subject Matter Expert) and provides training, guidance, ..

Job Information Humana DRG Validation Auditor: REMOTE/Work At Home (Anywhere in the US) in Tulsa Oklahoma Description The DRG Validation Auditor extracts clinical information from a variety of medical records and ..

Job Information Humana Senior Provider Engagement Professional - Medicaid Prospective Programs Work at Home in Tulsa Oklahoma Description The Senior Provider Engagement Professional develops and grows positive, long-term relationships with physicians, ..

... to be part of Humana Clinical technologies team !!! You have ... solutions for Humana Healthcare Services Clinical technology tea. An opportunity to ... opportunity to build and expand..

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

Job Information Humana Clinical Formulary Strategy Pharmacist - Work ... Tulsa Oklahoma Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug ... and medical literature, while providing clinical support for..

Job Information Humana UM Administration Coordinator (M-F or Tu-Sa Schedules Available) - REMOTE/WORK AT HOME (Anywhere in the US) in Tulsa Oklahoma Description The UM Administration Coordinator 2 contributes to administration ..

... resources, which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... of moderately complex to complex..

Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in Tulsa Oklahoma Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, DME, and ..

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Tulsa Oklahoma Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..

... resources, which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... of moderately complex to complex..

**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA and ACA), using skills including but not ..

Job Information Humana UM Administration Coordinator 2 - Work at Home Thurs-Mon Schedule) in Tulsa Oklahoma Description (Thursday-Monday Schedule) The UM Administration Coordinator 2 contributes to administration of utilization management. The ..

Job Information Humana Senior Network Strategy Professional-- REMOTE/WORK AT HOME (ANYWHERE IN THE US) in Tulsa Oklahoma Description The Senior Network Strategy Professional oversees various efforts involving complex data analysis and ..

... resources which may include national clinical guidelines, Humana contract language, Humana ... coverage policies and determinations, MCG, clinical reference materials, internal teaching conferences, ... computer-based review of moderately complex..

Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Tulsa Oklahoma Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special Investigations ..

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 ..