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Tulsa, OK, USA ● Req #331Sunday, November 26, 2023JOB SUMMARY: The Manager of Data Reporting and Report Development is responsible for architecting advanced data solutions while directing a team of data analysts in providing analytical, operational, cost and quality metrics to both internal and external customers, including regulatory reporting to CMS. This role acts as the Architect of data warehouse data marts and self-service reporting platform solutions. Additionally, this role supervises and manages both a team of health data analysts, ...Read more about Reporting - Manager Data Reporting & Report Development 135-5003More
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Tulsa, OK, USA ● Req #332Sunday, November 26, 2023JOB SUMMARY: The Data Engineer II will be responsible for expanding and optimizing our data and data pipeline architecture, as well as optimizing data flow and collection across organizational teams. The Data Engineer will support our software engineers, database architects and data analysts on data initiatives and will ensure optimal data delivery architecture is consistent throughout ongoing projects. KEY RESPONSIBILITIES: •Create and maintain optimal data pipeline architecture to support o ...Read more about Information Technology - Data Engineer II 130-2050More
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Tulsa, OK, USA ● Req #356Thursday, November 23, 2023JOB SUMMARY: As the CRM Administrator for CommunityCare, you will develop and maintain the CRM systems. In this role, you will monitor end-user usage of the system, perform daily administrative and user support tasks, and help solve business problems. You will partner with product owners to define system requirements, and build, configure, and automate technology solutions to deliver business value. KEY RESPONSIBILITIES: Serve as a system administrator collaborating with the product owner, han ...Read more about Information Technology - CRM Administrator 130-2049More
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Tulsa, OK, USA ● Req #360Thursday, November 23, 2023JOB 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 130-2029More
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Tulsa, OK, USA ● Req #204Wednesday, November 22, 2023JOB SUMMARY: The Sr. Software Engineer will build out the next generation of our platform. As a Sr. Software Engineer, you are expected to work independently, and within teams, leading the development of software features. Ability to prioritize well, communicate clearly, have a consistent track record of delivery, and excellent software engineering skills. You will be involved with mentoring other team members and helping with identifying process improvements for the team. KEY RESPONSIBILITIES:D ...Read more about Information Technology - Senior Software Engineer 130-2014More
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Tulsa, OK, USA ● Req #206Wednesday, November 22, 2023JOB SUMMARY: The Software Engineer II will build out the next generation of our platform. As a Software Engineer II, 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 independen ...Read more about Information Technology - Software Engineer II 130-2030More
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Tulsa, OK, USA ● Req #390Sunday, November 19, 2023JOB SUMMARY: Responsible for leading and directing IT related projects from development through completion and ensuring successful output; outline the project goals and objectives, while acting as a liaison between the program staff, management and business groups. Manage status reporting, stability of assigned project-oriented work efforts, customer expectations for contracted time, cost, and requirements definitions. Provides a single point of contact for project assignments. Assembles proje ...Read more about Information Technology - IT Project Manager 130-2003More
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Tulsa, OK, USA ● Req #381Sunday, November 19, 2023JOB SUMMARY: Responsible for the review and processing of electronic eligibility files. Support employer group staff throughout the electronic eligibility experience by displaying strong problem solving, trouble shooting and data management skills. KEY RESPONSIBILITIES: • Review and process electronically transmitted eligibility information (834) including error reports, adds, changes and terms. • Troubleshoot issues with eligibility files by reviewing system data, manual reports, raw data, e ...Read more about Enrollment Services - Electronic Eligibility Specialist 160-1002More
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Tulsa, OK, USA ● Req #388Sunday, November 19, 2023JOB 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 par ...Read more about Medical Management - Intake Coordinator 145-1021More
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Tulsa, OK, USA ● Req #382Sunday, November 19, 2023JOB SUMMARY: The primary accountability for this position is to facilitate the verification of hospital privileges by working with hospital medical staff, and when appropriate, facilitating an internal review process to waive privileges when there is an identified business need. KEY RESPONSIBILITIES: Facilitate the verification of provider hospital privileges from a primary source for all lines of business. Develop relationships with hospital medical staff departments. Facilitate targeted da ...Read more about Provider Services - Hospital Verification Specialist 115-1012More
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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. KEY RESPONSIBILITIES: Establishing positive business relationships with strategic decision makers and influe ...Read more about Marketing - Senior Account Manager_110-2011More
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Tulsa, OK, USA ● Req #396Friday, November 17, 2023JOB SUMMARY: In compliance with federal, state, and accreditation requirement, this position is responsible for overseeing activities and personnel involved in the day to day operations of grievance and appeals for all lines of business. KEY RESPONSIBILITIES: •Provides technical consultation to G&A staff including analysis, problem solving, and decision making of complex cases. Communicates and implements procedural changes in response to new or revised regulatory requirements for multiple li ...Read more about Quality Improvement - Supervisor Grievance & Appeals 195-4002More
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Tulsa, OK, USA ● Req #395Friday, November 17, 2023JOB SUMMARY: To provide administrative and clerical support to ensure the efficient operation of the claims department. Work will include data entry, pre-claim handling, file transfers, pricing and other administrative duties. KEY RESPONSIBILITIES: •General clerical duties including copying, scanning and faxing. •Develops and maintains files and logs as related to department needs. •Prepares mailings, forms and correspondence. •Compiles and provides information as related to department to appr ...Read more about Claims HMO - Clerical Support Specialist 140-1055More
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Tulsa, OK, USA ● Req #397Friday, November 17, 2023JOB 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 b ...Read more about Customer Service - Customer Service Representative 105-1054More
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Tulsa, OK, USA ● Req #399Friday, November 17, 2023JOB 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 b ...Read more about Customer Service - Customer Service Representative 105-1053More
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Tulsa, OK, USA ● Req #400Friday, November 17, 2023JOB SUMMARY: Controls, organizes and monitors the flow of printed materials. Accurately generates and distributes materials, and coordinates with other departments to ensure documentation is generated in a timely manner. KEY RESPONSIBILITIES: Schedules print jobs, confirms product specifications, arranges and adjusts documentation prior to printing. Monitors the quality and viability of the product specifications and ensures deadlines are met. Scans documents from requesting departments. Com ...Read more about Print Shop - Print Production Specialist 142-1002More
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JOB SUMMARY: This position is responsible for providing administrative support to all functional areas in the department. KEY RESPONSIBILITIES: Establishes and maintains general computer and manual files. Prepares and coordinates creation and distribution of documents and reports. Prepares and monitors invoices and other bills for payment. Arranges and schedules meetings as requested by department managers and supervisors. Orders and maintains departmental office supplies. Provides assistance ...Read more about Provider Services - Administrative AssistantMore
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Tulsa, OK, USA ● Req #392Friday, November 10, 2023JOB 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 software and hardware pr ...Read more about Information Technology - Help Desk Analyst 130-1014More
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Tulsa, OK, USA ● Req #379Thursday, October 12, 2023JOB SUMMARY: Responsible for the direction and oversight for all functions of the Customer Service Department, Senior Center and Enrollment Department for all product lines. Accountabilities include, but are not limited to, maintaining a level of customer satisfaction that is supportive of all corporate objectives, marketing strategies and customer retention. KEY RESPONSIBILITIES: Implements and directs operational activities for the department including personnel, facility, training and syste ...Read more about Customer Service - Customer Service Leader 105-7001More
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Tulsa, OK, USA ● Req #371Thursday, September 7, 2023JOB 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 be ...Read more about Customer Service - Customer Service Representative 105-1051More
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Tulsa, OK, USA ● Req #355Thursday, August 17, 2023JOB SUMMARY: Directs the Data Analytics and Reporting, Actuarial, and Underwriting activities of the Company, including product and bid filing activities. Directs the development and analysis of the financial budget, with particular emphasis on premiums, medical costs and provider reimbursement plans. Directs and manages the analysis of medical, pharmacy, and other claim costs and related expenses, including utilization and other trends affecting the company. Directs and manages the estimation ...Read more about Accounting/Finance - Director Actuarial & AnalyticsMore