Grievance & Appeals - Grievance & Appeals Coordinator 195-1005 - Tulsa, OK

Responsible for all written inquiries from members seeking resolution through the grievance and appeals process. · ...

The Medical Director provides physician-level clinical review expertise within the health plan's utilization management... · ...

The Medical Director provides physician-level clinical review expertise within the health plan's utilization management, appeals, and clinical governance programs.This role functions under the direction of the Chief Medical Officer within an established delegation and escalation ...

In compliance with federal state accreditation this position oversees grievance appeals for all lines of business. · ...

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. · ...

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+ Job summary: We are seeking a highly motivated, self-directed professional to lead hands-on market analysis, define and prioritize target customer segments, and expand awareness of ClearSign and its products within the industrial B2B marketplace. · + Qualifications:Proficient i ...

This position works under the Marketing Department's Broker Relations and Market Development team. · Employee must work collaboratively across all lines of business in achieving annual membership goals by promoting the CommunityCare brand and mission to broker partners (broker ag ...

Cordinates all aspects of digital marketing for TTCU with minimal supervision. Collaborates with the marketing department cross-functional teams management and vendors to promote TTCU measure results coordinate projects implement innovative solutions. · ...

Job summary · Manage the entire proposal process from start to finish, · working closely with sales marketing and consulting teams. · Bullet points:Lead and manage the proposal development process · Work closely with the sales team to understand client needs · Create and maintain ...

This position works under the Marketing Department's Broker Relations and Market Development team. · Employee must work collaboratively across all lines of business in achieving annual membership goals by promoting the CommunityCare brand and mission to broker partners. · ...

We're looking for an experienced General Manager (GM) to lead our new Starbucks location at Tulsa International Airport. · This role is responsible for ensuring smooth daily operations and delivering exceptional customer service, · and driving financial success. You'll manage all ...

We're looking for an experienced General Manager (GM) to lead our new Starbucks location at Tulsa International Airport. · This role is responsible for ensuring smooth daily operations, · delivering exceptional customer service, · and driving financial success. ...

We are seeking a highly organized and proactive Administrative Assistant to work on-site at our Tulsa office. You will provide direct project and administrative support to the Firm Principals while ensuring our small office remains professional and inviting for our team and guest ...

The Development & Engagement Manager advances Drexel Academy's mission by managing fundraising, grant development, donor stewardship, and community engagement efforts. · Bachelor's degree required; Master's degree preferred. · 5–7 years of experience in nonprofit development, fun ...

We are seeking a Registered Nurse to join our team at Ascension St. John's Medical Center in Tulsa, OK. · Review admissions and service requests within assigned unit for prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement policy criter ...

The Medical Director will exhibit strong expertise in utilization management and health plan leadership for our provider sponsored organization. · Utilization Management: Lead and oversee the health plan's utilization management policies, ensuring that care is appropriately manag ...

This position works under the Marketing Department's Broker Relations and Market Development team. · This position works under the Marketing Department's Broker Relations and Market Development team. Employee must work collaboratively across all lines of business in achieving ann ...

The Medical Director will exhibit strong expertise in utilization management and health plan leadership for our provider sponsored organization.They will have a proven track record working within a health plan environment, with a deep understanding of clinical operations, healthc ...

We are seeking a Grant and Development Administrator to handle all aspects of grant writing, review, submission, and implementation in addition to other external grant communications. The successful candidate will lead grant strategy, develop winning proposals, expand funding opp ...