- CVS Health (Oklahoma City, OK)
- …and effective utilization of health care resources. Reporting to the Executive Behavioral Health Medical Director , Aetna Medicaid, this role ... Provide daily support and guidance to the ABA prior authorization clinical team and health plan medical directors. * Attend and actively participate in clinical… more
- CVS Health (Oklahoma City, OK)
- …to identify and address patient needs (eg care team, social work, behavioral health , utilization management, Hard-to-Reach, Central Telehealth, etc.). + ... Participate in regular meetings with CVS Health regional leaders, Program Director , Project Manager...we looking for?** **Required Qualifications** + Active RN or Behavioral Health (BH) license in good standing… more
- CenterWell (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews ... health claims. The Medical Director , Primary Care work assignments involve...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- Valor Health (Altus, OK)
- Clinic Medical Director (MD/DO) VA Outpatient Clinic Altus, OK (http://maps.google.com/maps?q=1604+North+Main+Street+Altus+OK+USA+73521) Apply Description About ... to none. Valor Healthcare is looking for a passionateClinical Medical Director (CMD)to join our team at...set of services includes primary care, diagnostics, laboratory, telehealth, behavioral health , and more. Final compensation will… more
- Highmark Health (Oklahoma City, OK)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- Highmark Health (Oklahoma City, OK)
- …and lines of business. This will require aligning new models to the health plan's strategic objectives based on a deep understanding of innovation and industry ... Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** +… more
- Saint Francis Health System (Tulsa, OK)
- …therefrom or Master's degree in Social Work, Counseling or related behavioral health field. Licensure, Registration and/or Certification: Valid multi-state ... Experience: 3 - 4 years of related experience in behavioral health care, part of which may...patient situations, reporting them promptly to the Process Improvement/Quality Director , to appropriate clinicians and to the UM Manager.… more
- BrightSpring Health Services (Tulsa, OK)
- …community living, adult host homes for adults regardless of disability, behavioral /mental health support, in-home pharmacy solutions, telecare and remote ... of data into the company system(s). Works with Executive Director and billing/collection staff to ensure maximum reimbursement to...office) and data entry skills + Basic knowledge of medical terminology and medical office insurance billing… more
- Oracle (Oklahoma City, OK)
- …helping build a culture where high-performing teams thrive. Reporting to the Senior HR Director , this role will have the opportunity to influence the future of HR ... business, in partnership with HR COE, to elevate culture, improve organizational health and enhance employee engagement. + Drive multi-year organizational and talent… more