- Highmark Health (Oklahoma City, OK)
- …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in… more
- SSM Health (Oklahoma City, OK)
- …Anthony Hospital - Oklahoma City **Worker Type:** Regular **Job Highlights:** . Department: Behavioral Health . Sign On Bonus: $10,000 . Schedule: Full Time, ... Our therapist roles are an integral piece in our care team and we see it as a partnership....other duties as assigned. EDUCATION + Master's degree in Behavioral Health or related field EXPERIENCE +… more
- CenterWell (Oklahoma City, OK)
- …across a complex health care organization. + Knowledge of health care regulations and policies related to behavioral health + Computer skills in ... integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Humana (Oklahoma City, OK)
- …and strong interpersonal skills. Key Role Objectives + Serve as primary relationship manager with behavioral health providers to ensure positive provider ... appropriate courses of action. The Provider Engagement Professional - Behavioral Health is responsible for day-to-day front...Primarily Southeast Oklahoma + 2 or more years of health care or managed care … more
- Highmark Health (Oklahoma City, OK)
- …implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. + Function in… more
- Centene Corporation (Oklahoma City, OK)
- …flexibility. **Must reside in Oklahoma.** **Centene is hiring a hybrid Care Manager for our Oklahoma Complete Health Medicaid plan. This position will cover ... complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes… more
- Highmark Health (Oklahoma City, OK)
- …Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- Highmark Health (Oklahoma City, OK)
- …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- Highmark Health (Oklahoma City, OK)
- …in a project manager role **Preferred** + Leadership experience + Health Care Insurance industry business and operational knowledge + Experience managing ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Oklahoma City, OK)
- …relationship management and performance + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
- CVS Health (Edmond, OK)
- … care and behavioral health services. + Provide oversight of behavioral health care , including quality and training to new providers. **Major ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world....Care providers report directly to the MinuteClinic Virtual Care Senior Practice Manager . Must be dual… more
- Highmark Health (Oklahoma City, OK)
- …for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line ... + Analyze clinical data to assess potential stop loss and managed care claim liability and utilize Case Management oversight techniques to ensure front… more
- Sodexo (Oklahoma City, OK)
- …surgery and behavioral medicine. St. Anthony's Hospital Oklahoma City serves the health care needs of central Oklahoma and its surrounding counties. They ... impact every day!** Sodexo is seeking an Environmental Services / Custodial Operations Manager 1 for **St. Anthony's Hospital located in Oklahoma City, OK** . This… more
- Takeda Pharmaceuticals (Oklahoma City, OK)
- …to take charge of your future at Takeda. Join us as a Regional Business Manager in our Wisconsin region. Here, everyone matters, and you will be a vital contributor ... to our inspiring, bold mission. As a Regional Business Manager working on the Gastroenterology Rare Disease Sales Team, you will be empowered to drive product demand… more
- CenterWell (Oklahoma City, OK)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... such as CPA, CIA + Previous experience in home health , care delivery, or care ...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Highmark Health (Oklahoma City, OK)
- …in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... timely manner. + Patients are appropriately referred to other health care support systems or community resources...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Oklahoma City, OK)
- …3 years of Working knowledge of medical procedures and terminology + 3 years of Health Care claims, Health Insurance and Benefit Administration **SKILLS** ... level of production each month, as determined by the manager to ensure compliance with DLP changes. This role...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Oklahoma City, OK)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** We are on a mission to deliver remarkable health experiences, freeing people to be their ... requires an advanced 360 person-centered approach to deliver the right message, guidance, care , outcome, and experiences, all at the right time. This Sr Application… more
- Highmark Health (Oklahoma City, OK)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** We are on a mission to deliver remarkable health experiences, freeing people to be their ... requires an advanced 360 person-centered approach to deliver the right message, guidance, care , outcome, and experiences, all at the right time. This Sr level role… more
- CenterWell (Oklahoma City, OK)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more