EmploymentCrossing Jobs

Payment Integrity Professional 2 Work at Home - USA-OK-Tulsa

Fri, 15 Sep 2023 00:00:00 CDT

Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud w...

Quality Improvement Nurse (Work at Home KS, AR, OK, MO, NE, IA) - USA-OK-Tulsa

Mon, 04 Sep 2023 00:00:00 CDT

Description The Senior Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Senior S...

Oklahoma Medicaid CMO, RVP Health Services - USA-OK-Tulsa

Sun, 10 Sep 2023 00:00:00 CDT

Description The OK Medicaid CMO, RVP Health Services (CMO)relies on medical background to create and oversee clinical strategy for the region. The CMO requires an in-depth understanding of how organi...

RN -Utilization Management Nurse (Medicare) - Work at home (Eastern Time zone hours)- Southeast Region (GA/SC) - USA-OK-Tulsa

Tue, 15 Aug 2023 00:00:00 CDT

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

Utilization Management Nurse 2 - Work at Home (Part-Time - Tuesday/Thursday/Friday) - USA-OK-Tulsa

Tue, 08 Aug 2023 00:00:00 CDT

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determin...

UM Administration Coordinator 2 - Work at Home - USA-OK-Tulsa

Sun, 10 Sep 2023 00:00:00 CDT

Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administ...

Utilization Management Nurse 2 - Central Region (Work at Home - KS, AR, MO, OK, IA, NE) - USA-OK-Tulsa

Tue, 12 Sep 2023 00:00:00 CDT

APRN or PA - Mercy Clinic Urology - Oklahoma City - USA-OK-Oklahoma City

Mon, 26 Jun 2023 00:00:00 CDT

We’re a Little Different

Grievance and Appeals Representative 2 for IRT- Work at Home/Remote USA - USA-OK-Tulsa

Thu, 24 Aug 2023 00:00:00 CDT

Description Responsibilities The Grievances & Appeals Representative 2 for IRT will be responsible for assigning cases to associates on team to send to independent entity for 2nd level review. Track...

Nurse Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home - USA-OK-Tulsa

Sun, 13 Aug 2023 00:00:00 CDT

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate...

Medical Director - Work at Home - USA-OK-Tulsa

Wed, 30 Aug 2023 00:00:00 CDT

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 situa...

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-OK-Tulsa

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Tulsa Oklahoma Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to suppo...

Senior Enterprise Architect - Experience & Analytics (Remote, Virtual, Home office) - USA-OK-Tulsa

Tue, 11 Jul 2023 00:00:00 CDT

Job Information Humana Senior Enterprise Architect - Experience & Analytics (Remote, Virtual, Home office) in Tulsa Oklahoma Description Do you thrive on working on the cutting edge technology solutio...

Engineering Manager Cloud Solutions - Remote - USA-OK-Tulsa

Mon, 04 Sep 2023 00:00:00 CDT

Job Information Humana Engineering Manager Cloud Solutions - Remote in Tulsa Oklahoma Description The Manager, Cloud Solutions Engineering Supports development and execution of cloud implementation st...

Senior Learning Facilitation Professional-Remote in US - USA-OK-Tulsa

Sat, 12 Aug 2023 00:00:00 CDT

Job Information Humana Senior Learning Facilitation Professional-Remote in US in Tulsa Oklahoma Description The Senior Learning Facilitation Professional will focus on integration and implementation o...

Sr. Cognitive / Machine Learning Professional - TLP (Remote) - USA-OK-Tulsa

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Sr. Cognitive / Machine Learning Professional - TLP (Remote) in Tulsa Oklahoma Description The Senior Cognitive/Machine Learning Professional for Test and Learn Platform develop...

M&A Integration Technology Lead - USA-OK-Tulsa

Tue, 29 Aug 2023 00:00:00 CDT

Description The M&A IT integration leader will provide strategic guidance with regards to IT integration efforts to Humana's corporate development team and integration management office (IMO) on all ...

Senior Integration Specialist - Cloud - USA-OK-Tulsa

Sat, 12 Aug 2023 00:00:00 CDT

Job Information Humana Senior Integration Specialist - Cloud in Tulsa Oklahoma Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminating ...

Lead Product Manager Data Transformation / Analytics - Remote - USA-OK-Tulsa

Wed, 09 Aug 2023 00:00:00 CDT

Job Information Humana Lead Product Manager Data Transformation / Analytics - Remote in Tulsa Oklahoma Description The Lead Product Manager, Longitudinal Human Record leads a cross-functional technolo...

Innovation Design Advisor - USA-OK-Tulsa

Mon, 11 Sep 2023 00:00:00 CDT

Description Would you like the opportunity to bring human care to healthcare? To design business models and solutions that solve some of the most complex challenges facing our federal healthcare syst...