NewIn Home Healthcare LPN: Low Acuity Overnight *1,500 Sign on Bonus* Aveanna HealthcareIn Home Healthcare LPN: Low Acuity Overnight *1,500 Sign on Bonus*Edmond, OKRemoteAs an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Licensed Practical / Vocational Nurses (LPN/LVN)s works together to make sure we achieve outstanding clinical outcomes.
NewIn Home Healthcare LPN: High Acuity (Day Shifts) SIGN ON BONUS AVAILABLE Aveanna HealthcareIn Home Healthcare LPN: High Acuity (Day Shifts) SIGN ON BONUS AVAILABLEHarrah, OKRemoteAs an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Licensed Practical / Vocational Nurses (LPN/LVN)s works together to make sure we achieve outstanding clinical outcomes.
Experienced RN Manager - Clinical Services Inpatient Critical Care - Nights (Stipend-Eligible) OU Medicine, Inc.Experienced RN Manager - Clinical Services Inpatient Critical Care - Nights (Stipend-Eligible)Oklahoma City, OKFull timeThey model the OU Health Way, as evident in their work output and interactions with employees and patients, through living OU Health’s core values of putting Patients First, pursuing Relentless Excellence, showing Integrity, seeking Inclusion for all staff and patients, always Learning, and valuing Teamwork. Demonstrated business acumen and managerial functions such as experience with performance improvement tools, using metrics to drive decisions, maintain a budget, report writing and solve practical problems.
NewEmployee Success Associate - Leave Administration Larkin Benefit AdministratorsEmployee Success Associate - Leave AdministrationOklahoma City, OKRemote$50,000–$60,000 / yearJob Location: As a remote-first organization, employees are expected to primarily work within reasonable driving commute to our main office locations (Roseville CA, Atlanta GA, Phoenix AZ, and Oklahoma City OK) to meet the requirements of team gatherings, one-off meetings, and company-wide events, as well as the legal, tax, and security regulations based on our business operations. Provide excellent customer service by answering phones, responding to emails, and communicating effectively with clients' employees in a timely manner - answering questions regarding leave entitlement, client policies, and benefits.
NewAccount Executive, Healthcare- Oklahoma City, OK Waste Management IncAccount Executive, Healthcare- Oklahoma City, OKOklahoma City, OKRemoteThe Account Executive, Healthcare is responsible for maintaining and developing new and existing hospital clients through high levels of service to expand and strengthen the relationship. This role is a member of the sales team and will be accountable for customer planning, administration, monitoring, and optimizing the revenue potential and operational performance of their branch''s accounts.
NewUtilization Management Administration Coordinator - SNF HumanaUtilization Management Administration Coordinator - SNFOklahoma City, OKRemote$40,000–$52,300 / yearWork at Home Requirements To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselOKRemote$135,000–$185,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. Issue-spot and provide practical guidance on applicable laws and regulations, such as the Anti-Kickback Statute (AKS), Stark Law, False Claims Act, FDA/DEA requirements relevant to pharmacy and telehealth operations, state pharmacy/professional licensing, PBM contracting/network participation, and HIPAA/HITECH.
Development Manager - Healthcare Technology MaximusDevelopment Manager - Healthcare TechnologyOklahoma City, OKFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Drive all aspects of engineering recruiting including but not limited to; attracting great talent and retaining a highly skilled, proficient engineering team.
NewSubcontracts Administration CACI International IncSubcontracts AdministrationOklahoma City, OK$39,400–$78,200 / yearPay Range: There are a host of factors that can influence final salary including, but not limited to, geographic location, Federal Government contract labor categories and contract wage rates, relevant prior work experience, specific skills and competencies, education, and certifications. SOWs, RFQs, RFPs, ITBs, RFI's, and evaluate responses on diverse types of contracts and agreements, as well as develop and submit responses to these documents.
Healthcare Administrative Specialist Aveanna Healthcare Holdings IncHealthcare Administrative SpecialistOklahoma City, OK$14–$17 / hourAs an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. General Office Duties: Manage tasks such as scanning, filing, handling incoming calls, emails, and faxes, distributing mail, processing invoices, and ordering office supplies.
NewLicensed Healthcare Insurance Agent - Remote USA OKLAHOMA STATE SCHOOL BOARDS ASSOCIATIONLicensed Healthcare Insurance Agent - Remote USAOKRemoteWebcam participation is expected during all instructor led TTEC and client required training, either throughout the session or at designated times, and is encouraged during coaching sessions to support meaningful connection and collaboration. Your training experience includes engaging, instructor led online sessions that use both webcam video and audio, so you can connect visually with trainers, leaders, and fellow teammates.
Recruiter Healthcare Cross Country Healthcare IncRecruiter HealthcareOKDevelop strategies to pursue new avenues for recruiting candidates; utilize a variety of tools (i.e., email campaigns, social media) to establish relationships and expand candidates. Recognized as a Top Place to Work by U.S. News & World Report and a Most Loved Workplace by Newsweek, Cross Country is committed to quality and excellence in everything we deliver.
In Home Healthcare LPN: Low Acuity (flexible weekday/weekend schedule) Aveanna Healthcare Holdings IncIn Home Healthcare LPN: Low Acuity (flexible weekday/weekend schedule)Chickasha, OKJoining our Talent Network will allow you to stay connected with Aveanna, receive alerts with new job opportunities that match your interests, and receive relevant communications and updates from our organization. These posts can also be found directly on facebook at the following url: www.facebook.com/officialAveannaHealthcare (link opens in a new window).
In Home Healthcare LPN: Low Acuity Overnight *1,500 Sign on Bonus* Aveanna Healthcare Holdings IncIn Home Healthcare LPN: Low Acuity Overnight *1,500 Sign on Bonus*Oklahoma City, OK$24–$26 / hourJoin Our Talent Network Joining our Talent Network will allow you to stay connected with Aveanna, receive alerts with new job opportunities that match your interests, and receive relevant communications and updates from our organization. These posts can also be found directly on facebook at the following url: www.facebook.com/officialAveannaHealthcare (link opens in a new window).
In Home Healthcare LPN: High Acuity (Day Shifts) SIGN ON BONUS AVAILABLE Aveanna Healthcare Holdings IncIn Home Healthcare LPN: High Acuity (Day Shifts) SIGN ON BONUS AVAILABLEOKJoining our Talent Network will allow you to stay connected with Aveanna, receive alerts with new job opportunities that match your interests, and receive relevant communications and updates from our organization. These posts can also be found directly on facebook at the following url: www.facebook.com/officialAveannaHealthcare (link opens in a new window).
In Home Healthcare LPN: Low Acuity Aveanna Healthcare Holdings IncIn Home Healthcare LPN: Low AcuityOKJoining our Talent Network will allow you to stay connected with Aveanna, receive alerts with new job opportunities that match your interests, and receive relevant communications and updates from our organization. These posts can also be found directly on facebook at the following url: www.facebook.com/officialAveannaHealthcare (link opens in a new window).
Provider Program Manager (Provider Credentialing Required) TriWest Healthcare AllianceProvider Program Manager (Provider Credentialing Required)Oklahoma City, OKRemoteFull timeAs part of an assigned team, develops effective collaborative relationships with TriWest's inter and intra-departmental stakeholders and other SMEs, C-Suite executives, and other leaders in Operations, Health Care Services, Provider Network, and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives. The Provider Program Manager ensures that strategic, enterprise-wide programs are well defined, planned, tracked, and communicated in a consistent manner; is responsible for collaborating with C-Suite executives and other stakeholders; and is responsible for deliverables that meet defined requirements and for utilizing project management best practices.
Chief of Staff to the Chief Operating Officer TriWest Healthcare AllianceChief of Staff to the Chief Operating OfficerOklahoma City, OKRemoteFull timeTechnical Skills: Proficient in current trends in health care management with emphasis in customer service, network management, utilization and financial trends; collaboration skills to work with TriWest management team across multiple locations; networking skills with all levels, including subcontractors. • Works on multiple high level projects including logistical coordination, data analysis, contract management and written communications in support of various business initiatives of high visibility, applying project management tools and methodologies and leadership skills to meet or exceed deadlines.
NewSenior Manager, Provider Management, DentaQuest Sun LifeSenior Manager, Provider Management, DentaQuestOklahoma 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. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
Project Manager TriWest Healthcare AllianceProject ManagerOklahoma City, OKRemoteFull timeTechnical Skills: Project management skills, including data analysis, facilitation and proficiency in the use of project management tools; ability to effectively interact and maintain effective working relationships with all levels of TriWest staff and with external shareholder organizations; ability to consistently meet meeting materials deadlines. Provides project management support for division and special company-wide projects and initiatives, supports TriWest's senior leadership with annual and day-to-day strategic and operational planning and projects, research activities, data analysis, drafts or edits plans and white papers related to specific initiatives.
NewSenior Manager, Provider Management, DentaQuest Sun Life FinancialSenior Manager, Provider Management, DentaQuestOklahoma City, OKThrough 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. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
NewVendor Manager Alto IncVendor ManagerOKRemote$108,000–$135,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. You'll be managing a broad portfolio of technology and services vendors across our five entities, driving governance into an estimated $10-15M of currently unmanaged spend, and working directly with Legal, Finance, Compliance, Security, and business leadership to make sure our vendor relationships are structured, compliant, and delivering value.
Program Manager, Strategic Performance Excellence TriWest Healthcare AllianceProgram Manager, Strategic Performance ExcellenceOklahoma City, OKRemoteFull timeThe Program Manager, Strategic Performance Excellence supports the development and execution of Corrective Action Plans (CAPs) in response to government-issued Corrective Action Requests (CARs) across the TRICARE (T-5) and Community Care Network (CCN) programs. In addition, this role partners with the Quality Performance Improvement team to integrate preventive insights and leading indicators from Quality Improvement Plans into project plans, timelines, and reporting to help mitigate risks before they escalate.
Mgr Clinical Patient Safety & Regulatory Accreditation OU HealthMgr Clinical Patient Safety & Regulatory AccreditationOklahoma City, OklahomaThe Manager, Clinical Patient Safety & Regulatory Accreditation is responsible for supervising patient safety risk management staff and providing operational leadership for system‑wide patient safety and risk management programs across OU Health. Provides direct supervision of patient safety risk management staff and assigned personnel, including workload balancing, work assignment, performance monitoring, and compliance with departmental policies and procedures.
NewOffice Manager Better Health GroupOffice ManagerNorman, OK$47,000–$60,000 / yearTeam Members at VIPcare are living their why and building their careers with a reliable team that shares their mission of providing 5-star service that always puts patient care and outcomes first. The incumbent will report to the Regional Manager (or similar role) and will manage a care team of medical assistants and/or receptionists (generally 3-7 members).
Manager Total Rewards Norman Regional Health SystemManager Total RewardsNorman, OK$50.13–$81.87 / hourBenefits include; medical, dental, vision, short-term disability, long-term disability, life insurance, paid time off (PTO), paid holidays, tuition reimbursement, scholarship opportunities, retirement plans, free parking, and opportunities for advancement. This role ensures programs are competitive, compliant, and aligned with the organization's mission to attract, retain, and engage clinical and non-clinical talent while supporting high-quality patient care.
NewOffice Manager VIPcareOffice ManagerYukon, Oklahoma$47,000–$60,000 / yearFull timeTeam Members at VIPcare are living their why and building their careers with a reliable team that shares their mission of providing 5-star service that always puts patient care and outcomes first. The incumbent will report to the Regional Manager (or similar role) and will manage a care team of medical assistants and/or receptionists (generally 3-7 members).
Manager, Performance Briefing TriWest Healthcare AllianceManager, Performance BriefingOklahoma City, OKRemoteFull timeMinimum of five years of experience gathering, analyzing, and composing technical information • Experience developing executive-level briefing materials and performance summaries for internal and external stakeholders • Demonstrated ability to coordinate across teams and synthesize large volumes of data into clear, actionable visuals and messages . • Drafts and revises performance specific content and briefings related to enterprise operational processes, contract and procedural changes, training materials, job aids, bulletins, functional procedures, workflows, templates, and other internal and external communications specific to briefings.
Provider Program Manager- Provider Education TriWest Healthcare AllianceProvider Program Manager- Provider EducationOklahoma City, OKRemoteFull timeAs part of an assigned team, develops effective collaborative relationships with TriWest's inter and intra-departmental stakeholders and other SMEs, C-Suite executives, and other leaders in Operations, Health Care Services, Provider Network, and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives. The Provider Program Manager ensures that strategic, enterprise-wide programs are well defined, planned, tracked, and communicated in a consistent manner; is responsible for collaborating with C-Suite executives and other stakeholders; and is responsible for deliverables that meet defined requirements and for utilizing project management best practices.
Director, Provider Experience TriWest Healthcare AllianceDirector, Provider ExperienceOklahoma City, OKRemoteFull timeThe Director ensures the delivery of exceptional service to providers and government stakeholders by directing cross-functional programs that enhance provider satisfaction, strengthen network engagement, and uphold contractual and regulatory compliance. Coaching / Training / Mentoring: Actively develops the skills and capabilities of direct reports and extended team members through constructive feedback, mentoring relationships, and structured development opportunities aligned with business outcomes.
NewExperienced RN Manager - Clinical Services Inpatient Critical Care - Nights (Stipend-Eligible) OU HealthExperienced RN Manager - Clinical Services Inpatient Critical Care - Nights (Stipend-Eligible)Oklahoma City, OklahomaThey model the OU Health Way, as evident in their work output and interactions with employees and patients, through living OU Health’s core values of putting Patients First, pursuing Relentless Excellence, showing Integrity, seeking Inclusion for all staff and patients, always Learning, and valuing Teamwork. Demonstrated business acumen and managerial functions such as experience with performance improvement tools, using metrics to drive decisions, maintain a budget, report writing and solve practical problems.
Mgr Clinical Appeals and Grievances HealthfirstMgr Clinical Appeals and GrievancesOK$103,400–$149,430 / yearPreferred Qualifications: • Experience in clinical practice with a focus in appeals & grievances, claims processing, utilization review or utilization management/case management • Demonstrated understanding of Utilization Review Guidelines (NYS ART 44 and 49 PHL), InterQual, Milliman or Medicare local coverage guidelines • Extensive experience in healthcare appeals • MBA or master's degree from an accredited institution with focus in training & development, education, business, or healthcare administration • Management experience in an operational department within the healthcare industry focused on clinical leadership • Leadership experience in a focus area of operational excellence or audit • Experience developing strategy and processes for a department or function • Experience managing vendors as an extension of a core team • Familiar with creating accountable ownership of a vendor team. Minimum Qualifications: • Bachelor's degree from an accredited institution or equivalent work experience • RN • Experience with utilization management or appeals and grievance processing and compliance • Working experience in a fast-paced environment overseeing multiple priorities, tasks and/or teams • Proven track record of exercising independent thinking, ability to problem solve, understand process flows and correlating platforms to recommend and implement solutions • Experience preparing and delivering written and verbal information to multiple types of audiences • Demonstrated ability to build and foster effective relationships.
Behavioral Health Care Coordinator / Scheduler Ennoble CareBehavioral Health Care Coordinator / SchedulerOklahoma City, OKThe Behavioral Health Care Coordinator/Scheduler plays a critical role in supporting the Collaborative Care Model (CoCM) by coordinating patient appointments, managing provider and Behavioral Health Care Manager (BHCM) schedules, conducting patient outreach, and ensuring timely follow-up care. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust.
Payer Office Strategy / Technology / Operations Consultant, Manager PricewaterhouseCoopers LLPPayer Office Strategy / Technology / Operations Consultant, ManagerOK$99,000–$232,000 / yearYou are to use autonomous decision-making and professional skepticism when reviewing, analyzing, and producing deliverables across multiple client needs, and play a visible role in cultivating meaningful client relationships, inspiring your teams, and navigating ambiguity. As a Manager you are to supervise, develop, and coach teams, manage client service accounts, and drive client engagement workstreams by solving and analyzing complex problems to develop quality deliverables.
Manager, Contract Deliverables TriWest Healthcare AllianceManager, Contract DeliverablesOklahoma City, OKRemoteFull timeTechnical Skills: Advanced knowledge of Microsoft Word, Excel, Project, PowerPoint, Visio, and SharePoint; Ability to function without direction to produce outcomes within timelines; Proficiency with statistical analysis, project management skills, data analysis, benchmarking, and quality improvement concepts; Collaboration skills and team-oriented approach; Presentations and meeting facilitation skills. Examples of contractually required deliverables can include, but are not limited to, monthly, quarterly, and annual performance reports on contract execution, various Quality Assurance (QA) plans, financial reporting data, medical accreditation reports, and a wide variety of other data and progress reports.
Manager, Business Analytics CVS Health CorpManager, Business AnalyticsOK$66,330–$145,860 / yearThis involves extracting, analyzing, and interpreting contracting, utilization, financial, and clinical/quality data from various sources to support nationwide payer contract negotiations, market penetration, conversion, and expansion strategies, value-based care initiatives, and other quantitative analysis & reporting requirements. To develop and deliver decision support tools & insights via creating and sustaining analytics & reporting assets and leveraging business intelligence resources in support of contracting, financial and operational strategic decision-making by Retail Health leadership.
Field Reimbursement Manager - US Gateway Central Inspire Medical Systems Inc.Field Reimbursement Manager - US Gateway CentralOklahoma City, OK$160,000–$190,000 / yearYou will be working independently in a fast paced, highly visible environment as well as collaboratively with the internal program prior authorization support services and field sales to ensure all customer needs are met supporting patient therapy access and communicating coverage challenges across specific payer channels with guidance on how to navigate and minimize those potential hurdles. Both proactively and reactively navigate and address individual account and patient access issues that occur by partnering with external and internal stakeholders including internal reimbursement team and field sales colleagues.
Advanced Practice Clinical Liaison Oklahoma City UniversityAdvanced Practice Clinical LiaisonOklahoma City, OKIdentify, establish, and maintain relationships with clinical sites and preceptors: Identify new clinical site/affiliation agreements designed to support high-quality student learning experiences Develop and maintain positive relationships with clinical sites and agencies Identify, recruit, and retain qualified preceptors Visit and evaluate potential preceptors/facilities for course-appropriate experiences Ensure preceptors receive adequate orientation and mentoring to successfully serve the program Ensure compliance requirements for clinical site, preceptor and other healthcare partner relationships: Work with the Graduate Specialist to maintain clinical site affiliation agreements & required compliance paperwork Work with the Graduate Specialist to ensure clinical agency affiliation agreements are up to date and comply with accreditation body and Oklahoma Board of Nursing regulations Coordinate with clinical placement staff to ensure students remain in compliance with healthcare partners' clinical requirements through the duration of the program Coordinate administrative activities associated with clinical placement of students: Maintain required records and files Develop and implement records management practices to ensure compliance and efficiencies Generate reports regarding placement activities as requested Manage information platforms, including website, publications, informational materials, etc Serve as the primary staff touchstone for graduate students throughout the clinical placement process: Advise students of clinical assignment, clinical faculty, preceptor, and oversight faculty information Work with students to achieve placements resulting in a positive learning experience Manage student communication regarding clinical assignments, site requirements, and clinical requirements Serve as the liaison between students and clinical sites; communicate all site-specific requirements to students Troubleshot placement and scheduling issues as they arise Seek student input into potential clinical partnerships and experiences Coordinate clinical placement staff to ensure students remain in compliance with healthcare partners' clinical requirements through the duration of the program. Advanced Practice Clinical Liaison Main Campus, Oklahoma City, Oklahoma, United States Schools and Colleges Regular Full-Time Staff Opening at: Apr 17 2026 - 09:00 CDT Add to favorites View favorites VP Area: Nursing School Department: Nursing School FLSA Status: Non-Exempt Benefit Eligibility: Yes Position Summary: The Advanced Practice Clinical Liaison facilitates partnerships with healthcare organizations and community agencies to develop clinical site opportunities to support the education of students in the Kramer School of Nursing Advanced Practice Programs.
Pharmacy Operations Manager Walgreen CoPharmacy Operations ManagerOklahoma City, OK$22.50–$31 / hourAssists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.
New(CCLocal) - Account Manager Cross Country Healthcare Inc(CCLocal) - Account ManagerOKThey play a key role in ensuring the delivery of high-quality staffing solutions, instilling confidence in the services we provide to meet the needs of our clients. QUALIFICATIONS: Minimum of 1 year (preferably 2 years) of related experience in account management or customer success, ideally within healthcare staffing or home healthcare settings.
Contact Representative (PRC) US Department of Health and Human ServicesContact Representative (PRC)OK$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-07 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: applying and interpreting complex federal, state, Tribal, and private-sector regulations to make eligibility and funding determinations for programs such as Purchased/Referred Care, Medicare, Medicaid, Veterans Affairs healthcare, and Affordable Care Act plans; independently analyzing medical, financial, and eligibility documentation to resolve complex or controversial benefit issues; coordinating with agencies, providers, and patients to ensure fiscal accountability and continuity of care; issuing medical authorizations or denial determinations based on regulatory, clinical, and fiscal requirements; maintaining fund control records, monitoring expenditures, and applying appropriate accounting codes; identifying and resolving program or funding discrepancies; and compiling and analyzing reports related to program operations, funding, and utilization. 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: identifying and verifying patient eligibility for Medicare, Medicaid, SSA benefits, private insurance, Tribal programs, and other assistance resources; interviewing patients to obtain required documentation; assisting individuals and families with benefit applications; reviewing records to determine the status of claims and applications; responding to inquiries regarding patient eligibility requirements, benefits, and program guidelines; and maintaining accurate patient records through data entry, discrepancy resolution, and follow-up on pending claims and missing documentation.
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)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.
Risk Manager - Aurora St. Lukes Advocate Health and Hospitals CorporationRisk Manager - Aurora St. LukesOklahomaAddresses health outcomes, risk identification, loss prevention, and claims management to improve the quality of patient care; prevent, mitigate and/or reduce risk of potential and actual financial, physical and reputational loss at assigned sites. Acts as the site risk expert and resource for medical/legal inquiries of physicians, nurses, administrators, and others regarding emergent patient care issues and loss control, in conjunction with Legal Counsel; for policy and procedure development, including event reporting, consent, and disclosure policies; for applicable contract review.
Strategic Performance Excellence Writer TriWest Healthcare AllianceStrategic Performance Excellence WriterOklahoma City, OKRemoteFull timeCommunication / People Skills: Executive writing & storytelling; exceptional written communication skills with ability to synthesize complex technical and operational information; strong editorial judgment and structured writing discipline; ability to translate analytical findings into persuasive, defensible narratives; strong understanding of executive tone and government-facing professionalism. The Strategic Performance Excellence Writer serves as the enterprise writer and narrative architect for all Corrective Action Plans (CAPs) developed in response to government-issued Corrective Action Requests (CARs) across the TRICARE (T-5) and Community Care Network (CCN) programs.
Project Manager, Alternate Standards & Behavioral Supports State of OklahomaProject Manager, Alternate Standards & Behavioral SupportsOklahoma City, OK$60,000–$70,000 / yearMaster's degree in special education, school psychology, behavior analysis, behavior science, or closely related field [official transcripts required upon hire]; Possession of a valid special education teacher, school psychometry, school psychology, or board certified behavior analyst (BCBA); Five (5) years of experience working with students with disabilities as a special education teacher or director, school psychometrist, school psychologist, registered behavior technician (RBT) interventionist, BCBA, or a combination; Or an equivalent combination of education and experience that provides the required knowledge, skills, and abilities. Team Building: Builds and manages teams with a focus on fostering collaboration, trust, and respect; enhances team dynamics and relationships to promote effective communication, efficient collaboration, and improved teamwork.
Manager, Data Operations (Data Engineering) TriWest Healthcare AllianceManager, Data Operations (Data Engineering)Oklahoma City, OKRemoteFull timeTechnical Skills: In-depth knowledge of all application functionality, security, development, and system administration; knowledge of relevant technology, tools and middleware; proficient change agent; knowledge of the agile methodology and software maintenance and support. The manager serves as a bridge between data engineering, analytics, and business stakeholders to ensure timely, high-quality data delivery for operational and strategic needs.
Director, Provider Network Compliance TriWest Healthcare AllianceDirector, Provider Network ComplianceOklahoma City, OKRemoteFull timeIndependent Thinking / Self-Initiative: Applies critical thinking to prioritize high-impact work and drive results with minimal direction; demonstrates ownership and accountability by proactively identifying solutions, securing necessary resources, and following through to achieve outcomes aligned with organizational and compliance objectives. Computer Literacy: Demonstrates advanced proficiency in a multi-system Microsoft environment and internal platforms, including the TriWest Intranet, internet-based tools, and department-specific applications; leverages technology effectively to manage workflows, ensure data accuracy, and support compliant, efficient operations.
Director, Credentialing Operations TriWest Healthcare AllianceDirector, Credentialing OperationsOklahoma City, OKRemoteFull timeIndependent Thinking / Self-Initiative: Demonstrates strong critical thinking and sound judgment to prioritize high-impact work and drive results; proactively identifies needs, solves problems, and mobilizes resources with minimal direction to achieve operational and organizational objectives. Computer Literacy: Demonstrates advanced proficiency in a multi-system environment, including Microsoft Office applications and credentialing platforms; effectively leverages internal systems, intranet resources, and industry tools to manage credentialing operations, ensure data integrity, and drive operational efficiency.
NewDirector - Coletta Cancer Center MHM Support ServicesDirector - Coletta Cancer CenterOklahomaDemonstrated experience may be gained from prior operational management and/or leadership roles, through completion of college degrees, or a combination of applicable professional and educational experiences. From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.
Care Management Support Professional 1, SDOH Coordinator-9 Humana IncCare Management Support Professional 1, SDOH Coordinator-9OKRemote$45,400–$61,300 / yearTo ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Liaise among Humana Care Managers, providers, and community-based organizations to coordinate referrals for enrollees to community-based services and programs and to foster integrated efforts among all parties.