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Description The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) and civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..
Job Description Introduction The Oklahoma State Department of Health (OSDH) is committed to leading Oklahoma to prosperity through health. Our mission is to protect and promote health, prevent disease and injury, ..
Job Description Introduction IF YOU ARE A CURRENT OR FORMER STATE EMPLOYEE, PLEASE APPLY TO THE INTERNAL JOBS LISTING HERE . DO NOT APPLY VIA THIS RECRUITMENT. The Oklahoma State Department ..
Description Humana is continuing to grow nationwide! We have 28 new Bilingual Medicaid Inbound Contact Representative openings that will have the pleasure of taking inbound calls from our Florida Medicaid Members ..
Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional ..
Job Description Introduction IF YOU ARE A CURRENT OR FORMER STATE EMPLOYEE, PLEASE APPLY TO THE INTERNAL JOBS LISTING HERE . DO NOT APPLY VIA THIS RECRUITMENT. This position is time-limited ..
Job Description Introduction The Oklahoma State Department of Health (OSDH) is committed to providing quality health services to Oklahoma citizens. The mission of the Department of Health is to promote, protect ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description Are you passionate about contributing to the well-being of the Medicare population? Are you looking for a role that will let your creative ideas, relationship management and sales ability shine? ..
Description Humana is seeking a Senior Communications and Marketing Professional to join our growing team. The Senior Communications and Marketing Professional will create and lead strategy for Humana's Wisconsin Medicaid Market ..
Two Positions will be filled - 1 in Miami, OK and 1 in Lawton, OK. The positions serve as Supervisory Environmental Engineers within the Office of Environmental Health and Engineering, Division ..
Description The Risk Adjustment Representative 2 conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other ..
Job Description Introduction This position is time-limited to June 30, 2024 The Oklahoma State Department of Health (OSDH) is committed to leading Oklahoma to prosperity through health. Our mission is to ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Description The DRG Validation Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..