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Humana Careers 11 Jobs in Oklahoma

  • Medical Director- South Central

    Humana - Oklahoma City, Oklahoma
    ... Systems, health insurance, other healthcare providers, clinical group practice management ... national clinical guidelines, CMS policies and determinations, clinical reference materials, internal ...

  • UM Administration Coordinator (South Central Region)

    Humana - Oklahoma City, Oklahoma
    ... Us!** The UM Administration Coordinator 2 provides non-clinical support for the policies and ... within defined parameters to identify work expectations and quality standards, but has some latitude over ...

  • Provider Connectivity Professional

    Humana - Oklahoma City, Oklahoma
    ... Experience working with EDI (Electronic Data Interchange) systems Experience building reports (For ... healthcare related data (Insurance, Clinical, Provider, Managed care etc... ) Strong knowledge of SQL ...

  • Medical Director - Southeast Region

    Humana - Oklahoma City, Oklahoma
    ... national clinical guidelines, CMS policies and determinations, clinical reference materials, internal ... Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios ...

  • Medical Director - Mid West Region

    Humana - Oklahoma City, Oklahoma
    ... / Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management ... regulatory compliance, and work is assisted by diverse resources, which may include national clinical ...

  • Senior Data and Reporting Professional

    Humana - Oklahoma City, Oklahoma
    ... , reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over ... as offer personalized clinical and educational services to improve health outcomes and drive superior ...

  • Medical Director - Acute Inpatient Rehabilitation

    Humana - Oklahoma City, Oklahoma
    ... , which may include national clinical guidelines, CMS policies and determinations, clinical reference ... complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, and ...

  • Capture Lead, Medicaid Clinical & Population Health Strategy

    Humana - Oklahoma City, Oklahoma
    ... is seeking a Capture Lead, Clinical & Population Health Strategy, to lead initiatives developing and ... horizontally across the organization, coordinating with Medicaid and Medicare leadership and clinical subject ...

  • Senior Vendor Management Professional

    Humana - Oklahoma City, Oklahoma
    ... objectives and approaches to assignments. Assists with quality assurance and user acceptance testing ... is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment ...

  • Behavioral Health Medical Director - Medicare

    Humana - Oklahoma City, Oklahoma
    ... which may include national clinical guidelines, CMS policies and determinations, clinical reference ... participate in meetings involving care management, provider relations, quality of care, audit, grievance and ...

  • Supervisor, Provider Engagement

    Humana - Oklahoma City, Oklahoma
    ... systems in order to support and improve financial and quality performance within the contracted working ... programs, quality and clinical management, population health, data sharing, connectivity, documentation and ...