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Tulsa, OK, USA ● Req #777Thursday, May 8, 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 #792Thursday, May 8, 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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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
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Tulsa, OK, USA ● Req #782Thursday, May 8, 2025JOB SUMMARY: Responsibilities include performing credentialing activities consistently for each applicant in accordance with federal and state mandates, and credentialing criteria as outlined in the CommunityCare Managed Healthcare Plans of Oklahoma Policy and Procedure Manual. KEY RESPONSIBILITIES: Responsible for initial assessment of applications and other data for accuracy and completeness and contacting applicants or other outside resources to resolve questions or to obtain missing inf ...Read more about Provider Services - Credentialing Specialist (Part Time) 115-1026More
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Tulsa, OK, USA ● Req #778Thursday, May 8, 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) 105-1080More
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JOB SUMMARY: The Community Center Activities Coordinator is responsible for planning, organizing, and execution of all activities within the community center. This role ensures that the programs offered at the Community Center promote individual and community engagement by coordinating activities that promote the physical, mental and social wellness of participants that align with the mission and values of CommunityCare. KEY RESPONSIBILITIES: Develop and implement a diverse calendar of ac ...Read more about Senior Center - Activities Coordinator 171-1009More
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JOB SUMMARY:The Data Analyst Intern will join our Business Intelligence team to support the transition of legacy analytics processes into modern data tools and platforms. This role will focus on converting existing SAS code into SQL, assisting with data transformation, and contributing to the creation and maintenance of Power BI reports. The intern will play a key part in helping the organization enhance its data reporting capabilities and improve access to actionable insights across healthcare ...Read more about Corporate Data - Seasonal InternMore
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JOB SUMMARY:The Data Analyst Intern will join our Business Intelligence team to support the transition of legacy analytics processes into modern data tools and platforms. This role will focus on converting existing SAS code into SQL, assisting with data transformation, and contributing to the creation and maintenance of Power BI reports. The intern will play a key part in helping the organization enhance its data reporting capabilities and improve access to actionable insights across healthcare ...Read more about Corporate Data - Seasonal InternMore
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Tulsa, OK, USA ● Req #813Friday, May 2, 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 2pm-6pm) 105-1012More
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Tulsa, OK, USA ● Req #814Friday, May 2, 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) 105-1082More
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JOB SUMMARY: Plans, organizes, manages, and leads the activities of various operational functions of the company including Finance, Underwriting, Financial Analysis, Investments, and Reporting. Significant emphasis of this role surrounds financial reporting and analysis of budgeting, accounting, financial systems development, internal controls, and maintenance of records and procedures to adequately safeguard the assets of the organization. The CFO will provide financial leadership and directio ...Read more about Executive Dept - Senior VP & Chief Financial OfficerMore
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Tulsa, OK, USA ● Req #805Thursday, May 1, 2025JOB SUMMARY: As a Software Engineering Intern, you will work closely with our experienced development team to design, implement, and maintain software solutionsusing C# on the Microsoft Azure cloud platform. This role provides a unique chance to contribute to the development of scalable and reliable applications that leverage the power of cloud computing. KEY RESPONSIBILITIES: Software Development: Collaborate with the development team to design and implement software development solutions u ...Read more about Software Engineering - Software Engineer Seasonal InternMore
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Tulsa, OK, USA ● Req #812Thursday, May 1, 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 (M-F 11am-8pm) 105-1005More
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Oklahoma City, OK, USA ● Tulsa, OK, USA ● Req #788Thursday, May 1, 2025JOB SUMMARY: Primarily responsible for contracting, orientation and ongoing education of physicians, physician office staffs, hospitals and other providers regarding the policies and procedures of CommunityCare Managed HealthCare Plans. Serves as the liaison between the provider community and the health plan. KEY RESPONSIBILITIES: Conducts educational and credentialing PCP and appropriate SCP office site visits according to established standards. Provides ongoing education, develops agendas, ...Read more about Provider Services - Provider Services Representative (OKC or Tulsa) 115-1023More
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Tulsa, OK, USA ● Req #641Wednesday, April 30, 2025JOB SUMMARY: Responsible for supervising credentialing personnel and oversight of training. Supervise workflows and projects to support timely, efficient production. Responsible for ensuring credentialing policies and procedures are compliant with regulatory agencies and accreditation standards. KEY RESPONSIBILITIES: Provide day-to-day supervision of personnel. Evaluate performance of direct reports and provide regular feedback individually and to the team.Identify improvement opportunities t ...Read more about Provider Services - Supervisor Credentialing 115-4004More
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JOB SUMMARY: The Senior Health Data Analyst provides the analytical support for Executives and all departments including analysis, pricing, capitation, network, and provider specific reporting. Analytical support includes programming customer-based specifications, producing appropriate statistics, reports, and presentations, analyzing results and impacts, and generating written reports with recommendations and conclusions. The Senior Analyst works with data in company and other databases, data ...Read more about Reporting - Senior Health Data Analyst 135-2031More
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Tulsa, OK, USA ● Virtual ● Req #818Monday, April 28, 2025Responsible for the overall direction and coordination of all Medical Directors, including medical policies and structure of CommunityCare’s utilization and care management programs. Serves as principal clinical advisor for medical and behavioral operational areas including continuous quality improvement functions related to delivery of care; establishment of policy; and providing input on issues related to delivery of pharmaceutical and ancillary services. Knowledgeable and has clinical experti ...Read more about Medical Directors - Chief Medical Officer 144-8001More
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Tulsa, OK, USA ● Req #787Thursday, April 24, 2025JOB SUMMARY: Responsible for the overall management and operation of the community center, including oversight of staff and volunteers, budget development and management, program development, and ensuring the center's safety and upkeep. Assumes key role in community engagement, building relationships with local organizations, and promoting the center's services. KEY RESPONSIBILITIES: Oversight of daily operations: talent acquisition and scheduling of staff and volunteers, operational effectiven ...Read more about Senior Center - Manager Community Center 171-5001More
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Tulsa, OK, USA ● Req #776Tuesday, April 22, 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 Utilization Management Team. KEY RESPONSIBILITIES: Performs utilization review of outpatient and ancillary services as well as inpatient and post-acute services ...Read more about Medical Management - Utilization Management RN 145-2018More
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Tulsa, OK, USA ● Req #775Tuesday, April 22, 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 Utilization Management Team. KEY RESPONSIBILITIES: Performs utilization review of outpatient and ancillary services as well as inpatient and post-acute service ...Read more about Medical Management - Utilization Management RN 145-2006More
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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 #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