- Highmark Health (Oklahoma City, OK)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care delivery ... clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards of care are… more
- Highmark Health (Oklahoma City, OK)
- …the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In ... for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure… more
- Humana (Oklahoma City, OK)
- …Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information This is a remote position \#LI- Remote **Scheduled Weekly ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Oklahoma City, OK)
- …Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information This is a remote position **Scheduled Weekly Hours** 40 **Pay ... our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The… more
- Highmark Health (Oklahoma City, OK)
- …Improvement + Analytical and Logical Reasoning/Thinking + Regulatory Compliance + Communication Skills + Leadership/Leading Change **EDUCATION** **Required** ... 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office- or Remote -based Teaches / trains others Occasionally Travel from the office to… more
- Highmark Health (Oklahoma City, OK)
- …25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office- or Remote -based Teaches / trains others Occasionally Travel from the office to ... must comply with both the Health Insurance Portability Accountability Act of 1996 ( HIPAA ) as described in the Notice of Privacy Practices and Privacy Policies and… more
- Highmark Health (Oklahoma City, OK)
- …strategy and objective setting. Supports the business partner, interfaces at the Director and Manager levels of the company, provides procurement services and ... such as supplier relationship management, spend performance management, demand and compliance management, internal spend and external market analysis, and category… more
- Highmark Health (Oklahoma City, OK)
- …deliver measurable business outcomes. This role will report directly to the Director of MarTech and Operations and lead day-to-day optimization, automation and ... management, digital, research, media, in-house agency leaders, IT, data analytics, compliance , and procurement to ensure a harmonious MarTech ecosystem. **Process:**… more
- Wolters Kluwer (Oklahoma City, OK)
- **Specialized Consulting Manager - Pharmacy** Wolters Kluwer R0043371 **LOCATION:** Remote US (Hybrid - 8 days per month if within 50 miles of an office listed on ... This is an individual contributor role. You will report to the Associate Director , Specialized Pharmacy Consulting. **DUTIES** You will contribute to the success of… more