- Sedgwick (Oklahoma City, OK)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Medicare Compliance Nurse Team Lead **PRIMARY PURPOSE** **:** To supervise Medicare Compliance ... effective and efficient utilization of company resources. + Reviews medical claims and legal records; provides concise written reports depicting past medical… more
- Carrington (Oklahoma City, OK)
- **Come join our amazing team !** Litigation Paralegal will be responsible for assisting the Legal Department with various contested or escalated matters in order to ... received in relation to contested matters. + Open and maintain matters in case management system, including but not limited to, analyzing complaints, investigating … more
- Humana (Oklahoma City, OK)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health… more
- Highmark Health (Oklahoma City, OK)
- …a subject matter expert for Investigators. Will provide guidance and help train/mentor other team members. Could serve as a project lead for special projects ... a review of a special project, potential fraud, waste and abuse case , conducting the initial investigations and coordinating the recovery/savings of money related… more
- Humana (Oklahoma City, OK)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health… more
- Humana (Oklahoma City, OK)
- …health first** The Medical Director relies on medical background and reviews health claims . The Medical Director (Staff Geriatrician or Physician with Ten (10) Years ... and appropriateness of care. + Works in collaboration with team members to develop creative approaches to enhancing the...support to Medicaid markets within the region, aiding in case review, peer to peer and appeals as needed.… more
- Walgreens (Oklahoma City, OK)
- …experience. + Models and shares customer service best practices with all team members to deliver a distinctive and joyful patient experience, including interpersonal ... overseeing the staff scheduling, assigning roles, coordinating activities, and soliciting team member suggestions. Responsible for the opening and closing of the… more
- Highmark Health (Oklahoma City, OK)
- …a customer's financial experience - member and patient billing, benefits and claims , cost transparency, and health & spending accounts. Accountable for leading a ... team of product managers and product analysts focused on...insights, problem/opportunity management, product strategy, roadmap management, and value case development. Partners across the Living Health organization and… more