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... Lead will oversee our behavioral health (BH) clinical program for Oklahoma's ... (BH) clinical program for Oklahoma's Medicaid plan enrollees. They will collaborate ... will collaborate closely with the..
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... other agencies such as the Medicaid Fraud Control Unit (MFCU) and ... activities in Oklahoma to increase Medicaid program transparency and accountability. The ... to assist in supporting Oklahoma..
Description The Director, Health Services utilizes clinical nursing skills to ... documentation and communication of medical services and/or benefit administration determinations. The ... and/or benefit administration determinations. The Director, Health..
Description The Medical Director relies on medical background and ... on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The..
Description As Humana's Medicaid membership continues to grow, the ... continues to grow, the National Medicaid Clinical Operations team is expanding ... team is expanding our shared services organization to..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
... charged with administering the TRICARE health plan in the East Region. ... processing operations and systems. The Director, Claims Oversight plays a vital ... relate to claims. Responsibilities The..
Job Information Humana (RN)Associate Director, Care Management - Oklahoma City, ... Tulsa Oklahoma Description The Associate Director, Care Management leads teams of ... teams of nurses and behavior health professionals..
Description Humana's National Medicaid Quality team is seeking a ... be responsible for supporting individual Medicaid market quality teams and serving ... to the corporate level National Medicaid Quality team..
Job Information Humana Associate Director, Utilization Management Nursing - Oklahoma ... City Oklahoma Description The Associate Director, Utilization Management Nursing uses clinical ... most appropriate treatment, care or services for..
... Strategy and Practice Lead (Behavioral Health) - Oklahoma, OK in Oklahoma ... Lead will oversee our behavioral health (BH) clinical program for Oklahoma's ... (BH) clinical program for Oklahoma's..
Description The Medical Director relies on medical background and ... on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The..
Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, ... hospital, and/or other provider behavioral health contracts for an organization that ... for an organization that provides..
Description The Medical Director relies on medical background and ... on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Title:..
Description The Medical Director actively uses their medical background, ... to make determinations whether requested services, requested level of care, and/or ... work. Responsibilities Title: Commercial Medical Director Location: Work..
Job Information Humana Associate Director, Quality Improvement - Oklahoma City, ... City Oklahoma Description The Associate Director, Quality Improvement provides strategic leadership ... strategic leadership for Humana's Oklahoma Medicaid Quality..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, ... hospital, and/or other provider behavioral health contracts for an organization that ... an organization that provides..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Tulsa Oklahoma ... Tulsa Oklahoma Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
