Specialist Jobs

Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..

Description The Risk Adjustment Representative 2 (Medical Record Retrieval Rep) performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments Responsibilities Be a part of ..

Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..

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 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 iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..

Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Tulsa Oklahoma Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exposure and scope ..

Description Job Description Summary Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to ..

Job Information Humana Clinical Formulary Strategy Pharmacist - Work At Home in Tulsa Oklahoma Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug development pipeline, and medical literature, while providing clinical ..

Our client is looking for a Patient Account Specialist to join their team. They are looking to move quickly so don't wait to apply! Position: Patient Account Rep. Location: Tulsa, OK ..

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 ..

LIFE Senior Services Recognized by FORTUNE and Great Place to Work as 2021 Best Workplaces for Aging Services.  LIFE Senior Services is recognized as one of the Top 25 on the ..

Job Information Humana Chief Medical Officer/Regional VP, Health Services in Tulsa Oklahoma Description For more than 60 years, Humana's business has centered around human care, rooted in empathy and understanding, with ..

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 Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Tulsa Oklahoma Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..

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 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 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 ..

About this role: As a Dietitian with Fresenius Medical Care, you will be a valuable member of the interdisciplinary team and a part of a close-knit, collaborative team responsible for delivering ..

Description The Medical Record Retrieval Specialist (Risk Adjustment Representative) travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding ..

Job Information Humana Care Manager, Telephonic Nurse 2 Certified Diabetes Care and Education Specialist-Remote-US in Tulsa Oklahoma Description The Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless nursing ..

OverviewnOrthopaedic & Neurological Rehabilitation, Inc. (ONR) is a therapist-owned rehab company that is nationally recognized for the quality care we provide in Skilled Nursing, Independent Living, Assisted Living and Memory Care ..