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JOB SUMMARY: The Quality Improvement Stars Specialist is an integral part of the team, focusing on enhancing the performance of quality programs. This role requires a proactive individual who is adept at working collaboratively with provider groups and multidisciplinary teams with minimal oversight to ensure adherence to deadlines and compliance with regulatory requirements. The specialist will play a pivotal role in the analysis, development, and implementation of strategies aimed at improvin ...Read more about Quality Improvement - QI Stars Specialist_195-2016More
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JOB SUMMARY: This non-clinical position supports the department by performing a broad range of clerical duties. KEY RESPONSIBILITIES: Prepares correspondence to members, providers, and facilities. Provides follow up with providers and members as needed. Reviews service requests for completeness of information. Enters information into the database, compiles data and runs reports. Receives telephone calls, answers non-clinical questions and takes information, or refers callers to appropriate ...Read more about Medical Management - Intake Coordinator 145-1029More
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Tulsa, OK, USA ● Req #775Friday, April 18, 2025JOB SUMMARY: Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk members, and other members identified with at risk or high utilization needs. Functions as an active team member of the Concurrent Review Team. KEY RESPONSIBILITIES: Performs utilization review of inpatient, post-acute, outpatient and ancillary services. Determines medical neces ...Read more about Medical Management - Concurrent Review Nurse- RN 145-2006More
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Tulsa, OK, USA ● Req #776Friday, April 18, 2025JOB SUMMARY: Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk members, and other members identified with at risk or high utilization needs. Functions as an active team member of the Concurrent Review Team. KEY RESPONSIBILITIES: Performs utilization review of inpatient, post-acute, outpatient and ancillary services. Determines medical neces ...Read more about Medical Management - Concurrent Review Nurse- RN 145-2018More
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Tulsa, OK, USA ● Req #762Friday, April 18, 2025The Medical Review Supervisor is responsible for overseeing activities and personnel involved in the day to day operations of CommunityCare’s medical claim review program. The Supervisor guides individuals in implementing auditing and monitoring functions aimed at identifying areas of risk and/or potential fraud, waste and abuse, as it relates to provider billing practices. KEY RESPONSIBILITIES: Provides technical expertise to Medical Review (MRE) staff including analysis, problem solving, and ...Read more about Medical Management - Supervisor Medical Review 145-4005More
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Tulsa, OK, USA ● Req #761Friday, April 18, 2025JOB SUMMARY: Focus on the development and support of new and existing Database Management Systems (DBMS). Responsible for the design, development and implementation of new applications as well as maintaining and updating existing programs. KEY RESPONSIBILITIES: Perform Oracle DBA Functions Design and analysis of critical Database Management Systems (DBMS) related to the AMISYS systems and surround code programs. Design, code, test, maintain and document structured desktop and web programs u ...Read more about Information Technology - Senior Programmer Analyst 130-2009More
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Tulsa, OK, USA ● Req #765Friday, April 18, 2025JOB SUMMARY: Responsible for the negotiation, execution and implementation of all HMO, PPO and Government Programs, provider contracts including value based and complex. Responsible for the supervision (planning, execution, implementing and monitoring) of all aspects of the provider contracting staff. Responsible for contract related processes and procedures under the direction of the Director, Provider Relations. Responsible for ensuring provider contracting is performed in compliance with all ...Read more about Provider Services - Supervisor Provider Contracting 115-4000More
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Tulsa, OK, USA ● Req #806Thursday, April 17, 2025JOB SUMMARY: The IT Project Management Intern will play a crucial role in supporting our Health Plan's projects by assisting in the implementation and optimization of project management tools and methodologies, with a specific emphasis on agile practices. This internship offers a unique opportunity to gain hands-on experience in healthcare IT project management while contributing to the success of impactful initiatives. KEY RESPONSIBILITIES: Tools Implementation and Optimization: Assist in t ...Read more about Project Management Office - Project Manager Seasonal InternMore
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Tulsa, OK, USA ● Req #800Thursday, April 17, 2025JOB SUMMARY: As an Information Technology Intern, you will be assisting in the upgrading of computers from Windows 10 to Windows 11. Working closely with our IT team, the successful candidate will ensure a seamless transition to the latest operating system. This position offers an excellent opportunity for motivated and detail-oriented individuals seeking hands-on experience in IT support and system administration. KEY RESPONSIBILITIES: Assist in the planning and coordination of Windows 11 upg ...Read more about Information Technology - Seasonal Intern- Information TechnologyMore
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Tulsa, OK, USA ● Req #801Thursday, April 17, 2025JOB SUMMARY: As an Information Technology Intern, you will be assisting in the upgrading of computers from Windows 10 to Windows 11. Working closely with our IT team, the successful candidate will ensure a seamless transition to the latest operating system. This position offers an excellent opportunity for motivated and detail-oriented individuals seeking hands-on experience in IT support and system administration. KEY RESPONSIBILITIES: Assist in the planning and coordination of Windows 11 upg ...Read more about Information Technology - Seasonal Intern- Information TechnologyMore
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Tulsa, OK, USA ● Req #802Thursday, April 17, 2025JOB SUMMARY: As an Information Technology Intern, you will be assisting in the upgrading of computers from Windows 10 to Windows 11. Working closely with our IT team, the successful candidate will ensure a seamless transition to the latest operating system. This position offers an excellent opportunity for motivated and detail-oriented individuals seeking hands-on experience in IT support and system administration. KEY RESPONSIBILITIES: Assist in the planning and coordination of Windows 11 upg ...Read more about Information Technology - Seasonal Intern- Information TechnologyMore
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Tulsa, OK, USA ● Req #798Thursday, April 17, 2025JOB SUMMARY: The Data Engineering Intern will work closely with our experienced data engineering team to support the development, implementation, and optimization of data pipelines and systems. This role will contribute to the organization's ability to derive meaningful insights from healthcare data, ultimately improving the quality of care and services provided to our members. KEY RESPONSIBILITIES: Data Pipeline Development: Collaborate with the data engineering team to design, develop, and ...Read more about Information Technology - Data Engineer Seasonal InternMore
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Tulsa, OK, USA ● Req #803Thursday, April 17, 2025JOB SUMMARY: Ensure integrity of member enrollment data and investigate and resolve complex and exception errors. Duties include identifying potential changes in eligibility, seeking verification of changes and disseminating enrollment information to complete the reconciliation. KEY RESPONSIBILITIES: Monitors accounts receivable balances by comparing payment/adjustment reports to eligibility (both CMS & CCOK) to identify discrepancies by member. Prepare discrepancy reports for each accou ...Read more about Enrollment Services - Reconciliation Specialist 160-1012More
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Tulsa, OK, USA ● Req #807Thursday, April 17, 2025JOB SUMMARY: Responsible for maintaining and supporting the Help Desk and new systems including network installations, personal computers support and maintenance, and infrastructure development. KEY RESPONSIBILITIES: Maintain help desk. Perform network administration including the installation and configuration of new personal computers. Research new technologies and developmental tools and recommend their implementation. Provide support to users in the resolution of ...Read more about Information Technology - Help Desk Analyst 130-1011More
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Tulsa, OK, USA ● Req #793Thursday, April 17, 2025JOB SUMMARY: The Software Engineer will build out the next generation of our platform. As a Software Engineer, you are expected to work independently, and within teams, leading the development of software features. You will be involved with the early stages of mentoring other team members and helping with identifying process improvements for the team. KEY RESPONSIBILITIES: •Implements features of the application and is proficient in one or more of the feature or components. •Leads independent ...Read more about Information Technology - Software Engineer 130-2025More
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Tulsa, OK, USA ● Req #766Wednesday, April 16, 2025JOB SUMMARY: Responsible for being the first point of contact for all membership related questions, requests and concerns and for providing outstanding service to our customers. You will answer queries regarding customer benefits, eligibility, PCPs, claims and other questions. You will handle complaints, troubleshoot problems and provide resolutions in a professional and polite manner to ensure first contact resolution and customer satisfaction. The ideal Customer Service Representative will ...Read more about Customer Service - Customer Service Representative (Part Time; M-F 1pm-5pm) 105-1040More
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Tulsa, OK, USA ● Req #789Tuesday, April 15, 2025JOB SUMMARY: Responsible for providing assistance to Executive Level Officer(s) on all scheduling, travel arrangements, meeting preparation, report compilations and special projects. Provides administrative support including all private correspondence, and maintaining confidential files and records forExecutive Level Officer(s). KEY RESPONSIBILITIES: Schedules, coordinates and organizes various meetings for Executive Level Officer(s). Transcribes and prepares correspondence, memorandums, ...Read more about Strategy & Corporate Operations - Executive Administrative Assistant 129-1000More
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JOB SUMMARY: Responsible for helping CommunityCare achieve membership growth targets by meeting or exceeding goal levels for the retention of enrolled groups and members. The incumbent is responsible for establishing positive business relationships with decision makers and decision influencers at enrolled groups, as well as with producers and consultants associated with enrolled groups. Must be willing to learn and grow into roles of increasing responsibility. KEY RESPONSIBILITIES: Establishi ...Read more about Marketing - Account Manager 110-2004More
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Tulsa, OK, USA ● Req #791Thursday, April 10, 2025JOB SUMMARY: Responsible for being the first point of contact for all membership related questions, requests and concerns and for providing outstanding service to our customers. You will answer queries regarding customer benefits, eligibility, PCPs, claims and other questions. You will handle complaints, troubleshoot problems and provide resolutions in a professional and polite manner to ensure first contact resolution and customer satisfaction. The ideal Customer Service Representative will ...Read more about Customer Service - Customer Service Representative 105-1048More
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Tulsa, OK, USA ● Req #790Wednesday, April 9, 2025JOB SUMMARY: The Health Risk Assessment Coordinator is responsible for ensuring completion of a health risk survey for all newly enrolled Medicare and Individual Marketplace members. Responsibilities include identifying health risks scores, generating reports and distributing data to the responsible departments. This role supports the QI team member outreach activities including education for Medicare and Commercial members. This role spends 100% of time on quality program activities. KEY RES ...Read more about Quality Improvement - Health Risk Assessment Coordinator 195-1034More
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Tulsa, OK, USA ● Req #796Tuesday, April 8, 2025JOB SUMMARY: Supports the Company in the development and execution of business strategies through detailed research, data analysis, and strategic recommendations. This individual will work closely with cross-functional teams to assess market opportunities and competitive performance. The ideal candidate will possess strong analytical skills and the ability to effectively communicate insights to key stakeholders. KEY RESPONSIBILITIES: Develop financial models and forecasts to project the impac ...Read more about Strategy & Corporate Operations - Corporate Strategy Analyst 129-2002More
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Tulsa, OK, USA ● Req #777Monday, April 7, 2025JOB SUMMARY: Responsible for being the first point of contact for all membership related questions, requests and concerns and for providing outstanding service to our customers. You will answer queries regarding customer benefits, eligibility, PCPs, claims and other questions. You will handle complaints, troubleshoot problems and provide resolutions in a professional and polite manner to ensure first contact resolution and customer satisfaction. The ideal Customer Service Representative will ...Read more about Customer Service - Customer Service Representative (Part Time) 105-1050More
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Tulsa, OK, USA ● Req #792Monday, April 7, 2025JOB SUMMARY: Responsible for being the first point of contact for all membership related questions, requests and concerns and for providing outstanding service to our customers. You will answer queries regarding customer benefits, eligibility, PCPs, claims and other questions. You will handle complaints, troubleshoot problems and provide resolutions in a professional and polite manner to ensure first contact resolution and customer satisfaction. The ideal Customer Service Representative will ...Read more about Customer Service - Customer Service Representative (Part Time) 105-1081More
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JOB SUMMARY: Responsible for planning, developing, and coordinating Senior Center activities, and Senior Center Customer Services. Manage Member Advocates, Medicare/HAP Coordinator, SHP Volunteers and oversee the Volunteer Program. Scheduling and coordination of conference room activities for Medicare programs, enrollment, and Healthcare Reform as well as other meetings. KEY RESPONSIBILITIES: Manage Member Advocates, Medicare/HAP Coordinator, part-time employees and volunteers. Oversee the as ...Read more about Senior Center - Manager Senior Center 171-5001More
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The Compensation Analyst is responsible for supporting the development, implementation, and maintenance of the company's compensation programs. This role involves conducting market analysis, administering salary structures, preparing compensation reports, and ensuring compliance with federal, state, and local compensation regulations. The Compensation Analyst works closely with the Director of Human Resources to ensure competitive and equitable pay practices across the organization. KEY RESPON ...Read more about Human Resources - Compensation Analyst 155-2011More