- Evolent (Oklahoma City, OK)
- …timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- CVS Health (Oklahoma City, OK)
- …resources. **This is a remote-based (work from home) role.** In this role as Medical Director (Behavioral Health), you will: * Provide leadership and day-to-day ... * Experience with managed care, as a provider and manager of care utilization review or physician advisor experience. * Child/Adolescent Board Certification… more
- Saint Francis Health System (Tulsa, OK)
- …Time Days Warren Clinic Physicians Only: 12-16 hours per week Job Summary: The Medical Director , Population Health (H) serves as the physician leader for Saint ... Work Experience: Minimum 5 years of experience in patient care within a medical practice. Previous medical leadership, population health, or value-based payment… more
- Humana (Oklahoma City, OK)
- …put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with… more
- Humana (Oklahoma City, OK)
- …a part of 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 Corporate Medical Director works on problems of diverse...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
- Evolent (Oklahoma City, OK)
- …Stay for the culture. **What You'll Be Doing:** Evolent is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in ... improving healthcare quality.** + **Computer proficiency** and ability to navigate electronic medical review platforms. + No current exclusions, sanctions, or… more
- Highmark Health (Oklahoma City, OK)
- …NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of the ... and improve the care of our members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may… more
- Merck (Oklahoma City, OK)
- **Job Description** **Role Summary:** The Sr. Global Director Medical Affairs (GDMA) is responsible for supporting the execution of scientific & medical ... educational or risk management) to support appropriate and safe utilization of Our Company medicines or vaccines. **Required Qualifications,...Decision Making, Empathy, Market Access, Medical Affairs, Medical Research, Medical Review , … more
- Travelers Insurance Company (Oklahoma City, OK)
- …influences which can impact claim outcomes. Organize and coordinate Travelers' medical review functions. This includes interpreting Federal and State ... regulations and medical guidelines to establish medical ...Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board… more
- Arrow Electronics (Tulsa, OK)
- **Position:** Sales Engineering Director - Modern Infrastructure **Job Description:** Arrow is seeking a Sales Engineering Director (SED) to provide strategy, ... design, product and proof of concept demonstrations, solution consultation, architecture review , and enablement of Arrow partners. The SED possesses a background… more