• Manager , Managed Care

    Saint Francis Health System (Tulsa, OK)
    …Tulsa, OK Schedule: Monday - Friday | 8:00am - 5:00pm Job Summary: The Manager , Managed Care oversees the modeling, rate development and negotiation ... but not limited to the execution, implementation, and performance of all managed care agreements. Minimum Education: Bachelor's degree in Business Administration… more
    Saint Francis Health System (04/06/25)
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  • Revenue Manager Full Service, RMCC…

    Hilton (Oklahoma City, OK)
    …franchised Hilton hotels world\-class revenue management talent and tools\. As a Revenue Manager , RMCC Managed , you will support the team that's helping hotels ... consistently grow market share and outperform competitors\. On the Managed team reporting to the Assistant Director, you will work on projects including the rollout… more
    Hilton (05/21/25)
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  • Care Manager RN - Remote

    Highmark Health (Oklahoma City, OK)
    …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… more
    Highmark Health (05/21/25)
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  • Manager , Care Management LTC

    Healthfirst (OK)
    …Medicaid, Medicare and MLTCP + Care management experience in a clinical managed care environment and knowledge of best practices + Work experience requiring ... and recommends appropriate staffing levels to guarantee safe and effective care management + Oversees continuation, coordination, and delivery of individualized … more
    Healthfirst (05/07/25)
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  • Pharmacist - Prior Authorizations

    US Tech Solutions (May, OK)
    …specialty medical office or Pharmacy Benefits Manager (PBM) **Skills:** + MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE 6 months of ... + Pharm D. required with at least two years experience as a pharmacist in Managed care environment. + Must have an active license in the state of residence in… more
    US Tech Solutions (05/02/25)
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  • Clinical Account Manager - LA PDL Remote

    Prime Therapeutics (Oklahoma City, OK)
    …experience in clinical operations, quality, network, pharmacy or project management OR a managed care pharmacy residency. + Proven ability to plan, organize, ... every decision we make. **Job Posting Title** Clinical Account Manager - LA PDL Remote **Job Description** Innovative business...account(s). + Ensures revenue goals are met, cost of care and administrative expenses managed , and EBIDTA… more
    Prime Therapeutics (05/20/25)
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  • Project Manager - EPC Solar Hybrid Job…

    Black & Veatch (Oklahoma City, OK)
    …construction for EPC projects. + We will also consider experience as a Construction Manager if you have managed full construction scope on multiple 150MW+ ... **Project Manager - EPC Solar Hybrid** Date: May 13,...will also consider current APMs and PMs who have managed full construction scope for at least one 300MW+… more
    Black & Veatch (05/13/25)
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  • UM Case Manager

    Healthfirst (OK)
    …**Preferred Qualifications:** + Masters degree in a related discipline + Experience in managed care , case management, identifying alternative care options, ... New York State Department of Health (NYSDOH) regulations governing medical management in managed care + Relevant clinical work experience + Intermediate Outlook,… more
    Healthfirst (05/08/25)
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  • Sr Project Manager (Medicaid)

    Humana (Oklahoma City, OK)
    …Standard Time Zone** + Bachelor's Degree or 5+ years of Medicaid managed care , network contracting, network/provider operations, and/or provider relations ... Humana Healthy Horizons is a seeking a Senior Project Manager (Medicaid Network Implementation) who is accountable for working...serve to achieve their best health - delivering the care and service they need, when they need it.… more
    Humana (05/20/25)
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  • Sr Manager , Clinical Assumptions

    CVS Health (Oklahoma City, OK)
    …in a fast-paced environment and manage tight deadlines. + AMCP Fundamentals of Managed Care Pharmacy Certificate or similar professional advancement. + Previous ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
    CVS Health (05/16/25)
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