- Humana (Oklahoma City, OK)
- …interactions with Humana's Oklahoma Medicaid plan + Ensure compliance with Oklahoma's managed care contractual requirements for provider relations, such as ... Southeast Oklahoma + 2 or more years of health care or managed care experience...care experience working with providers (eg, provider relations, claims education) + Experience working with or in health… more
- CVS Health (Oklahoma City, OK)
- …Service Operations **Required Qualifications** - 5+ years related experience in a service center claims processing or managed care operational role. - 1 year ... defined unit testing processes to provide quality audits for vendor contracts prior to implementation. - Assists with testing...payment, and benefits experience, preferably IDX managed care . - Broad knowledge of medical terminology, claims… more
- HealthEdge Software Inc (Oklahoma City, OK)
- …Practical understanding of the healthcare system with regards to Medicare, Medicaid, managed care , and commercial payment methodologies, payment integrity, and ... and maintenance of provider rate and/or claim editing provisions in a claims adjudication system and/or third-party vendor application. + Working knowledge… more
- Takeda Pharmaceuticals (Oklahoma City, OK)
- … Vendor Management + Oversight and accountability for labeling activities managed by external vendor (s) for assigned products, ensuring seamless coordination, ... labeling requirements to be provided to patients and Health Care Providers while minimizing the risk of write-offs. +...to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure… more