Charge Correction Specialist/Floater - Healthcare Partners Investments United Surgical Partners InternationalCharge Correction Specialist/Floater - Healthcare Partners InvestmentsOklahoma City, OKThese duties include, but not limited to, adding of new information per requests received, updating new addresses and other information as it changes, maintenance of NDC numbers, maintenance of TSPID numbers and the addition of new charge/procedure/CPT codes. The Charge Correction Specialist/Floater is responsible for reviewing, logging and correcting all charge errors and claim submission errors related to professional accounts.
Provider Contracting Specialist State of OklahomaProvider Contracting SpecialistOklahoma City, OKKnowledge of large group network management and provider services to include provider enrollment and contracting, verbal and written communication skills, customer services and experience providing phone coverage, provider recruitment, training, response to member and provider inquiries, use of network database applications. The successful candidate must demonstrate strong organizational, analytical, customer service, written and verbal communication, negotiation, and problem-solving skills, with the ability to manage multiple priorities, maintain accurate and confidential information, interpret contract provisions and policies, and build effective relationships with providers and internal partners.
Application Architect - DARPA SciFy Project - Penn Engineering University of PennsylvaniaApplication Architect - DARPA SciFy Project - Penn EngineeringMoore, OK$100,000–$150,000 / yearLong-Term Care Insurance: In partnership with Genworth Financial, Penn offers faculty and staff (and your eligible family members) long-term care insurance to help you cover some of the costs of long-term care services received at home, in the community or in a nursing facility. The architect will design and build the core infrastructure for ClaimSpy, our flagship claim feasibility assessment system, extending it from verifiable materials science claims to speculative AI technology forecasting - supporting DARPAs "create and avoid surprise" mission.
Scrum Master - AI Delivery Sedgwick Claims Management Services, Inc.Scrum Master - AI DeliveryOKThey proactively identify impediments related to data access, integration constraints, security reviews, model validation processes, or cross-team dependencies, and work with Technology leadership to resolve them quickly. The Scrum Master reinforces discipline around change management, ensuring mid-sprint injection of urgent requests is controlled and that stakeholders understand the operational impact of disrupting sprint commitments.
Remote Housing Coordinator Sedgwick Claims Management Services, Inc.Remote Housing CoordinatorOKRemoteMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Maintain high touch service throughout the policyholder's stay, proactively resolving issues and supporting lease extensions, furniture adjustments, and service needs.
Director Client Services - Workers Compensation Sedgwick Claims Management Services, Inc.Director Client Services - Workers CompensationOK$103,031–$144,243 / yearPRIMARY PURPOSE: To oversee client service delivery, operational analytics, and strategic initiative management for Workers' Compensation program while partnering with regional operational leadership to drive continuous improvement and high-quality claim outcomes. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Warehouse Lead Prism SpecialtiesWarehouse LeadEdmond, Oklahoma$15–$20 / hourCompensation: $15.00 - $20.00 per hour For over 25 years, steady and calculated growth has evolved the company into a world-class operation in restoring electronics, art, textiles, and documents quickly and effectively. Joining the Prism Specialties Team Provides: Teamwork: Experience what it is like to work in a team environment surrounded by people who support and encourage you along the way.
Electronics Restoration Technician Prism SpecialtiesElectronics Restoration TechnicianOklahoma City, Oklahoma$15–$20 / hourCompensation: $15.00 - $20.00 per hour For over 25 years, steady and calculated growth has evolved the company into a world-class operation in restoring electronics, art, textiles, and documents quickly and effectively. Joining the Prism Specialties Team Provides: Teamwork: Experience what it is like to work in a team environment surrounded by people who support and encourage you along the way.
NewLaundry Technician Prism SpecialtiesLaundry TechnicianOklahoma City, Oklahoma$13–$16 / hourA Day in the Life of a Lead Textile Restoration Technician: Perform hands-on restoration of textiles (garments, soft goods, and related contents) affected by fire, water, or other losses. Compensation: $13.00 - $16.00 per hour For over 25 years, steady and calculated growth has evolved the company into a world-class operation in restoring electronics, art, textiles, and documents quickly and effectively.
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)El Reno, OK$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.
P&C Insurance (Personal & Commercial) Transformation Manager Accenture PlcP&C Insurance (Personal & Commercial) Transformation ManagerOklahoma City, OKAs a Transformation Manager / Senior Manager, you will lead cross-functional teams to reimagine how work gets done, combining deep insurance expertise with advanced analytics and agentic AI and technology solutions to improve client outcomes. We bring together the talent of our approximately 799,000 people with proprietary assets and platforms, deep process and industry expertise, and leading ecosystem relationships to deliver end-to-end solutions and measurable outcomes at scale.
Restoration Estimator ServproRestoration EstimatorEdmond, Oklahoma$65,000–$80,000 / yearLocation: Oklahoma City, OK Position Type: Full‑Time Reports To: General Manager / Director of Sales & Operations Position Summary The Restoration Estimator is responsible for managing the estimating process for residential and commercial restoration projects, including water, fire, mold, contents, and reconstruction. We’re seeking self-motivated, proactive, responsible, and service-oriented teammates to join us in our mission of helping customers in their greatest moments of need by repairing and restoring homes and businesses with an industry-leading level of service.
Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Oklahoma City, OKRemoteFull timeComplies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).
Benefits Partner Life.ChurchBenefits PartnerEdmond, OKIn this role, you will guide staff through benefits enrollment, life events, open enrollment, and medical continuation with both accuracy and compassion - working closely with benefit partners and vendors to ensure benefits are administered correctly and advocating on behalf of staff when questions or issues arise. The Benefits Partner plays a vital role in caring for our staff well - serving as a relational and knowledgeable resource who walks alongside team members through some of life's most important moments.
Estimate Review Specialist Sr. (Repair Solutions) Sedgwick Claims Management Services, Inc.Estimate Review Specialist Sr. (Repair Solutions)OK$55,000–$57,000 / yearPRIMARY PURPOSE: To review all estimates and supporting documentation submitted by contractors/adjusters, using Xactimate, Symbility, and other estimating applications; to ensure estimates follow client and regulatory requirements and meet Sedgwick Repair Solutions' guidelines while replacing a field adjuster if needed, and to serve as a subject matter expert on property restoration scope. Required/Preferred Experience: Candidates should have experience in one or more of the following areas: interior and exterior property restoration, roofing, water mitigation, mold remediation, fire and smoke damage restoration.
Medical Payment Posting Specialist Trinity Employment SpecialistsMedical Payment Posting SpecialistEDMOND, OKThe Medical Payment Posting Specialist is responsible for accurately posting insurance and patient payments, balancing daily batches, processing refunds, and supporting revenue cycle operations. We are seeking a detail-oriented Medical Payment Posting Specialist who thrives in a fast-paced environment and enjoys being part of a collaborative, supportive workplace.
Quality Assurance Training Coordinator OKLAHOMA MENTAL HEALTH COUNCIL, THEQuality Assurance Training CoordinatorOklahoma City, OKCollaborate with the Director of Accounts Receivable and management team to communicate identified training needs, recommend improvements, and support effective training program implementation. The position also serves as a key liaison between clinical and financial departments to support accurate claims processing, identify training opportunities, and drive continuous improvement within the accounts receivable function.
Provider Partner Consultant, DentaQuest (OKLAHOMA) Sun LifeProvider Partner Consultant, DentaQuest (OKLAHOMA)Oklahoma City, OklahomaThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. The Provider Partner is responsible for provider networks with regard to office education, technology promotion, network recruitment (expansion and strengthening utilization), and onboarding of newly contracted providers.
Benefits Partner Life.Church Operations LLCBenefits PartnerEdmond, OKIn this role, you will guide staff through benefits enrollment, life events, open enrollment, and medical continuation with both accuracy and compassion - working closely with benefit partners and vendors to ensure benefits are administered correctly and advocating on behalf of staff when questions or issues arise. The Benefits Partner plays a vital role in caring for our staff well - serving as a relational and knowledgeable resource who walks alongside team members through some of life's most important moments.
Manager, Disability Benefits American FidelityManager, Disability BenefitsOklahoma City, OklahomaWork with Supervisors, highly skilled Colleagues and other departmental or divisional leadership to set and manage goals and performance expectations which support accurate, fair service and the timely claim processing which comply with state and federal regulations. *Actively manage staff and plans for the appropriate allocation and use of resources; analyze past workloads to determine future needs and identify service trends which may detract from providing quality service to the Customer.