Health Insurance Jobs in Tulsa, OK
10,096 open positions · Updated daily
Looking for Health Insurance jobs in Tulsa, OK? Browse our curated listings with transparent salary information to find the perfect Health Insurance position in the Tulsa, OK area.
Program Specialist SW
Company: Centene Corporation
Location: Oklahoma City, OK
Posted Dec 17, 2023
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. RN (Registered Nurse), LCSW (Licensed Certified Social Worker), LPN (Licensed Practical Nurse), Occupational Therapy (OT), Physical Therapy (PT), or LVN (Licensed Vocational Nurse) preferred. Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development. License/Certification: Valid driver's license, except not required for Indiana. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. Assist with aspects of the member's care, including referrals to community resources. Experience in a managed care environment preferred. Identify special needs members through the completion of health screens and other resources Work with community outreach/member advocates to coordinate member care Educate providers and community resources on program components and available support services Educate members with special needs to foster compliance with program and positively impact outcomes Conduct site visits as appropriate for programs and provide support to other special programs Develop and modify care plans in conjunction with member, member's family and managing physician Development of plan specific literature and education materials in conjunction with medical director and corporate oversight Education/Experience: Bachelor's degree in Social Work, Nursing, Health, Behavioral Science or Equivalent Experience. 2+ years of experience managing and integrating the social/community needs of members. ***Must Reside in Oklahoma*** Position Purpose: Conduct screening and risk assessment interventions per program guidelines.
Reporting - Manager Data Reporting & Risk Adjustment 135-5002
Company: CommunityCare
Location: Tulsa, OK
Posted Dec 12, 2023
EDUCATION/EXPERIENCE:• Bachelors degree in Mathematics, Statistics, Economics, Actuarial Science or other quantitative discipline required. CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin Other details Job Family Commercial Pay Type Salary Apply Now Masters degree a plus.• Proficiency in SAS, SQL, or other Analytical Software• 6 plus years analytical experience; preferably in a Managed Care or Healthcare environment.• 4-6 years management experience strongly preferred.• Experience with various risk adjustment models including the CMS Medicare model, CMS ACA Model and 3rd party software strongly preferred. Oversees provider contract modeling.• Facilitates submission of encounters to regulatory agencies (CMS Encounter Data and Edge Server Data).• Oversees other data submission to regulatory agencies including audit universes, Part C and D reporting submissions, and other submissions as required.• Perform other duties as assigned. Facilitates data warehouse maintenance using internal and external data source. KEY RESPONSIBILITIES:• Organizes and lead the team responsible for risk score tracking and improvement.• Maintains internal risk adjustment models using published documentation from CMS.• Manages projects, including creating and leading a team of analysts, interaction with other departments and outside parties. QUALIFICATIONS:• Ability to conduct concurrently multiple analyses without immediate oversight.• Ability to manage multiple projects, including creating and leading a team of analysts, interaction with other departments and outside parties.• Ability to apply advanced actuarial, mathematical and statistical techniques and principles into the analysis of financial and health related data.• Possess strong oral and written communication skills.• Successful completion of Health Care Sanctions background check.• Proficient in Microsoft Office applications. Perform quality review of work product produced by assigned analysts.• Conducts major analytical projects without immediate supervision, including all aspects from programming to analyzing and abstracting information into written reports and possible oral presentation.• Oversees training of new analysts and professional development of supervised analysts.• Supervises and performs advanced analytical modeling for IPPS and OPPS Pricers and other models as needed. Works with risk adjustment vendor and medical groups to improve risk coding accuracy and submission processes. Performs analysis and makes recommendations for improving risk coding accuracy.
Corporate Counsel
Company: Tenstreet
Location: Tulsa, OK
Posted Dec 17, 2023
SOC2, GDPR, CCPA, etc.) You have strong fact-finding, drafting, negotiating, writing and research skills. A work community that strives to take great care of you through great benefits like health insurance, dental, vision, 401k, PTO and others. You are curious, action-oriented, creative, and are apt to work collaboratively both within a broader legal team and across diverse business teams. You have a natural ability to handle a lot of complexity, understand what next steps are needed, then take action. The legal team you join provides advice and counsel to the company and senior management on complex technology transactions, product and software development, privacy laws and compliance regulations, employment related issues, litigation, intellectual property matters, and other legal matters. Stay current on legislation, laws and legal trends potentially affecting the company, employees or business Assist with any litigation, working with outside counsel as necessary Ensure Tenstreet has the proper privacy and data security policies and protocols in place (e.g. What we’ll provide you: A great compensation plan A positive and generative work environment enabling you to develop your skills, collaborate with other professionals and invest in others. Reporting to the General Counsel, you will collaborate with the sales and business teams to help achieve the company’s legal, compliance and commercial objectives You will help in supporting our company by serving as a key legal thought partner. Work closely across multiple departments, providing professional legal and business guidance and advice to the leadership and Tenstreet teams on various legal and regulatory matters.
Public Benefit Specialist
Company: Ensemble Health Partners
Location: Oklahoma City, OK
Posted Dec 06, 2023
It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Our culture is rooted in collaboration, growth, and innovation. We put people first, last and always. If you require accommodation in the application process, please contact [email protected]. Ensemble Health Partners is an equal employment opportunity employer. A few of those include: Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. Growth - We invest in your professional development. Knowledge of Health Insurance requirements. Other knowledge, skills, and abilities preferred: Understanding of Revenue Cycle including admission, billing, payments and denials. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
Global Network Operations Tier I Technician - Escalations
Company: Zayo
Location: Tulsa, OK
Posted Dec 10, 2023
Ability to work in a fast paced environment Active Listening Data Entry Skills Attention to detail Good Time management Skills Salesforce experience is a plus Work Schedule/Shift:This position requires shift work 24x7x365 - shifts and days availability may vary Base pay range: $21.58 - $28.75/hour, commensurate with experience.Benefits, Rewards & WellnessExcellent Health, Dental & Vision Insurance Retirement 401(k) Savings Plan Fitness membership discounts Generous paid time off policy including paid parental leave Zayo provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, provincial or local laws.This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Zayo's communications infrastructure solutions include dark fiber, private data networks, wavelengths, Ethernet, and dedicated Internet access. Able to work within a team to handle inquiries by asking clarifying questions, researching answers or alternative solutions/outcomes, and escalating unresolved problems. Zayo serves wireless and wireline carriers, media, tech, content, finance, healthcare and other large enterprises.The Global Network Operations Tier I Technician - Escalations will be responsible for providing industry leading customer service experience to internal and external stakeholders in a fast-paced, network control center environment providing support to the entire portfolio of products and services offered by Zayo.Responsibilities:Responding to internal and external stakeholder inquiries through multiple channels of communication in a timely manner Monitoring and responding to tickets, alerts, and general inquiries from internal and external customers. Perform detailed documentation of reported customer issues, ability to identify & communicate customer impact and urgency Escalate/Assign tickets to appropriate teams, leads and managers Perform direct communications to customers for updates as necessary Resolve customer inquiries, if possible, by utilizing documented processes Professionally manage difficult and/or emotional customer situations Qualifications:High School Diploma required Must be able to pass a background screening 2+ years of customer service experience (NOC environment is preferred) Ability to navigate multiple computer systems/applications simultaneously Knowledgeable with G-Suite applications Excellent written and verbal communication skills Requires an individual who is detailed oriented with superb organizational skills and the ability to multitask/prioritize tasks. Company DescriptionZayo provides mission-critical bandwidth to the world's most impactful companies, fueling the innovations that are transforming our society. Zayo's 133,000-mile network in North America and Europe includes extensive metro connectivity to thousands of buildings and data centers.
Church to Church Product Manager
Company: Life.Church
Location: Oklahoma City, OK
Posted Dec 03, 2023
Flexible work schedule. We know that diverse perspectives in race, ethnicity, background, age, and gender are essential to reaching the world for Christ. Familiarity with product management tools such as Tableau, Google Analytics 4, Hubspot, Algolia, Amplitude, Figma, Craft, and/or Magnolia. Benefits We Offer Paid parental leave, including maternity, paternity, and adoption leave. Our Beliefs, Culture, and Commitment to Diversity At Life.Church, every staff member, and intern is a minister and is expected to engage in the church's ministry fully. Casual dress and work environment. Bachelor’s Degree. All data collected in our application process, from resume collection to application questions, is used for recruitment purposes only. While we unite around our mission, we know unity doesn’t mean uniformity. Excellent verbal, written, and interpersonal communication skills to foster collaboration.
Senior Product Designer
Company: Life.Church
Location: Oklahoma City, OK
Posted Dec 16, 2023
Flexible work schedule. We know that diverse perspectives in race, ethnicity, background, age, and gender are essential to reaching the world for Christ. 3+ years in human interaction sociology, psychology, interaction/visual design, or equivalent. Benefits We Offer Paid parental leave, including maternity, paternity, and adoption leave. All data collected in our application process, from resume collection to application questions, is used for recruitment purposes only. Our Beliefs, Culture, and Commitment to Diversity At Life.Church, every staff member, and intern is a minister and is expected to engage in the church's ministry fully. Casual dress and work environment. While we unite around our mission, we know unity doesn’t mean uniformity. Portfolio of outstanding work. To learn more about how we strengthen our team through diversity, visit our careers page.
Account Manager - Tulsa, OK
Company: Tenstreet
Location: Tulsa, OK
Posted Dec 16, 2023
A work community that strives to take great care of you through great benefits like health insurance, dental, vision, 401k, PTO and others. You’re a highly motivated, self-starter, able to effectively work and collaborate with various internal teams. You’re passionate about learning, do so quickly, and enjoy solving problems. You accept feedback from coworkers about working or personal style. What we’ll provide you: A great compensation plan A positive and generative work environment enabling you to develop your skills, collaborate with other professionals and invest in others. You have a natural ability to handle a lot of complexity, understand what next steps are needed, then take action. You’re a strong communicator and easily build rapport over the phone. You teach yourself new things on a computer daily. You may be a fit if: You’re a highly motivated, self-starter, able to effectively work cross-functionally between various teams. You deal positively with obstacles and failures in pursuit of challenging goals You’re known for getting stuff done as an individual, but also thrive with a team.
EPSDT Coordinator
Company: Centene Corporation
Location: Oklahoma City, OK
Posted Dec 08, 2023
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development. Conduct outreach to encourage enrollees to access preventative care and assist with making appointments/arrangements as necessary Monitor provider compliance with EPSDT program Collaborate with and communicate to providers the importance of all aspects of the EPSDT program, including blood testing, immunization schedules, and periodicity schedule compliance Maintains appropriate records, files, documentation, etc. 1+ years of community relations or public health/service experience, preferably in a managed care or pediatric environment. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. Develop newsletters, articles, and web postings centered on EPSDT elements directed at members and providers Assist in development, implementation and coordination of improvement plans to obtain/surpass the performance goals set by the Health Plans Coordinate with other Health Plan departments and strategize improvement plan interventions and appropriate outreach activities. Position Purpose: Plan, organize, and coordinate all aspects of the EPSDT (Early Preventative Screening Diagnostic Testing) program. Facilitate EPSDT related reviews and follow up that are initiated by the state Attend EPSDT related DOH meetings as appropriate Education/Experience: Associate's degree in related area or equivalent experience. At Oklahoma Complete Health, we are community advocates and change-makers in search of an inclusive culture grounded by our commitment to work-life balance, competitive compensation, and continuous career development. Ensure compliance of EPSDT with all state and federal requirements and NCQA standards.
Manager, Transition Coordination
Company: Centene Corporation
Location: Oklahoma City, OK
Posted Dec 17, 2023
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. License/Certification: Current, valid and unrestricted LPN, LVN, Social work or RN. License/Certification: Current, valid and unrestricted LPN, LVN, Social work or RN preferred Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development. care management, utilization management, medical director, pharmacy, AMH/LHD/CIN providers Education/Experience: Bachelor's degree in a healthcare related field. For Oklahoma Complete Health Plan: Experience with specialty population required. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. Three years of related experience are required. Primary point of contact and liaison for all Transition of Care Operations Assist with daily, weekly, monthly reporting requirements Service as subject matter expert on Transition of Care operations Oversee transition coordination staff performing member transition of care activities Coordinate member rounds for transition of care reviews with cross functional department participation i.e. Will act as liaison for Transition of Care directives from DHHS. At Oklahoma Complete Health, we are community advocates and change-makers in search of an inclusive culture grounded by our commitment to work-life balance, competitive compensation, and continuous career development.
Independent Dispute Resolution Rep
Company: Health Care Service Corporation
Location: Tulsa, OK
Posted Dec 04, 2023
17. 16. 15. 14. 13. 12. 11. 10. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. 9.
DCS System Administrator/Engineer
Company: HF Sinclair
Location: Tulsa, OK
Posted Dec 16, 2023
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status or any other prohibited ground of discrimination. About HF Sinclair Corporation HF Sinclair Corporation ("HF Sinclair"), headquartered in Dallas, Texas, is an independent energy company that produces and markets high value light products such as gasoline, diesel fuel, jet fuel, renewable diesel and other specialty products. HF Sinclair also owns a 47% limited partner interest and a non-economic general partner interest in Holly Energy Partners, L.P., a master limited partnership that provides petroleum product and crude oil transportation, terminalling, storage and throughput services to the petroleum industry, including HF Sinclair subsidiaries. HF Sinclair owns and operates refineries located in Kansas, Oklahoma, New Mexico, Wyoming, Washington and Utah and markets its refined products in 19 states principally in the Southwest U.S., the Rocky Mountains extending into the Pacific Northwest and in other neighboring Plains states. In addition, subsidiaries of HF Sinclair produce and market base oils and other specialized lubricants in the U.S., Canada and the Netherlands, and export products to more than 80 countries. We maintain a true Safety culture for our employees, communities, environments and customers. Job conditions may require twisting, stooping, crouching, kneeling, reaching or grasping, and working in confined spaces as permitted. Through its subsidiaries, HF Sinclair produces renewable diesel at two of its facilities in Wyoming. What makes each of us different, together makes us stronger. We foster a culture of Inclusion by encouraging diversity of experiences, viewpoints and backgrounds.