- Lundbeck (Edmond, OK)
- …transform lives. Join us on our journey of growth! As a Psychiatry Account Manager , you lead the promotion of our psychiatry portfolio, executing sales and marketing ... strategies with comprehensive clinical knowledge to drive sales performance. Our Account Managers are adept at executing against the toughest commercialization… more
- CVS Health (Oklahoma City, OK)
- …Summary** Aetna, a CVS Health Company, is one of the oldest and largest national insurers. That experience gives us a unique opportunity to help transform health ... system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. **This is a… more
- Humana (Oklahoma City, OK)
- …help us put health first** We're seeking a strategic, results-driven Lead Product Manager to design and deliver innovative clinical solutions that improve health ... delivery with a focus on scalable digital and non-digital clinical solutions. You'll sit at the center of product,...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Amgen (Oklahoma City, OK)
- …transform the lives of patients while transforming your career. **Field Reimbursement Manager -** **Oklahoma/Arkansas** **What you will do** Let's do this. Let's ... the world. In this vital role the Field Reimbursement Manager (FRM) will manage defined accounts within a specified...products are covered under the benefit design (Commercial, Medicare, Medicaid ) + Serve as a payer expert for defined… more
- Humana (Oklahoma City, OK)
- …will focus on those enrollees with primarily behavioral health needs. The Care Manager , Behavioral Telephonic Nurse 2 will utilize clinical expertise and ... by partnerships with state and local governments, community-based organizations, and national partners committed to removing barriers to helping people achieve their… more
- Humana (Oklahoma City, OK)
- …of objectives and determines approach, resources, schedules, and goals. The Manager , Utilization Management Behavioral Health uses clinical knowledge, ... part of our caring community and help us put health first** The Manager , Utilization Management Behavioral Health utilizes behavioral health knowledge and skills to… more
- Datavant (Oklahoma City, OK)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and ... and support value-based client delivery across Medicare Advantage, ACA, and Medicaid programs. The ideal candidate combines deep healthcare analytics expertise with… more
- CAI (Oklahoma City, OK)
- …Type** Full time **Worksite Flexibility** Remote **Job Summary** As a Case Manager , RN you will assist in the holistic assessment, planning, arranging, coordinating, ... access to healthcare services. **Job Description** We are looking for a **Case Manager , RN** to provide telephonic care and support in the assessment, planning,… more
- Lundbeck (Edmond, OK)
- Psychiatry Account Manager - Oklahoma City East, OK Requisition ID: 6692 Location: Edmund, OK, US **Territory: Oklahoma City East, OK - Psychiatry** Target city for ... transform lives. Join us on our journey of growth! As a Psychiatry Account Manager , you lead the promotion of our psychiatry portfolio, executing sales and marketing… more
- Fresenius Medical Center (Ponca City, OK)
- …to ensure ongoing performance of other PCT's. + Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards ... leadership + Attends Fresenius and publicly offered skill-based training as assigned by Clinical Manager . **EXPERIENCE AND REQUIRED SKILLS** **:** + At least… more
- US Tech Solutions (May, OK)
- …+ The Pharmacist/Clinician is an operation-based role that conducts criteria based & clinical review of medical data collected to perform prior authorization as per ... policy and procedure. + The Pharmacist/Clinician will apply clinical knowledge to plan approved criteria for reviews of... setting ie, specialty medical office or Pharmacy Benefits Manager (PBM) **Skills:** + MUST HAVE MANAGED CARE exp… more
- CenterWell (Oklahoma City, OK)
- …in care, ensuring timeless access to important medications and solving urgent clinical needs. This Virtual Physician Collaborator shares in our vision to innovate ... in care, ensuring timeless access to important medications and solving urgent clinical needs. This Virtual Physician Collaborator shares in our vision to innovate… more
- Evolent (Oklahoma City, OK)
- …and staff whenever a physician`s input is needed or required. Responsible for clinical audits for quality and education regarding the results and monitoring for ... Responsible for coordinating education and findings with matrixed Physician Business Manager . + Provides medical direction to the support services review process.… more
- Banner Health (OK)
- …to formulate productivity standards, which are currently more stringent than most national standards identified. Quality standards are set at a DRG accuracy rate ... initial training by both the Banner Coding Education team and your hiring manager , with continued support throughout your career here! _*This position is for… more
- Humana (Oklahoma City, OK)
- …part of our caring community and help us put health first** Care Manager Support Assistants assist in ensuring TRICARE beneficiaries receive the highest quality ... electronic records system.Ensure all paperwork and documentation is notated within the clinical management system. + ASN with care coordination efforts of assigned… more
- Banner Health (OK)
- …initial training by both the Banner Coding Education team and your hiring manager , with continued support throughout your career here! _** Don't quite meet the ... diagnostic and procedural information, including modifiers, in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with… more
- CenterWell (Oklahoma City, OK)
- …CenterWell ACO and Medicare payment model programs via the Center for Medicare and Medicaid Services (CMS), such as ACO REACH, MSSP, and future models. Under general ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
