- Centene Corporation (Oklahoma City, OK)
- … utilization management team, members, and providers + Works with the BH utilization management senior management team to develop and implement BH ... review clinicians to ensure appropriate care to members. Manages BH utilization management issues related to member care, provider interactions, and… more
- Evolent Health (Oklahoma City, OK)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... , you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- CenterWell (Oklahoma City, OK)
- …payer contracts + Monitor the following key functions: + Program evaluation + Risk Management + Utilization Review + Patient Care Evaluation + Policies and ... and many of the delegation oversight listed above + Home infusion Therapy Accreditation and Pharmacy accreditation for infusion nursing services, NABP, URAC,… more
- Evolent Health (Oklahoma City, OK)
- …Be Doing:** As a Physician Clinical Reviewer you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Air Force Civilian Career Training (Tinker AFB, OK)
- …projects or portions of larger projects and programs under the guidance of a senior engineer. The incumbent must apply judgment in the independent application of the ... mechanics, flight dynamics, flight structures, propulsion, thermodynamics, and energy conversion/ utilization to aerospace vehicles and related equipment. Researches, analyzes,… more