JOB SUMMARY: The Member Advocate I serves as a liaison between members and CommunityCare, ensuring a high-quality... need support with navigating their CommunityCare health plan. Assist members in understanding their benefits, claims...
and structure of CommunityCare’s utilization and care management programs. Serves as principal clinical advisor for medical...
JOB SUMMARY: CommunityCare HMO, Inc. seeks a UI/UX Engineer to design and develop responsive, high-performance web...
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...
operations of CommunityCare’s medical claim review program. The Supervisor guides individuals in implementing auditing...
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...
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 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...
JOB SUMMARY: The Senior Data Engineer is responsible for expanding and optimizing our data and data pipeline architecture, as well as optimizing data flow and collection across organizational teams. The Sr. Data Engineer will support our ...
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: The HR Operations & Employee Relations Administrator addresses employee concerns, promoting engagement and ensuring a fair and consistent application of company policies. Serves as an advisor to managers and employees for emp...
JOB SUMMARY: This position is responsible for supporting the grievance and appeals activities pertaining to all written inquiries from members and providers requesting resolution through the grievance and appeals process. This includes cl...
Job Summary: The Graphic Designer is responsible for the design and implementation of user experiences across the company’s digital platforms while ensuring a cohesive experience with our Brand. The Graphic Designer will be responsible fo...
JOB SUMMARY: Supports the organization in advancing its brand awareness and community engagement through the management and expansion of digital media. This individual will plan and execute digital campaigns, manage the organization’s soc...
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: 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, eligibi...
JOB 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, eligibi...
JOB 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, eligibi...