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Description The Senior Stars Improvement, Clinical Professional responsible for the ... Stars Program. The Senior Stars Improvement, Clinical Professional work assignments involve ... factors. Responsibilities The Senior Stars Improvement, Clinical..
... a member of the interdisciplinary healthcare team, supporting the FMCNA commitment ... and Quality Assessment and Performance Improvement (QAI) activities. Actively participates in ... activities. Actively participates in process..
... Certified Diabetes Care and Education Specialist-Remote-US in Tulsa Oklahoma Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..
... a full time Public Health Specialist IV providing support to the ... Functions • This is the specialist level where employees are assigned ... education and training opportunities, performance..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
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 ..
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 ..
Apply Now Share this job Send yourself a reminder Alert me to jobs like this one PUBLIC HEALTH SPECIALIST Starting at: 46,032.00 Annual Position Type: Full-Time/Exempt Shift: 8:00 AM to 4:30 ..
... Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and ... work experience with Coding and/or Healthcare**Preferred** Bachelor's degree**EXPERIENCE****Required** 3 years in ... years in HCC Coding and/or..
Job Information Humana FP&A Lead, Medicaid Market in Tulsa Oklahoma Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
Job Information Humana Behavioral Health Medical Director - Oklahoma Medicaid in Tulsa Oklahoma Description Humana's Oklahoma Medicaid BH Medical Director will oversee our behavioral health (BH) clinical program for Oklahoma Medicaid ..
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 ..
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 ..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
... a full time EPRS Exercise Specialist providing support to Emergency Preparedness ... public health administration, emergency management, healthcare, or closely related field; and ... education and training opportunities, performance..
... with in-depth knowledge of the healthcare value chain, as well as ... Medtronic Integrated Health Solutions Consultant Specialist, you will connect with clients, ... Develop actionable plans for immediate..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
... full time Community Disease Intervention Specialist I providing support to the ... of a Community Disease Intervention Specialist (C-DIS) is to intervene in ... education and training opportunities, performance..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
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 ..
