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Clinical associate clinical operations
1 week ago
Moderna Tulsa, United StatesFull job description · The Role: · The Clinical Trial Associate (CTA) provides clinical trial coordination support to Project Teams for assigned clinical trial(s).This support includes tracking a wide range of key operational activities and maintenance of essential study docume ...
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Clinical associate clinical operations
1 week ago
Moderna Tulsa, United StatesFull job description · The Role: · The Clinical Trial Associate (CTA) provides clinical trial coordination support to Project Teams for assigned clinical trial(s).This support includes tracking a wide range of key operational activities and maintenance of essential study documen ...
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Clinical Operations Analyst
3 weeks ago
Ardent Health Services Tulsa, United StatesOverview · Join our team as a day / variable shift, full-time, Clinical Operations Analyst in Tulsa, OK. · Fulfilling your purpose begins here: · People First, Always. Here's how we take care of our people: · * Medical, vision, dental health insurance, health savings account / fl ...
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Director clinical operations
3 weeks ago
Nuvalent, Inc. Tulsa, United StatesFull job description · The Company: · With deep expertise in chemistry, Nuvalent is working to create selective medicines designed with the goal to address the needs of patients with cancer. Nuvalent is an exciting early-stage company, bringing together experienced scientists an ...
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Supervisor Clinic Operations
1 week ago
Pacific Medical Centers Tulsa, United StatesSearch for City, State, Country, Zip Code · Supervisor Clinic Operations - Pacmed General Surgery - First Hill · Pacific Medical Centers · Seattle , · Washington · ReqID: · 268232 · Job Category: · Patient Care (Non-Acute) · Schedule: · Full time · Work Location: · Swedish ...
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Clinical Operations Director
3 weeks ago
Tulsa Bone and Joint Associates Tulsa, United StatesClinical Director · Duties: · - Goal-directed, collaborative leader responsible for the ongoing mentorship and supervision of large clinical team across multiple sites of care. · - Responsible for all areas of supervisory functions of designated staff including recruitment, hir ...
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Sr Mgr Clinical Operations
3 weeks ago
HCSC Tulsa, United StatesAt HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. · Come join us and be part of a purpos ...
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Director, Clinical Risk Management Operations
2 weeks ago
Surgery Partners Tulsa, United StatesDirector, Clinical Risk Management Operations (Enterprise) - Remote Opportunity · Reports to : Vice President Clinical Risk Management Operations (Enterprise) · Exempt or Non-Exempt : · Exempt · Department : Clinical Compliance · JOB SUMMARY: · The Director of Clinical Risk ...
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Referral Coordinator
1 week ago
Innovative Renal Care Tulsa, United States Full timeReferral Coordinator · The Referral Coordinator is responsible for all administrative processing in regard to patient's personal and insurance information for a group of dialysis clinics. This individual cooperates and works closely with both internal and remote co-workers, posse ...
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Dentist - DDS / DMD
1 week ago
Aspen Dental Tulsa, United States$50000 Student Loan Assistance Available. · At Aspen Dental, we put You first, offering the financial security and job stability that comes with working with a world-class Dental Service Organization (DSO). Our best-in-class learning and development training program, competitive ...
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Dental Hygienist
7 hours ago
Aspen Dental Tulsa, United StatesAt Aspen Dental, we put You 1st with world-class development plus industry-leading pay. Join our team today as a Dental Hygienist · Job Types: Part-time - Fridays Only (Half days) · Salary: · $48 - $53/ hour plus uncapped incentive plan · What YOU receive when you join the Aspen ...
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Medical Lab Scientist I
2 weeks ago
Actalent Tulsa, United States Full timeDescription: · Job Duties/Responsibilities: Responsibilities are interchangeable within job titles of medical laboratory scientist MLS medical technologist or clinical laboratory scientist. Work environment/department will be listed in requirement. Determine the acceptability of ...
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Dental Assistant
2 weeks ago
Aspen Dental Tulsa, United States Full timeAt Aspen Dental, we put You First, offering the security and job stability that comes with working with a world-class dental service organization (DSO). Our best-in-class training program, competitive compensation, and flexible scheduling will help you thrive in your career. When ...
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Medical Lab Scientist I
2 weeks ago
Actalent Tulsa, United States Full timeWhy Actalent? · You will work with a dedicated career partner specialized in your skill set · We advocate on your behalf so you get what you want and need out of your job · Get performance feedback, career advice, and access to ongoing professional development tools · Build your ...
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Director of Business Development
1 week ago
Innovative Renal Care Tulsa, United States Full timeDirector of Business Development – Acute Services · The Director of Business Development – Acute Services is responsible for acquiring contracts and developing and maintaining relationships with hospitals and health systems to grow the footprint of Innovative Renal Care (IRC) in ...
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Dialysis Outpatient Registered Nurse
1 week ago
Fresenius Medical Care Tulsa, United States Full timePOSITION FEATURES: · We are looking for an RN who is interested in an evening shift RN position MWF. Every other Saturday typically preferred but we can discuss scheduling and are flexible. OT available if desired. · PURPOSE AND SCOPE: · The professional registered nurse Outpatie ...
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Registered Nurse
1 week ago
Fresenius Medical Care Tulsa, United States Full timePOSITION FEATURES: · Paid one on one training and education provided · Empower, engage and train dialysis patients on peritoneal and home hemodialysis using state of the art training programs and equipment · Primarily works in the clinic setting and conducts initial home visit ...
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Entry Level Lab Support
2 weeks ago
Actalent Tulsa, United States Full timeActalent is hiring for several lab processors in the Tulsa area · Why Actalent? · Work with a dedicated career partner specialized in your skill set · We advocate on your behalf so you get what you want and need out of your job · Get performance feedback, career advice, and acce ...
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Saint Francis Health System Tulsa, OK, United StatesSaint Francis Health System is seeking a Registered Nurse (RN) Clinic OR - Operating Room for a nursing job in Tulsa, Oklahoma. · Job Description & Requirements · Specialty: OR - Operating Room · Discipline: RN · Start Date: ASAP · Duration: Ongoing · Employment Type: Staff · Cur ...
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Saint Francis Health System Tulsa, OK, United StatesSaint Francis Health System is seeking a Registered Nurse (RN) Clinic OR - Operating Room for a nursing job in Tulsa, Oklahoma. · Job Description & Requirements · Specialty: OR - Operating Room · Discipline: RN · Start Date: ASAP · Duration: Ongoing · Employment Type: ...
Director - USFHP Clinical Operations - Tulsa, United States - Pacific Medical Centers
Description
Search for City, State, Country, Zip CodeThe director provides leadership for USFHP clinical operations: including care management and the clinical quality management program. In collaboration with the Executive Director, develops and implements policies and procedures, staff training materials, and process protocols. Oversight for ensuring compliance with all Department of Defense contract and policy requirements. Responsible for operational budget monitoring. Directly responsible for member satisfaction and develops and implements programs to improve results. Serves on the national USFHP Alliance Operations Committee as the principal PMC representative. Responsible for developing and ensuring regular reporting and analysis of data to support the functions of the entire division.
Provides reports and analysis to the USFHP Quality and Patient Safety Committee and the Quality and Patient Experience Committee of the Community Board of Directors.
Serves as the principal internal manager for the MCA module of Athena GE-Centricity.Promotes service excellence and fosters teamwork, manages the leads of the departments to ensure adequate resources in each, including setting expectations for cross training.
Essential Functions:
Responsible for managing the departments outlined in the job summary that is responsible for the provision of services under the USFHP contract with the Department of Defense.
Responsible for assuring compliance with Department of Defense policies and contract regulations.
Acts as the principle contact for security issues with the federal government.
Manages the integrity program and appeals process, including ongoing evaluation of the staff who research and prepare appeals for presentation.
Decision maker for all post service, network and benefit appeals. Acts as second level manager for grievances. Works with patients and or vendor to reach resolution. Refers those cases that require additional attention to the Executive Director.Maintains monthly reports that give clear, measurable information to the executive team and Quality Committee.
Actively solicits customer feedback on performance of assigned departments; resolves customer complaints, refers unresolved complaints onto the Executive Director as needed.
Manages the orientation and training and ongoing performance feedback of staff; complete yearly performance appraisals on each employee and interim updates as needed/required.
Participates in the planning of ongoing staff development programs focused on improving the quality of the services delivered in the department.
Manages the appeals process, including ongoing evaluation of staff who research and prepare appeals for presentation. Decision maker for all post-services, network and benefit appeals. Acts as second-level manager for grievances. Works with patients or vendors to reach resolution. Refers those cases that require additional attention to the Executive Director.Qualification & Experience:
Registered Nurse and experience as RN – Preferred
Bachelor's degree in Healthcare Administration or Business Administration – Preferred
Four years of experience in a healthcare business office or member services experience with progressive responsibilities – Required
Three years of experience in a managerial role within Pacific Medical Centers or a commercial managed care plan – Required
About our family of organizations
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others.
We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected.
Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Pay Range:
$62.26
- $100.22
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Check out our benefits pagefor more information about our Benefits and Rewards.
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