- Evolent (Oklahoma City, OK)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. . ... Oncology, you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Evolent (Oklahoma City, OK)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... Rehab you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Otsuka America Pharmaceutical Inc. (Oklahoma City, OK)
- …business review development experience + Experience working in matrix management structure with project management , coordination and people management ... **Associate Director , Channel Strategy and Patient Affordability** The Associate...resources effectively across the team to ensure efficient budget utilization , while identifying cost saving opportunities + Design operational… more
- Humana (Oklahoma City, OK)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with health insurance ... and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review... Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical… more
- CBRE (Oklahoma City, OK)
- …action and termination. Effectively recommends same for direct reports to next level management for review and approval. Plans and monitors appropriate staffing ... Business Intelligence Director Job ID 217260 Posted 05-May-2025 Service line...GWS Segment Role type Full-time Areas of Interest Facilities Management Location(s) Remote - US - Remote - US… more
- Evolent (Oklahoma City, OK)
- …critical role in **Performance Suite risk arrangements with payers and strategic utilization management initiatives.** This is an opportunity for a ... developing cardiovascular programs that include improvements to clinical effectiveness of utilization management (UM) and risk-based models.** + Process… more
- Humana (Oklahoma City, OK)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with health insurance ... our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The… more
- Olsson (Oklahoma City, OK)
- Transportation Regional Director Oklahoma City, OK **Company Description** We are Olsson, a team-based, purpose-driven engineering and design firm. Our solutions ... urban and rural highways, interchanges, and municipal roadways. As a Transportation Regional Director for our Roadway and Bridge team, you will be responsible for… more
- Highmark Health (Oklahoma City, OK)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... and DOL regulations at all times. In addition to utilization review , the incumbent participates as the...member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
- Prime Therapeutics (Oklahoma City, OK)
- …fuels our passion and drives every decision we make. **Job Posting Title** Sr. Director Actuarial Forecasting - REMOTE **Job Description** The Senior Director of ... complex actuarial modeling + Collaborates with underwriters, client engagement, and senior management on RFP process and other pricing initiatives related to all… more