Government Jobs

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 Information Humana Sales Support Representative - Tulsa, OK in Tulsa Oklahoma Description Are you passionate about contributing to the well-being of the Medicare population? Would you like to provide support ..

Job Information Humana Medical Director - Florida Medicaid in Tulsa Oklahoma Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

Job Information Humana Senior Data Manager - Primary Care Organization in Tulsa Oklahoma Description The Senior Data Manager supports all aspects of configuration control, data management, and deficiency reporting. The Senior ..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in Tulsa Oklahoma Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..

Job Information Humana Supervisor, Credentialing in Tulsa Oklahoma Description Responsibilities The Supervisor, Credentialing Operations is responsible for supervising activities associated with certification and recertification of providers in the TRICARE East Region. ..

Job Information Humana Director, Informatics in Tulsa Oklahoma Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..

Job Information Humana Manager, Utilization Management RN - Remote in Tulsa Oklahoma Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical ..

Job Information Humana Medical Director - Texas in Tulsa Oklahoma Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to ..

Job Information Humana Telephonic Care Manager in Tulsa Oklahoma Description The Telephonic Care Manager will be part of the Humana Military Case Management team; providing a comprehensive, holistic approach for Behavioral ..

Job Information Humana Director, State Public Policy in Tulsa Oklahoma Description The Director of State Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy ..

Job Information Humana Data Manager / ETL Developer - Primary Care Organization in Tulsa Oklahoma Description The Data Manager 2 supports all aspects of configuration control, data management, and deficiency reporting. ..

Job Information Humana Market Development Advisor - Medicaid Provider Service Operations in Tulsa Oklahoma Description The Market Development Advisor - Medicaid Provider Service Operations provides support to assigned health plan and/or ..

Job Information Humana UM Medical Director - Conviva in Tulsa Oklahoma Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

Job Information Humana Director of Public Policy in Tulsa Oklahoma Description The Director of Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy development ..

Job Information Humana Manager, Credentialing in Tulsa Oklahoma Description Responsibilities The Manager, Certifications Operations reviews the applicant's education, training, clinical experience, licensure, accreditation, certifications, professional liability insurance, and other TRICARE requirements ..

Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Tulsa Oklahoma Description Humana is looking for an experienced Healthcare Investigator to join its industry ..

Job Information Humana Senior Technology Implementation Professional (Remote-Nationwide) in Tulsa Oklahoma Description The Senior Technology Implementation Professional delivers new technological solutions to meet business needs within a specified scope while aligned ..

Job Information Humana Medical Director - National Medicare Team in Tulsa Oklahoma Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..

Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Tulsa Oklahoma Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special Investigations ..

Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Tulsa Oklahoma Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ..

Job Information Humana Medicare Appeals and Grievance Medical Director in Tulsa Oklahoma Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..

Job Information Humana Utilization Management Registered Nurse - Remote in Tulsa Oklahoma Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services ..