- Lincoln Financial Group (Oklahoma City, OK)
- …**Requisition #:** 72954 **The Role at a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting ... Group Protection in a remote environment. Background Details The Claimant Excellence Team will...development to perform in this fast-paced environment. As a Claims Customer Care Associate , you… more
- Humana (Oklahoma City, OK)
- …and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized at the Inpatient ... communication of decisions to internal associates, and possible participation in care management. The clinical scenarios predominantly arise from inpatient or… more
- Takeda Pharmaceuticals (Oklahoma City, OK)
- …in order to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director, Global Labeling Lead where you will be responsible for the ... 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
- Humana (Oklahoma City, OK)
- …and help us put health first** Humana Healthy Horizons is seeking an Associate Director, Medicaid Provider Services to serve in a strategic leadership role within ... Medicaid segment. The Medicaid Provider Services team, led by the Associate Director, is accountable for Humana's Medicaid segment strategy and operationalizing… more
- Humana (Oklahoma City, OK)
- …operational efficiency, reduce manual processes, and improve accuracy in insurance claims processing, policy management, and other key areas. A strong background ... solutions to streamline and automate insurance-related processes, such as claims processing, policy administration, and customer service operations. + **Technical… more
- Humana (Oklahoma City, OK)
- …**Use your skills to make an impact** **Required Qualifications** + A minimum of an Associate 's Degree + 5 or more years of experience in medical auditing & coding ... 6 or more years of work experience related to claims with an understanding claims lifecycles/healthcare revenue...team of offshore associates **Additional Information** **Work Style** : Remote **HireVue Statement** : As part of our hiring… more
- Humana (Oklahoma City, OK)
- …Intermediate to advanced experience in analytical work with prior authorization and claims data. **Additional Information** + **Workstyle:** Remote + **Travel:** ... completing projects in clinical applications with a focus on the healthcare claims review process and utilization management. This project manager collaborates with… more
- Humana (Oklahoma City, OK)
- …Clinical Strategy and Analytics (CS&A) Team is seeking a Research Scientist 2 ( Remote ). Healthcare is rapidly changing, and our members are living longer, often with ... clinical concepts and extract clinical information from medical, pharmacy, and lab claims for analytics and modeling purposes + Translates analytic results into key… more
- Humana (Oklahoma City, OK)
- …populations served in target growth markets. **Candidates will possess Medicaid managed care operations expertise and have experience in designing solutions for key ... Medicaid programs and subpopulations.** Areas of focus include Care Management, Quality Improvement, Utilization Management, Population Health, Social Determinants… more
- Humana (Oklahoma City, OK)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... of established clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products...protect member PHI / HIPAA information This is a remote position **Scheduled Weekly Hours** 40 **Pay Range** The… more
- Compass Group, North America (Oklahoma City, OK)
- …the location HRIS system * Ensuring the timely processing of all unemployment claims * Plans the team's activity to deliver against medium-term objectives * Managing ... in a Human Resources leadership role * Experience leading remote teams is preferred * Experience managing large scale...At Levy, team = family. And we'll always take care of family, learn more about Levy benefits offered.… more
- Humana (Oklahoma City, OK)
- …researches/reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or recovery. Analyzes, enters ... knowledge. **Use your skills to make an impact** **WORK STYLE:** 100% remote /work at home. **WORK HOURS:** Typical business hours are Monday-Friday, 8 hours/day,… more
- Humana (Oklahoma City, OK)
- …for complex accounts + Experience analyzing a wide variety of health or claims related data **Additional Information** **Why Humana?** At Humana, we know your ... space lacking ongoing interruptions to protect member PHI / HIPAA information \#LI- Remote **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below… more
- Humana (Oklahoma City, OK)
- …and/or Medicaid health plan operations, such as provider relations, claims submission and payment, utilization management processes, behavioral health processes, ... + **Travel** : Up to 5%, possibly out of your home state. + **Workstyle:** Remote , must work hours within the eastern time zone. + **Core Workdays & Hours:**… more