operations of CommunityCare’s medical claim review program. The Supervisor guides individuals in implementing auditing...
outreach, exceptional service, and personalized support. The Retention Specialist helps CommunityCare achieve membership growth... events to ensure members are fully informed about CommunityCare benefits and offerings. Contact at-risk members...
established by CommunityCare Managed Healthcare Plans of Oklahoma. Processes may include communication with provider...
and requests in accordance with CommunityCare's grievance and appeals procedures. Ensures appropriate file documentation...
CommunityCare brand and mission to broker partners (broker agencies, agents and FMOs), contracted providers/health systems..., community leaders and organizations through CommunityCare in person events, health fairs, social and digital marketing...
operations of CommunityCare’s medical claim review program. The Supervisor guides individuals in implementing auditing...
the CommunityCare brand and mission to broker partners (broker agencies, agents and FMOs), contracted providers/health... systems, community leaders and organizations through CommunityCare in person events, health fairs, social and digital...
outreach, exceptional service, and personalized support. The Retention Specialist helps CommunityCare achieve membership growth... events to ensure members are fully informed about CommunityCare benefits and offerings. Contact at-risk members...
and Responsibilities: Perform other special projects and duties as assigned by the executive staff of CommunityCare Managed Healthcare...
processing experience within CommunityCare or another healthcare environment is required....
outreach, exceptional service, and personalized support. The Retention Specialist helps CommunityCare achieve membership growth... events to ensure members are fully informed about CommunityCare benefits and offerings. Contact at-risk members...
understanding and sensitivity to the unique needs of the CommunityCare population. This role spends 100% of time on quality program...
established by CommunityCare Managed Healthcare Plans of Oklahoma. Processes may include communication with provider...
JOB SUMMARY: This role involves leading data-driven initiatives and managing stakeholder collaborations to leverage financial and utilization data, uncovering insights that drive behavioral changes among key partners, including primary ca...
JOB SUMMARY: Responsible for auditing and monitoring company processes. Meets with stakeholders to review corrective action and obtain resolution. Conducts follow-up audits to ensure corrective actions have addressed the root cause to pre...
JOB 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 compl...
The Contract Administrator is responsible for supporting the vendor contracting process from start to finish, including preparation, review, tracking, and maintenance of vendor contracts. This role ensures contract documents are accurate, c...
JOB 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 mem...
JOB SUMMARY: The Employee Engagement Coordinator plays a critical role in fostering a positive and productive workplace culture by planning, implementing, and evaluating employee engagement programs and initiatives to increase employee en...
JOB 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 mem...