CommunityCare: Provides community-based health insurance and managed care services in Oklahoma.
3+ YOE3+ years in provider relations or health plan operations; strong relationship management and communication; ability to train colleagues and educate providers on Star Ratings, HEDIS, risk adjustment; proficient in Microsoft Office; valid driver’s license and reliable transportation; healthcare sanctions background check.
Microsoft Excel, Microsoft PowerPoint, Microsoft Teams
Arizona or Arkansas or Connecticut or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Louisiana or Maryland or Michigan or Mississippi or Missouri or Montana or Nebraska or Nevada or New Hampshire or New Mexico or North Carolina or Oklahoma or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or West Virginia or Wisconsin
RemoteFull Time
Samaritan Health Services: Operates a regional network of non-profit hospitals and clinics.
3+ YOEBachelor's in related field or equivalent experience and 3 years healthcare payer/provider/managed care experience; knowledge of HEDIS/Stars, Medicaid/Medicare Advantage, quality improvement, and provider workflows.
Phoenix or Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming
$44k-$52k/yrRemoteFull Time
TriWest Healthcare Alliance: Manages healthcare programs for veterans and military families.
2+ YOEHigh school diploma/GED, 2+ years provider credentialing and provider data system experience, knowledge of URAC/NCQA and federal program requirements, U.S. citizenship and favorable DoD background investigation for TRICARE support.
Outlook, Teams, Word, Excel, PowerPoint, SharePoint
Zero Health: Provides health benefits with no out-of-pocket costs for members.
3+ YOE3+ years sales or business development experience in healthcare, experience negotiating provider/payer contracts, CRM proficiency (HubSpot or Salesforce), knowledge of provider revenue cycle and self-funded plans, strong communication and analytical skills.
Pennsylvania or Maryland or Washington or North Carolina or Louisiana or Kentucky or Kansas or Indiana or Illinois or Georgia or Iowa or Florida or Colorado or California or Delaware or Connecticut or Arkansas or Arizona or Alabama or Alaska or Nevada or Vermont or Tennessee or Idaho or Oklahoma or Hawaii or Mississippi or Utah or New Hampshire or New Mexico or Wyoming or North Dakota or South Dakota or Rhode Island or West Virginia or Missouri or Texas or District of Columbia or Ohio or New Jersey or Oregon or South Carolina or Virginia or Massachusetts or Nebraska or Minnesota or Michigan or Wisconsin or New York or Maine
$94k-$151k/yrHybridFull Time
Highmark Health: Provides health insurance and integrated medical care services.
5+ YOE3+ Mgmt5+ years in business analysis/provider/marketing communications; 3+ years in management; Bachelor's in business/management/communications/marketing or related field; preferred experience in dental/health insurance and project/process design; strong leadership and strategic planning skills.
Communication Strategy, Project Management, Regulatory Knowledge, Healthcare Industry Knowledge
ComForCare: A locally operated franchise providing supportive, in-home care to help clients maintain comfort, safety, and independence.
Reliable transportation, ability to pass background screening, compassionate demeanor, strong communication, prior caregiving helpful but not required; paid training provided.
Morton Comprehensive Health Services: Providing community-based primary healthcare and specialized medical services.
2+ YOEMaster's degree and state licensure required; 2 years mental health experience; current BLS/CPR; bilingual; ability to provide behavioral health services in a clinic setting.
NorthCare: Provides community-based behavioral health and addiction treatment services.
APRN or PA licensed in Oklahoma with national certification; provides pediatric primary care, documents in EHR, participates in on-call rotation and telehealth, able to lift 25 lbs, strong clinical judgment and communication.
GRAND Mental Health: Providing community-based mental health and substance abuse services.
High School Diploma or equivalent; experience with state/community resources; experience raising a child with behavioral/emotional issues; knowledge of co-occurring disorders; strong communication and confidentiality skills.
Seiling Municipal Hospital: Providing emergency and acute healthcare services in rural Oklahoma.
Graduate of PA/NP program; licensed in Oklahoma; certified (NCCPA or AANP/ANCC); DEA, CPR, ACLS, PALS certifications; able to work under physician supervision; strong communication and documentation skills.
Nautilus Health Management: Provides professional case management and patient intake services.
Master's or Doctorate in PA or Nursing, current PA or NP license, specialty certification, proficiency with electronic health records, clinical skills including venipuncture, PICC/IV management, wound care, and workers' compensation knowledge.
Rancho Cordova or Alaska or Hawaii or Maine or Nebraska or New Hampshire or North Dakota or Oklahoma or Vermont or West Virginia or Wyoming or District of Columbia or Puerto Rico
$71k-$150k/yrHybridFull Time
Delta Dental of California: Provides dental insurance plans and oral health benefit coverage.
8+ YOE1+ MgmtBachelor's degree with 8+ years experience, 1+ years supervisory experience; 6+ years call center operations preferred; strong project management, reporting, analytical and leadership skills; dental terminology and Delta Dental product knowledge preferred.
University of Oklahoma: A public research university in Norman, Oklahoma.
Master's in Nursing or accredited PA program; active Oklahoma licensure and board certification as NP/PA/CNS; DEA ability; BLS required, ACLS/PALS/NRP as relevant; CPR and EMR familiarity; background check.
American Health Partners: Provides specialized healthcare services and Medicare Advantage plans for seniors.
Experience in healthcare and network development; strong negotiation, presentation, organization and communication skills; bachelor’s degree required; ability to work independently and with medical staff.
Mind Body Optimization: Provides integrative outpatient mental health and psychiatric services.
5+ YOEMasters or Doctoral nursing degree, current PMHNP licensure, BLS/CPR, 5+ years healthcare/mental health experience preferred, knowledge of regulatory standards, TB/drug screen/background checks required.
Mind Body Optimization: Integrative outpatient mental healthcare and psychiatric wellness services.
5+ YOEPMHNP licensure, masters/doctoral in nursing, ~5+ years healthcare/mental health experience preferred, knowledge of regulatory standards, TB/drug/background checks, EHR documentation skills.
Burgess Family Healthcare: Provides primary and urgent care services.
Licensed health care provider skilled in primary/urgent care, capable of independent work in a collaborative startup environment; experienced in acute, chronic, preventive care, and occupational health; strong documentation and coding.