Healthcare Risk Manager Jobs in Oklahoma City

Compliance Analyst The candidate will assist in maintaining an internal compliance program; guide special projects; provide regulatory interpretation; perform compliance reporting; and develop and implement compliance auditing and monitoring strategies. Is ..

Professional Liability & Risk Manager The candidate will be responsible ... Director with the development of risk management, patient safety, and professional ... professional liability programs. Participates in risk event..

Description The Senior Data Manager supports configuration control, data management, and deficiency reporting. The Senior Data Manager works assignments that involve moderately complex to complex issues where the analysis of situations ..

Description The Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of how organization capabilities ..

Description The Director, Market Leadership (COO) establishes long-range goals, objectives, and plans; monitors financial and operational performance. He/she will be responsible for the strategic development and oversight of operations for Humana's ..

Job Information Humana Associate Director, Utilization Management Nursing - Oklahoma City, OK in Oklahoma City Oklahoma Description The Associate Director, Utilization Management Nursing uses clinical knowledge, communication skills, and independent critical ..

Job Information Humana Clinical Strategy and Practice Lead (Behavioral Health) - Oklahoma, OK in Oklahoma City Oklahoma Description The Clinical Strategy & Practice Lead will oversee our behavioral health (BH) clinical ..

Description The Senior Community Management Professional (Health Plan Enrollee Advocate) will be responsible for directing community engagement practices, facilitating and planning Member and Community Advisory Panels, collaborating with contracted medical and ..

Description The Administrative Assistant 2 follows established procedures and guidelines to provide timely and effective secretarial support to an office, business unit, department, or other organization. Answers telephones, screens calls, and ..

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 The Clinical Strategy & Practice Lead will oversee our behavioral health (BH) clinical program for Oklahoma's Medicaid plan enrollees. They will collaborate closely with the Health Services Director and RVP, ..

Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..

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 Inbound Contacts Representative 1 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine ..

Description The Community Management Lead will provide oversight, guidance, and direction to a team to drive outreach strategies to enrollees throughout the state. He/she builds visibility and credibility of organization's products ..

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

... knowledge, review various reports, including risk assessment reports, and claims data; ... supervisor/plan/client Attend meetings with account manager, client, vendors, and other healthcare team members as needed Secure, .....

Description The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems of ..

We are a fast-growing tech company that provides a SaaS-based healthcare analytics platform for medical records analysis and targeted solutions for HEDIS® Hybrid, Medicare and Exchange Risk Adjustment and comprehensive, year-round ..

... us and discover why Modern Healthcare Magazine named us in its ... with cancer genetics and/or cancer risk assessment and screening are desired. ... without exposure to genetics &..

Description The Manager, Utilization Management (Behavioral Health) utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management ..

... knowledge, review various reports, including risk assessment reports, and claims data; ... supervisor/plan/client Attend meetings with account manager, client, vendors, and other healthcare team members as needed Secure, .....