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Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..
Job ID 21000DVXAvailable Openings 1Position Specific Information Sign on bonus of $2000.00 PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if ..
Job ID 21000FLOAvailable Openings 1Position Specific Information Full time 40 hours Oklahoma CIty Sign on bonus of $2000.00 PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including ..
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 The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..
Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. The Nurse ..
... looking for an experienced Senior Healthcare Investigator to join its industry ... provider records ensuring appropriateness of billing practices. Prepares complex investigative and ... Qualifications Bachelor's degree or significant..
Job ID 21000BGLAvailable Openings 1Position Specific Information Full time 40 hours per week supporting 2 clinic locations Sign on bonus of $10,000.00 PURPOSE AND SCOPE: Provides psychosocial services to patients treated ..
Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. Responsibilities There are 4 shifts available for this role. All ..
Description Humana Healthy Horizons in Florida is seeking a STARS Improvement Professional 2 who will develop, implement, and manage oversight of the company's Medicaid Stars Program. They will direct all quality ..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Tulsa Oklahoma Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..
Job ID 21000C7SAvailable Openings 1PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior ..
Details Department: Stepdown Intermediate Care Schedule: 36 hours weekly, full time day shift Hospital: Ascension St John Medical Center Location: Tulsa, Ok Benefits Paid time off (PTO)Various health insurance options & ..
Job Information Humana Manager, Fraud and Waste-Remote US in Tulsa Oklahoma Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
SSM Health St. Anthony is seeking an OB/GYN in Shawnee, OK Join Supportive Colleagues - 4 Physicians & 2 AP's 1:4 Call Group - Great Work/Life Balance Enjoy Small Town Feel ..
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 ..
PURPOSE AND SCOPE:Responsible for the day-to-day program operations and supporting the growth of the assigned single site Home Therapies program in coordination with the Business Unit management, in-center staff and other ..
PURPOSE AND SCOPE:Supports FMCNA's mission core values expected behaviors and customer service philosophy. Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy and procedure requirements.Provides psychosocial services ..
... is looking for an experienced Healthcare Investigator to join its industry ... provider records ensuring appropriateness of billing practices. Prepares investigative and audit ... areas Bachelor's degree or significant..