- Paychex (May, OK)
- …+ Develop, test, deploy, maintain and improve software to meet requirements + Design and develop test automation code + Complete well-defined, complex program changes ... Imagine Your Future with Us! Since 1971, Paychex has been at the forefront of simplifying HR, payroll, and benefits for American businesses. Our digital HR technology and advisory solutions cater to the changing needs of employers and their employees. With our… more
- US Tech Solutions (May, OK)
- …+ The Telehealth Nurse Practitioner or Physician Assistant (Provider) delivers patient care services through a remote technology platform. + You will work in ... collaboration with a dedicated team of professionals as you independently provide holistic, evidenced based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for our patients… more
- Paychex (May, OK)
- …+ Develops, documents and implements risk mitigation strategies, comprehensive medical underwriting methodologies, processes and tools for use by H&B underwriters, to ... include automation of field submission processes, internal/external escalation processes and leveraging of internal/external resources to meet business objectives. + Establishes, manages and approves proper risk classification and banding of potential/existing… more
- US Tech Solutions (May, OK)
- …+ Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This individual must have ... excellent interpersonal skills. + Will be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure. **Experience:** + Prior authorization experience required. + Previous pharmacy experience in retail or… more
- US Tech Solutions (May, OK)
- …+ The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for commercial and ... specialty medications. + The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. + This role will work from Virtual systems and take inbound calls from physician or members regarding… more
- US Tech Solutions (May, OK)
- …+ This position takes in-coming calls from members, providers, etc. providing professional phone assistance to all callers through the criteria based prior ... authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist. **Responsibilities:** + Handel high volume of Inbound and Outbound Calls +… more
- US Tech Solutions (May, OK)
- …+ The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty ... medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. This role will work for supported systems and take inbound calls from physicians or members regarding their pending,… more
- US Tech Solutions (May, OK)
- …This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA compliant work area ... away from distractions, and must have their own secure private internet services of at least 25mbps download/3mbps upload in order to ensure sufficient speed to adequately perform work duties. Must provide a screenshot of internet speeds with resume and… more
- US Tech Solutions (May, OK)
- …+ As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. You will be responsible ... for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate decisions that comply with compendia and Medicare… more
- NTT DATA North America (May, OK)
- …+ Providing front-line phone customer service assisting members, prospective members, and providers with questions regarding benefits, pharmacy services, provider ... listings. + High volume, fast paced, call center environment. + Ensuring customer satisfaction and strive to meet service standards. + A typical day will likely involve fielding between 75 to 100 calls. + Communicating effectively and professionally with both… more
Near May:
Major Cities:
Broken Arrow,
Edmond,
Enid,
Lawton,
Midwest City,
Moore,
Norman,
Oklahoma City,
Stillwater,
Tulsa