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By collaborating with internal and external stakeholders, the Senior Medical Audit Specialist helps to promote accountability and transparency in billing practices, supporting the overall mission of the Oklahoma Health Care Authority to provide better health and care for Oklahomans. The best-fitting Korn Ferry competencies for this position include Ensures Accountability, as the role focuses on enforcing compliance and managing responsibilities, and Collaborates, given the need for cross-functional teamwork and stakeholder engagement.

YEAR

State of Oklahoma

Senior Medical Audit Specialist RN

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Senior Medical Audit Specialist

The Specialist makes eye contact, smiles, and greets all Customers in a prominent, courteous and friendly manner deterring opportunity for theft by demonstrating "command" presence in a Company issued vest/required black attire, and monitoring the Code 50 package inspection policy. Provides visible "command" presence, including prominent greetings with eye contact, at Store entrances/exits and on sales floor in a Company issued vest/required black attire, monitoring for potential safety issues.

Ross Stores Inc

Store Protection Specialist

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Manage procurement processes for contract workers, independent contractors, and small businesses, including RFIs, RFPs, RFBs, bid vetting, negotiations, evaluation against vendor-selection criteria, bid approval, and contract awardin accordance withestablished department guidelines. Our solutions help our customers solve difficult problems in the areas of Anti-Money Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management.

LexisNexis Risk Solutions

Contract Specialist

Axalta operates its business in two segments: Performance Coatings and Mobility Coatings, which serve four end markets, including Refinish, Industrial, Light Vehicle and Commercial Vehicle, across North America, EMEA, Latin America and Asia-Pacific. The Refinish Economy Segment Sales & Technical Specialist is responsible for driving growth within the collision repair industry by identifying, converting, supporting, and retaining Economy and Value Segment business through distribution partners and direct customer engagement.

Axalta

Sales & Collision Paint Specialist

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As the Environmental Compliance Specialist II, you will independently manage assigned environmental compliance programs, permits, reporting, inspections, and regulatory requirements while partnering with facility teams to reduce environmental risk and strengthen compliance. Apply working knowledge of federal, state, and local environmental requirements and major programs including CAA, CWA, RCRA, EPCRA, SPCC, SWPPP/NPDES, air permitting, wastewater, hazardous waste, Tier II, and TRI.

Greenheck Fan Corp

Environmental Compliance Specialist II

As a Target Security Specialist, no two days are ever the same, but a typical day will most likely include the following responsibilities: Create an Easy, Inspiring and Friendly guest experience by delivering on the following commitments: Greet: 10ft: be friendly - smile, make eye contact, or wave. Please paste this url into your preferred browser to learn about benefits eligibility for this role: https://tgt.biz/BenefitsForYou_A | Pegue esta URL en su navegador preferido para obtener información sobre la elegibilidad de este puesto para recibir beneficios: https://tgt.biz/BenefitsForYou_A .

<ul> <li>The talent, commitment and diversity of our 375,000 team members worldwide contribute to our success.</li>
 <li>At Target, we provide the benefits, tools, resources and support that can help our team members reach their individual well-being goals.</li>
 <li>Every time we open our doors, we continue a commitment that’s been growing since the start: A brighter future for our team members, our communities and the world we live in. Target gives 5% of our profit to the community. That's over $4 million every week.</li>
 </ul>
 Find out how at <a target="_blank" href="http://Target.com/careers">Target.com/careers</a>

Target Corp

Target Security Specialist

Locally great and nationally strong, Albertsons Companies (NYSE: ACI) is a leading food and drug retailer in the U.S. We operate over 2,200 stores, 1,732 pharmacies, 405 fuel centers, 22 distribution facilities, and 19 manufacturing plants across 34 states and the District of Columbia. We are looking for candidates who possess the following: Soft skills: Strong customer service mindset with ability to remain calm and professional in high pressure or confrontational situations.

Albertsons Companies Inc

Loss Prevention Specialist

Previous experience with hospital billing and reimbursement, physician billing and reimbursement, Medicare and Medicaid denials and appeals, commercial payer denials and appeals, third-party contracts, NCQA guidelines for denials and appeals, Federal and State regulations relating to denials and appeal and Fair Debt Collection Practices. The Patient Accounting Specialist III is responsible for processing complex transactions such as complex services, global transplant cases, payer audits, payer withholds and managing complex data from multiple sources; reviewing and resolving denied and underpaid/overpaid claims and carrying out the appeals process.

Integris Health

Patient Accounting Specialist Sr

Assess system features/capabilities, data feeds and mapping, appropriate and customized usage, implementation gaps, identification of necessary controls, ensuring alignment to risk appetite, and identifying automated controls/processes. Excellent time management and related organizational skills, including appropriate sense of urgency, a proactive approach, and a suitable ability to anticipate and manage project lifecycle events, issues and obstacles.

Our Vision… To achieve healthy, successful, productive, and self-sufficient lifestyles for a proud nation of Choctaws. Our Mission… To enhance the lives of all members through opportunities designed to develop healthy, successful and productive lifestyles.

Choctaw Nation of Oklahoma

AML CFT Compliance Specialist

Previous experience with hospital billing and reimbursement, physician billing and reimbursement, Medicare and Medicaid denials and appeals, commercial payer denials and appeals, third-party contracts, NCQA guidelines for denials and appeals, Federal and State regulations relating to denials and appeal and Fair Debt Collection Practices. The Patient Accounting Specialist III is responsible for processing complex transactions such as complex services such as global transplant cases, payer audits, payer withholds and managing complex data from multiple sources; reviewing and resolving denied and underpaid/overpaid claims and carrying out the appeals process.

Patient Accounting Specialist Sr - Physician Billing

Aml/Cft Compliance Specialist

This position is responsible for the processing of incoming and outgoing ACH transactions and related electronic payment activities while upholding First United's commitment to operational excellence, risk management, and exceptional service. The Deposit Operations Specialist - ACH plays a critical role in delivering secure, accurate, and timely ACH services that support our customers, team members, and communities.

First United Bank

Deposit Operations Specialist I - ACH

Ideal candidates demonstrate strong analytical and negotiation skills, exercise sound judgment, and are committed to delivering timely, cost‑effective claim resolutions while maintaining a high level of customer service. ESSENTIAL RESPONSIBLITIES MAY INCLUDE: Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.

Sedgwick Claims Management Services, Inc., is a leading global provider of technology-enabled risk and benefits solutions. At Sedgwick, caring countsSM; the company takes care of people and organizations by delivering cost-effective claims, productivity, managed care, risk consulting and other services through the dedication and expertise of nearly 15,000 colleagues in some 275 offices located in the U.S., Canada, the U.K and Ireland. Sedgwick facilitates financial and personal health and helps customers and consumers navigate complexity by designing and implementing customized programs based on proven practices and advanced technology that exceed expectations. Sedgwick’s majority shareholder is KKR; Stone Point Capital LLC, La Caisse de dépôt et placement du Québec (CDPQ) and other management investors are minority shareholders.

Sedgwick Claims Management Services, Inc.

Sr. Claims Specialist, Professional Liability | Medical Malpractice

Axalta operates its business in two segments: Performance Coatings and Mobility Coatings, which serve four end markets, including Refinish, Industrial, Light Vehicle and Commercial Vehicle, across North America, EMEA, Latin America and Asia-Pacific. Job Summary: The Refinish Economy Segment Sales & Technical Specialist is responsible for driving growth within the collision repair industry by identifying, converting, supporting, and retaining Economy and Value Segment business through distribution partners and direct customer engagement.

Axalta Coating Systems Ltd

FULL_TIME

Brand Overview: Hunter Super Techs has proudly served Oklahoma families for decades, delivering HVAC, plumbing, and electrical solutions with a reputation for fast, friendly service. • Purpose-Driven Work: Every role — in the field, office, or leadership — makes a real impact by helping families and communities stay safe and comfortable.

Hunter Super Techs

Customer Experience Specialist

[AW]-iCims

HOUR

Prepare and provide written individualized written and/or oral instructions to birth and death data providers including hospital/clinic staff, physicians, medical examiners, funeral homes, attorneys, and parents related to the filing, amendment, replacement of birth or death records, to include determinations of parentage, legitimation, adoption, delayed filings and providing for the registration of disinterment. This is the basic level of this job family where employees learn the intricacies of the laws and policies governing the registration, issuance, security, confidentiality of birth and death records, in order to gain an understanding on the efficient use of the complex data systems used to search, issue, amend, replace, and track records, build skills in providing services and assistance to a diverse set of clients and customers.

Net2Source Healthcare

Vital Records Specialist I

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The Boeing Company also provides eligible employees with an opportunity to enroll in a variety of benefit programs, generally including health insurance, flexible spending accounts, health savings accounts, retirement savings plans, life and disability insurance programs, and a number of programs that provide for both paid and unpaid time away from work. Boeing is a Drug Free Workplace where post offer applicants and employees are subject to testing for marijuana, cocaine, opioids, amphetamines, PCP, and alcohol when criteria is met as outlined in our policies.

At Boeing, you can build something better for yourself, our customers, and the world. Here you can transform aerospace and make history. And you’ll work alongside other experts and visionaries who lead and inspire. Our workforce includes every profession and career path you can imagine, taking you as far as you can dream. 

Boeing

Associate Project Management Specialist (Project Planner Scheduler)

The Boeing Company also provides eligible employees with an opportunity to enroll in a variety of benefit programs, generally including health insurance, flexible spending accounts, health savings accounts, retirement savings plans, life and disability insurance programs, and a number of programs that provide for both paid and unpaid time away from work. Strong communication and organizational skills are critical to success in this position, along with the ability to build strong relationships, collaborate in a cross-functional environment, and utilize problem-solving skills to proactively identify and manage risks and opportunities.

Project Management Specialist (Project Planner Scheduler)

The Boeing Company also provides eligible employees with an opportunity to enroll in a variety of benefit programs, generally including health insurance, flexible spending accounts, health savings accounts, retirement savings plans, life and disability insurance programs, and a number of programs that provide for both paid and unpaid time away from work. Collaborate with the Bomber programs in Boeing Defense, Space & Security (BDS) and Boeing Global Services (BGS) Functional support (Supply Chain, Finance, Quality, Engineering, etc.) to drive collaboration, productivity, innovation, integration and excellence to improve on time delivery performance.

Fraud Specialist Jobs in Oklahoma

Senior Medical Audit Specialist RN State of Oklahoma

Senior Medical Audit Specialist State of Oklahoma

Store Protection Specialist Ross Stores Inc

Contract Specialist LexisNexis Risk Solutions

Sales & Collision Paint Specialist Axalta

Environmental Compliance Specialist II Greenheck Fan Corp

Target Security Specialist Target Corp

Loss Prevention Specialist Albertsons Companies Inc

Patient Accounting Specialist Sr Integris Health

AML CFT Compliance Specialist Choctaw Nation of Oklahoma

Patient Accounting Specialist Sr - Physician Billing Integris Health

Aml/Cft Compliance Specialist Choctaw Nation of Oklahoma

Deposit Operations Specialist I - ACH First United Bank

Sr. Claims Specialist, Professional Liability | Medical Malpractice Sedgwick Claims Management Services, Inc.

Sales & Collision Paint Specialist Axalta Coating Systems Ltd

Customer Experience Specialist Hunter Super Techs

Vital Records Specialist I Net2Source Healthcare

Associate Project Management Specialist (Project Planner Scheduler) Boeing

Project Management Specialist (Project Planner Scheduler) Boeing

Project Management Specialist (General Project Mgmt) Boeing

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