Jobs At HCSC In Oklahoma City, OK | CareerArc

Jobs at HCSC in Oklahoma City, OK

11 job openings within 25 miles

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Medical Director

HCSC - Oklahoma City, OK

We are the Health Care Management division of HCSC — a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health care benefits. We're also tackling the social determinants of healt...

Appeals Specialist II

HCSC - Oklahoma City, OK

"If chosen to proceed, each candidate will be required to complete a video interview via HireVue." BASIC FUNCTION: Under supervision, this position is responsible for processing and adjudicating complex non-Utilization Management appeals according to the appropriate federal, state, and NCQA requirements and regulations; and responding, by phone, in p...

Supervisor Appeals

HCSC - Oklahoma City, OK

BASIC FUNCTION: This position is responsible for supervising a unit responsible for responding to member and/or provider clinical appeals. Accountable for assuring appeals directed to the department are handled appropriately to meet quality and time frame standards set by corporate, divisional, and departmental policies. Oversees daily operations and case load assignments/p...

Developmental Specialist

HCSC - Oklahoma City, OK

BASIC FUNCTION: This position is responsible for assisting with development and support of staff by monitoring and auditing job performance; determining developmental needs; providing training and feedback; making suggestions to enhance procedural and corporate training. JOB REQUIREMENTS: * High School Diploma or GED. * 2 years' experience in claim administratio...

Senior Internal Auditor I

HCSC - Oklahoma City, OK

Job Purpose: This position is responsible for coordinating major external reviews or audits and services as in-charge on exams and projects. Required Job Qualifications: *Bachelor's degree and 5 years of Internal Audit experience OR 3 years Internal Audit experience with 7 years of experience in the Financial or Operational...

RN - Medical Mgmt Specialist I (Care Coordination)

HCSC - Mustang, OK

**This position is located in Canadian County** JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory r...

Member Care Coordinator - Oklahoma County

HCSC - Oklahoma City, OK

**This position is based in Oklahoma County** BASIC FUNCTION: This position is responsible for conducting home health assessment, contacting identified members to inform and educate them on health care programs to address their personal health plan needs, engaging the member in discussion of adherence to personal health plans,...

Tribal Government Liaison/Community Outreach Specialist I

HCSC - Oklahoma City, OK

Job Purpose: This position is responsible for developing and maintaining cooperative working relationships with the Oklahoma Native American population and their advocates within the community to educate, train, research and resolve problems, and provide assistance and information. This role is responsible for special projects and maintaining community ...

Medical Director of Behavioral Health

HCSC - Oklahoma City, OK

We are the Health Care Management division of HCSC — a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health care benefits. We're also tackling the social determinants of health...

Clinical Pharmacy Manager- Oklahoma Medicaid

HCSC - Oklahoma City, OK

**POSITION IS LOCATED IN THE OKLAHOMA CITY OFFICE** BASIC FUNCTION: This position is responsible for directing the development, maintenance and on-going oversight for clinical and operational programs and processes for Oklahoma Medicaid pharmacy programs. This includes but is not limited to Medicaid quality withhold programs,&n...

Medicaid Operations Specialist

HCSC - Oklahoma City, OK

**The position will be located in Oklahoma City, OK** BASIC FUNCTION: This position is responsible for providing operational services, assistance and program implementation and coordination for one or more of the day-to-day Medicaid operation functions (e.g. billing, claims enrollment, and customer service.) This r...