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  • Tulsa, OK, USA ● Req #479
    Thursday, June 6, 2024
     JOB SUMMARY: Supports the PMO in project implementations of various enterprise systems including both vendor-provided solutions and applications developed internally.  Works directly with business subject matter experts to clearly define project scope, requirements, process flows and other business needs.  Communicates effectively with IT and all levels of the organization. KEY RESPONSIBILITIES: Meet with project stakeholders and end users to review, analyze and create detailed documentation ... More
  • Tulsa, OK, USA ● Req #550
    Tuesday, June 4, 2024
    JOB SUMMARY: This position is responsible for maintaining the entry and maintenance of the customer database. Maintains customer files and data according to regulations.   KEY RESPONSIBILITIES: Generates customer correspondence and distributes information. Creates and maintains customer eligibility in the database. Reviews information to determine requirements. Reviews and processes enrollment information to ensure compliance with all regulations. Accountable for meeting quality and production ... More
  • Tulsa, OK, USA ● Req #551
    Tuesday, June 4, 2024
    JOB SUMMARY: Responsible for maintaining all aspects of provider data including provider directory, files and backup/support for directory audits. Providing departmental support to include answering phones and additional clerical duties. Assists with process improvement activities related to the flow of provider data.   KEY RESPONSIBILITIES: Provides efficient maintenance of provider data and provider directory. Provides support for audits. Maintains and distributes reports. Answering phones ... More
  • Tulsa, OK, USA ● Req #555
    Tuesday, June 4, 2024
    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, 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 ... More
  • Tulsa, OK, USA ● Req #554
    Tuesday, June 4, 2024
    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, 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 ... More
  • Tulsa, OK, USA ● Req #499
    Monday, June 3, 2024
    JOB SUMMARY: Responsible for selling Medicare products and Individual Health Plan products via telemarketing calls and person-to-person meetings, including seminars.   KEY RESPONSIBILITIES: Discuss products and benefits with eligible beneficiaries on a person to person basis in various settings. Makes outbound calls, as allowed, to prospects to answer questions and to schedule further sales follow up calls.  Conducts onboarding calls to new enrollees. Conducts disenrollment survey calls. Rece ... More
  • Tulsa, OK, USA ● Req #504
    Monday, June 3, 2024
    JOB SUMMARY: Responsible for processing reports, reconciling transactions and updating the system. Create and maintain customer eligibility in the company database, generate customer correspondence for new packets, assemble and distribute customer handbooks and process notifications.   KEY RESPONSIBILITIES: Create and maintain customer eligibility in the database. Generate appropriate correspondence and ID cards.  Review and process files and reports. Mail customer notices and requests for ... More
  • Tulsa, OK, USA ● Req #475
    Monday, June 3, 2024
    JOB SUMMARY: Responsible for providing technical and customer service support for pharmacy benefits, processing prior authorizations according to CMS and State regulations, and resolving pharmacy related complaints.   KEY RESPONSIBILITIES: Telephone support for pharmacies and members related to pharmacy benefits for the HMO product. Provides resolution for various types of phone calls including, but not limited to referral, authorization, and step therapy protocols between physicians, pharmac ... More
  • Tulsa, OK, USA ● Req #529
    Saturday, June 1, 2024
    JOB SUMMARY: This position is a part of a team that provides support to our sales and retention reps in the form of data gathering, data entry and analysis, proposal and financial exhibit development, and coordinates with internal and external customers to install and renew employer group benefits.   KEY RESPONSIBILITIES: Monitor email and respond to Request for Proposals (RFPs):  Gather benefit information from a variety of sources, coordinates response, inputs data and maintains all appropria ... More
  • Tulsa, OK, USA ● Req #527
    Saturday, June 1, 2024
    JOB SUMMARY: Responsible for providing assistance to Executive Level Officer(s) on all scheduling, travel arrangements, meeting preparation, report compilations and special projects. Provides administrative support including all private correspondence, and maintaining confidential files and records forExecutive Level Officer(s).     KEY RESPONSIBILITIES: Schedules, coordinates and organizes various meetings for Executive Level Officer(s).   Transcribes and prepares correspondence, memorandums, ... More
  • Tulsa, OK, USA ● Req #523
    Saturday, June 1, 2024
    JOB SUMMARY: To provide administrative and clerical support to ensure the efficient operation of the department. KEY RESPONSIBILITIES: •General clerical duties including copying, scanning and faxing. •Develops and maintains files and logs as related to department needs. •Prepares mailings, forms and correspondence. •Complies and provides information as related to department to appropriate personnel. •Performs other duties as assigned. QUALIFICATIONS: •Knowledge of relevant software application ... More
  • Tulsa, OK, USA ● Req #525
    Saturday, June 1, 2024
    JOB SUMMARY: The Customer Service Supervisor will build a strong team of Customer Service Representatives and shape staff behaviors to accomplish desired results to meet the expectations and needs of our members, providers and internal customers. You will be responsible for providing ongoing coaching to inspire our Customer Service Representatives to deliver exceptional customer service as well as coaching to develop CSRs in their current role or to take on additional responsibilities.  You will ... More
  • Tulsa, OK, USA ● Req #355
    Friday, May 31, 2024
    JOB SUMMARY: Directs the Data Analytics and Reporting, Actuarial, and Underwriting activities of the Company, including product and bid filing activities. Directs the development and analysis of the financial budget, with particular emphasis on premiums, medical costs and provider reimbursement plans. Directs and manages the analysis of medical, pharmacy, and other claim costs and related expenses, including utilization and other trends affecting the company. Directs and manages the estimation ... More
  • Tulsa, OK, USA ● Req #545
    Monday, May 20, 2024
    JOB SUMMARY: The Provider Services Intern’s primary responsibility will be data entry of relevant terms from executed provider contracts.    KEY RESPONSIBILITIES: Review provider contracts and enter relevant data into MD Staff, the provider contract database Performs other duties as assigned    QUALIFICATIONS: Effective communication and collaboration abilities High attention to detail Self-motivated   EDUCATION/EXPERIENCE: Currently pursuing a Bachelor’s degree.   ... More
  • Tulsa, OK, USA ● Req #542
    Friday, May 17, 2024
    JOB SUMMARY: The Analyst II provides analytical support for all departments, including analysis, pricing, capitation, network and provider specific reporting. Analytical support includes creating and executing intermediate to advanced level reports and programs and programming modifications to previously written reports. The Analyst II will collaborate with key stakeholders and determine the needed result including any special specifications. The Analyst II will work with several databases to p ... More
  • Tulsa, OK, USA ● Req #471
    Friday, February 23, 2024
    JOB SUMMARY: Responsible for completing out-bound calls and other member outreach opportunities to select members and documenting efforts.  This role spends 100% of time on quality program activities.  May require extended, or multiple, phone calls to members.  May require work on additional projects as directed.    KEY RESPONSIBILITIES: Contact members selected for intervention. Assist members with developing a plan to resolve identified HEDIS gaps in care, setting up appointments, getting t ... More
  • Tulsa, OK, USA ● Req #462
    Friday, February 9, 2024
    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 ... More
  • Tulsa, OK, USA ● Req #450
    Thursday, January 11, 2024
    JOB SUMMARY: The Senior Financial Analyst will embrace a strong emphasis on financial modeling and management reporting. As a key member of our finance team, they will be responsible for developing, analyzing, and presenting financial models and reports that drive strategic decision-making across the organization. In addition, the Senior Financial Analyst will be responsible for extracting insights from complex financial data, developing sophisticated financial models, and providing strategic re ... More
  • Tulsa, OK, USA ● Req #430
    Thursday, December 14, 2023
    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, 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 b ... More