- Evolent (Oklahoma City, OK)
- …the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are ... Medical Director's direction, using independent nursing judgement and decision-making, physician -developed medical policies, and clinical decision-making criteria sets. The… more
- Intermountain Health (Oklahoma City, OK)
- **Job Description:** Physician will provide Physician Advisor Utilization Reviewer and Central Appeals Work services. Physician shall engage, educate, ... Physician shall work in partnership with the utilization review committee to ensure procedures are in place to...physician to be on-call as the second IPAS reviewer for those cases where Physician is… more
- Cardinal Health (Oklahoma City, OK)
- **Position Summary:** The Vice President of Sales for Specialty Physician Office will lead the national sales strategy and execution for Cardinal Health's Specialty ... Physician Office business. This individual will be responsible for...+ Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave… more
- Parexel (Oklahoma City, OK)
- Join our dynamic Patient Safety team as a **Senior Physician ** where you'll leverage your medical expertise to ensure the safety of patients in clinical trials and ... impact patient wellbeing and regulatory compliance. **About the Role** As a **Senior Physician in Patient Safety** , you'll serve as the medical authority on safety… more
- Amergis (Oklahoma City, OK)
- … Physician Assistant (PA) to join our team inconducting disability evaluations for veterans under the VeteransBenefits Administration (VBA) contract. This ... thorough disability examinations in accordance with VBA guidelines. + Review medical records and document findings using standardized reporting tools. + Perform… more
- Oracle (Oklahoma City, OK)
- …risk minimization activities. . Contributes to the development and on-going review /revision of assigned product(s) Clinical Hazards Lists (CHL) and Application ... assessments. . Contribute to writing safety responses to regulatory authorities . Review literature to support submission of new device applications . Engage with… more
- Evolent (Oklahoma City, OK)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer , Interventional Pain Management, you will be a key member ... **What You Will Be Doing:** + Serve as the Physician Clinical Reviewer for Interventional Pain Management,...the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Evolent (Oklahoma City, OK)
- …Responsibilities** + **Clinical Review & Peer Collaboration** + Serve as the physician reviewer for oncology cases that do not initially meet medical ... focus on **value-based strategy and transformation** . Unlike traditional medical review roles that emphasize volume throughput, this position integrates utilization… more
- Evolent (Oklahoma City, OK)
- …`s input is needed or required. **What You Will Be Doing:** + Serve as the Physician match reviewer in Imaging cases, that do not initially meet the applicable ... provides clinical rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … more
- Evolent (Oklahoma City, OK)
- …`s input is needed or required. **What You Will Be Doing:** . Serve as the Physician match reviewer in Advanced Imaging cases, that do not initially meet the ... provides clinical rationale for standard and expedited appeals. . Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … more
- Evolent (Oklahoma City, OK)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as, aids and acts as ... Will Be Doing:** + Serve as the specialty match reviewer in Cardiology cases, that do not initially meet...the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Evolent (Oklahoma City, OK)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve ... as the specialty match reviewer in Vascular cases, that do not initially meet...rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Intermountain Health (Oklahoma City, OK)
- …equivalent (GED) required + One (1) years of experience in hospital or physician back-end revenue cycle (Payment Posting, Billing, Follow-Up) required + Knowledge of ... required + Two (2) years of experience in hospital or physician insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections)… more
- Parexel (Oklahoma City, OK)
- …and time per task contracted) and according to the assigned role (Global Lead Physician GLP or Regional Lead Physician RLP). Medical support includes but is ... related to assigned project/study. + Participate in the development and/or review of study documents, such as clinical protocols, Medical Monitoring Plans… more
- Cardinal Health (Oklahoma City, OK)
- …Specialty Networks works with over 11,500 providers across 1,500+ independent specialty physician practices and groups. The Sr. Clinical Analyst will be responsible ... identification, data registry and report production to present to physician groups. This Sr. Clinical Analyst will also be...+ Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave… more
- CoreCivic (Watonga, OK)
- …The Advanced Registered Nurse Practitioner under the supervision of the facility physician , provides advanced nursing services and patient care in the facility's ... comprehensive nursing care to include, but not limited to, executing physician 's orders, dispensing, and administering medications and performing examinations and… more
- Cardinal Health (Oklahoma City, OK)
- …including the insurance payers, specialty pharmacies, support organizations, and the patient/ physician to facilitate coverage and delivery of product in a timely ... manner. + Investigate and resolve patient/ physician inquiries and concerns in a timely manner +...+ Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave… more
- BioLife Plasma Services (Oklahoma City, OK)
- …determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test ... as applicable) for operational guidance and under the management of the Center Physician for medical issues. The Medical Support Specialist will be familiar with… more
- BioLife Plasma Services (Oklahoma City, OK)
- …determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test ... as applicable) for operational guidance and under the management of the Center Physician for medical issues. The Medical Support Specialist will be familiar with… more
- Cardinal Health (Oklahoma City, OK)
- …audits to determine organizational integrity of billing for professional ( physician ) services and/or hospital (technical) services. This position will also ... to determine accuracy and adequacy of documentation and coding related to physician or hospital (inpatient and outpatient) billing and/or medical necessity reviews.… more