NewProperty Adjuster Specialist - Field USAAProperty Adjuster Specialist - FieldOklahoma City, OKRemote$69,920–$133,620 / yearProactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.
AI Governance Specialist OU Medicine, Inc.AI Governance SpecialistOklahoma City, OKFull timeAble to articulate AI's transformative impact on current and future business objectives, including its potential to drive new business models, regenerate existing workflows, optimize operations, and deliver measurable value based on key performance indicators (KPIs). Ability to bridge communication gaps and foster cross-functional synergy to align AI initiatives seamlessly across diverse business units and functions and effectively communicating complex AI topics to various stakeholders.
Professional Coding Specialist III OU Medicine, Inc.Professional Coding Specialist IIIVirtual, OKFull timeWe are looking for a detail-oriented Professional Medical Coder to help streamline our charge review coding workflow for Adult and Pediatric Evaluation and Management services and Minor Procedures, resolve denials and work with leadership to put processes in place to reduce denials. Code and resolve the most complex, high‑risk professional encounters including specialty‑specific procedures, high‑dollar services, complex modifier scenarios, and telehealth exceptions.
Professional Coding Specialist II OU Medicine, Inc.Professional Coding Specialist IIVirtual, OKFull timeWe are looking for a detail-oriented Professional Medical Coder to help streamline our charge review coding workflow for Adult and Pediatric Evaluation and Management services and Minor Procedures, resolve denials and work with leadership to put processes in place to reduce denials. Independently performs complex professional coding across multiple specialties and settings, including office/clinic, hospital outpatient, ED/urgent care, ASC, SNF/nursing home, and telehealth.
Neuro Interventional Radiology Professional Coding Specialist II OU Medicine, Inc.Neuro Interventional Radiology Professional Coding Specialist IIVirtual, OKRemoteFull timeIndependently performs complex professional coding across multiple specialties and settings, including office/clinic, hospital outpatient, ED/urgent care, ASC, SNF/nursing home, and telehealth. Resolve coding-related edits and denials by identifying root cause, coordinating documentation clarification, and supporting rebilling actions as applicable.
Orthopedic Professional Coding Specialist II OU Medicine, Inc.Orthopedic Professional Coding Specialist IIWFH State of Oklahoma, OKRemoteFull timeIndependently performs complex professional coding across multiple specialties and settings, including office/clinic, hospital outpatient, ED/urgent care, ASC, SNF/nursing home, and telehealth. ***The ideal candidate would have multiple years of direct orthopedic surgery and/or teaching hospital or trauma center coding experience (coding knowledge in other specialties is a big plus).
Clinical Pharmacy Specialist - PRN - Stephenson Cancer Center (McAlester, OK location) OU Medicine, Inc.Clinical Pharmacy Specialist - PRN - Stephenson Cancer Center (McAlester, OK location)Oklahoma City, OKPart timeThis role ensures safe, efficient, and compliant medication‑use processes; supervises pharmacists and pharmacy technicians; resolves complex operational and clinical issues; and partners with nursing and physician leadership to optimize patient care, pharmacy workflow, and medication‑safety performance. The Inpatient Pharmacist III is an expert‑level practitioner responsible for advanced operational oversight, high‑level clinical decision‑making, and day‑to‑day leadership of assigned inpatient pharmacy units.
IT Research Computing System Specialist (Fall) University of OklahomaIT Research Computing System Specialist (Fall)Norman, OK$10–$15 / hourStudents in this role will troubleshoot minor issues, assist in deploying and maintaining research computing systems and components, provide technical support, and communicate with various IT teams to resolve more technically advanced customer incidents and system maintenance issues. Required Education and Experience: Must be currently enrolled in the Fall 2026 Term as an undergraduate student in good standing at the University of Oklahoma.
NewResearch and Resolution Specialist State of OklahomaResearch and Resolution SpecialistOklahoma City, OKThis role requires the ability to organize and prioritize daily, weekly, and monthly workload, maintain high productivity, identify and resolve discrepancies, use tracking systems to meet required deadlines, and communicate clearly and professionally with internal and external customers. Create and mail letters regarding Active, Pre-Medicare and Medicare enrollments, changes, disenrollments, cancellations or changes within the required accuracy ranges and adhering to all CMS PDP guidance, federal guidelines and EGID rules.
Research and Writing Specialist in the Capital Habeas Unit United States CourtsResearch and Writing Specialist in the Capital Habeas UnitOklahoma City, OKCourt Name/Organization Oklahoma Western Federal Public Defender Overview of the Position The Federal Public Defender for the Western District of Oklahoma, located in downtown Oklahoma City, is accepting applications for the position of Research and Writing Specialist (RWS) in the Capital Habeas Unit (CHU). Location OKLAHOMA CITY, OK Opening and Closing Dates 06/01/2026 - Open Until Filled Appointment Type Permanent Salary Not specified Link to Job Announcement.
Staff Research Assistant University of OklahomaStaff Research AssistantOklahoma City, OKAs a member of the OCTSI Clinical Research Unit, the Staff Research Assistant will be responsible for managing recruitment of participants in multiple clinical trials, participating in data collection and entry, as well as ensuring compliance with federal, state and institutional guidelines. Why This Role Matters: This is your opportunity to be a part of a high performing team of clinical research specialists who support groundbreaking trials that bring life-saving medications, healthy interventions and medical devices to the general public.
Research Assistant II University of OklahomaResearch Assistant IIOklahoma City, OK$38,700–$45,000 / yearEquivalency/Substitution: Will accept 48 months equivalent experience in the aforementioned fields in lieu of the Bachelor''s Degree, for a total of 72 months combined research assistant/technician experience. Position Introduction: The Research Assistant will support the department''s research mission by assisting with the coordination and execution of research activities, data collection and analysis, regulatory compliance, and project administration.
Student Academic Data and Research Assistant (Fall) University of OklahomaStudent Academic Data and Research Assistant (Fall)Norman, OK$12–$17 / hourRequired Education and Experience: Must be currently enrolled in the Fall 2026 Term as an undergraduate student in good standing at the University of Oklahoma. Data and Research Assistant Skills: Digital literacy and research skills, including the ability to analyze the reliability of information.
Clinical Research Associate II - Central/West - Oncology, Ophthalmology Thermo Fisher Scientific IncClinical Research Associate II - Central/West - Oncology, OphthalmologyOKWhat Youll Do: Monitors investigator sites with a risk-based monitoring approach: applies root cause analysis (RCA), critical thinking and problem-solving skills to identify site processes failure and corrective/preventive actions to bring the site into compliance and decrease risks. May need to maintain regular contact between monitoring visits with investigative sites to confirm that the protocol is being followed, that previously identified issues are being resolved and that the data is being recorded in a timely manner.
Staff Research Assistant - HPRC University of OklahomaStaff Research Assistant - HPRCOklahoma City, OK$33,600–$43,700 / yearThis highly competitive accreditation reflects excellence in cancer research and clinical care and helps ensure that patients and communities have access to advanced cancer treatment options, prevention research, and community-focused cancer programs. The Health Promotion Research Center (HPRC) at Stephenson Cancer Center is seeking a motivated and detail-oriented Staff Research Assistant to support multiple ongoing research studies focused on health behavior change, cancer prevention, and cancer screening.
Staff Research Assistant- HPRC University of OklahomaStaff Research Assistant- HPRCOklahoma City, OK$33,600–$43,700 / yearFor Best Consideration Date: Position Introduction: OU Health Stephenson Cancer Center is Oklahoma's only National Cancer Institute (NCI)-Designated Cancer Center, and one of only 73 NCI-Designated Cancer Centers in the United States. The Health Promotion Research Center (HPRC) at Stephenson Cancer Center is seeking a motivated and detail oriented Staff Research Assistant to support multiple ongoing research studies focused on health behavior change.
Graduate Research Assistant (Fall) University of OklahomaGraduate Research Assistant (Fall)Norman, OKThe Graduate Research Assistant will contribute to a variety of open access and digital publishing initiatives, with a particular focus on supporting OU's faculty-led, peer reviewed open access journals, published on the Open Journal Systems (OJS) digital platform. The successful applicant will gain experience with journal publishing technologies and best practices; open access initiatives as a means for expanding the ways knowledge and information is shared and used; knowledge and information management and creation; and providing assistance to and developing partnerships with stakeholders across campus and beyond.
Graduate Research Assistant - University Experiences University of OklahomaGraduate Research Assistant - University ExperiencesNorman, OKPosition Introduction: The purpose of the University Experiences Graduate Assistant program is to support promising individuals committed to a career in marketing, communications, and event management at the collegiate level, while also continuing their education at the graduate level. The Graduate Assistant will assist with planning and executing, OU events and experiences, including ribbon-cutting ceremonies, tailgates, graduation ceremonies, receptions, dinners, lecture series, luncheons, and other events.
*Staff Research Assistant Supervisor University of Oklahoma*Staff Research Assistant SupervisorOklahoma City, OKThis role leads and supports active research projects, combining hands-on laboratory work with study design, data analysis, and clinical research participation. The position offers a balance of independent investigation and teamwork, with opportunities to present findings, shape study direction, and play a key role in moving research from concept to conclusion.
Student Research Assistant (Summer) University of OklahomaStudent Research Assistant (Summer)Norman, OK$11–$14 / hourPosition Introduction: The Oklahoma Biological Survey is looking for a student worker to care for garden beds of native plants for research projects, collect data on invertebrates in the field, and analyze citizen science data. Job Duties: Gather biological data on monarch butterflies and milkweeds from online resources for analysis: Search online citizen databases for relevant data.
Graduate Research Assistant - FYEP University of Central OklahomaGraduate Research Assistant - FYEPEdmond, OKDuties such as proctoring high-stakes examinations, processing exam materials, making copies, answering phones, taking messages, typing letters, greeting visitors, data entry, filing, scanning documents, office errands, answering questions, assisting the reception area, providing customer service to students, faculty and staff. Enrollment Exception: If the number of credit hours needed to graduate is less than the minimum number of hours required for student employment, the student must obtain a letter from their Academic Advisor (stating the number of hours needed to graduate and anticipated graduation date) and submit it to Human Resources.
Assistant Program Development/Grant Writing Specialist Ponca City Development AuthorityAssistant Program Development/Grant Writing SpecialistOklahomaMust be familiar with funding research, identification of potential funding opportunities, federal grant program organization, and reporting methods. 3. Responsible for maintaining/obtaining statistical information to use in support of grant applications and progress reports.
HB Coding Denials Integrity Specialist Advocate Health and Hospitals CorporationHB Coding Denials Integrity SpecialistOklahomaRemoteWorks collaboratively with coding leadership per their direction in reviewing records with focused diagnosis and procedure codes, including specific APCs, DRGs and OIG work plan targets to assure compliance in all areas of coding, which may give visibility into documentation that is driving codes. Expert knowledge and experience in ICD-10-CM/PCS and CPT coding systems, G-codes, HCPCS codes, Current Procedural Terminology (CPT), modifiers, and Ambulatory Patient Categories (APC), MS-DRGs (Diagnosis related groups).
Oncology Data Specialist - CTO University of OklahomaOncology Data Specialist - CTOOklahoma City, OklahomaAs an Oncology Data Specialist, you’ll play a pivotal role in ensuring that trial results are accurate, compliant, and impactful—ultimately helping bring life saving treatments to patients faster. Stephenson Cancer Center is seeking a skilled and driven Oncology Data Specialist to lead critical data management efforts within the Clinical Trials Office (CTO).
Creating_Making Lab Support Specialist University of OklahomaCreating_Making Lab Support SpecialistNorman, OklahomaJOB FUNCTION: Under the direction of the Senior Program Coordinator assist with and management the Gibbs College of Architecture’s Creating_Making Labs (Innovation, Teaching and Research Labs) to include all aspects of operating a model shop/research lab with tools, equipment, and machinery with a high degree of expertise and safety. Proficiency in operating workshop machinery to include, but not limited to table saw, band saw, drill press, belt and disc sander, planer, jointer, portable sawmill, lathe, paint spray booth, laser cutter, and CNC router.
Support Engineering Data Specialist 3 The Structures Company, LLCSupport Engineering Data Specialist 3Oklahoma City, OKAs trusted partners to major aerospace OEMs and Tier 1 suppliers, we connect professionals with opportunities to grow and excel in the aviation and aerospace industries. Develop and revise military flight publications (Flight Manuals, Operating Manuals, Checklists, Handbooks, Weapons Manuals, Weight & Balance).
Support Engineering Data Specialist 2 The Structures Company, LLCSupport Engineering Data Specialist 2Oklahoma City, OKInterprets engineering data, reliability and maintainability data, supply chain data, and customer operations concepts to develop support solutions. As trusted partners to leading aerospace and defense OEMs and Tier 1 suppliers, we connect professionals with career opportunities to grow and excel in aviation, aerospace, and defense.
eLearning Specialist University of OklahomaeLearning SpecialistNorman, OklahomaSkill using authoring tools to plan and develop learning content (including Microsoft Word, PowerPoint, Adobe Acrobat, Adobe Creative Cloud, Adobe Photoshop, Articulate Storyline 360, Adobe Captivate 2019, TechSmith Camtasia and Snagit and video editing software). Organizes and leads efforts to ensure that learning and development employees remain current with training and development technology, including multi-media training delivery systems, but not limited to micro videos, podcasts, augmented reality/virtual reality (ARNR).
Senior Oncology Regulatory Specialist - CTO University of OklahomaSenior Oncology Regulatory Specialist - CTOOklahoma City, OklahomaThis is your chance to join a nationally recognized cancer center where your regulatory expertise fuels discoveries, protects patients, and drives meaningful progress in oncology research. As part of our mission to advance world class oncology science, we’re excited to offer a high impact opportunity for a skilled Senior Oncology Regulatory Specialist to join our Clinical Trials Office.
Notice-to-Show-Cause Specialist State of OklahomaNotice-to-Show-Cause SpecialistOklahoma City, OKThe functions performed by employees in this job family will vary by level, but may include the following: Contacts taxpayers by phone, email, or in-person to notify of unpaid business tax liabilities or outstanding delinquencies and advise them on actions required to become tax compliant. The Notice-To-Show-Cause (NTSC) Specialist plays a critical role in the Collections Division's primary assigned goals: the enforcement of state statutes, rules, and the collection of outstanding income and business tax delinquencies/liabilities.
Instructional Design Specialist University of OklahomaInstructional Design SpecialistNorman, OKSkill using authoring tools to plan and develop learning content (including Microsoft Word, PowerPoint, Adobe Acrobat, Adobe Creative Cloud (Photoshop, Illustrator, Media Encoder, After Effects) Articulate Storyline 360, Adobe Captivate 2019, TechSmith Camtasia and Snagit and video editing software). Required Education and Experience: Degree in Instructional Design, Education (with a concentration in Adult Education or Training and Development), Educational Psychology or a related training field from a college or university accredited by a national or regional accreditation organization recognized and sanctioned by the U.S. Department of Education.
Manufacturing and Integration Specialist University of OklahomaManufacturing and Integration SpecialistNorman, OKPosition Introduction: The Sooner''s Advanced Manufacturing Laboratory''s Manufacturing and Integration Specialist will support the fabrication and integration of components using additive and traditional manufacturing equipment available in the lab. This individual will program and operate various metal additive manufacturing, and CNC machines to produce finished components, fixturing, and tooling integral to the production of various engineering systems.
NACCHE Lead Admin Support Specialist University of OklahomaNACCHE Lead Admin Support SpecialistOklahoma City, OklahomaThe Native American Center of Cancer Health Excellence (NACCHE) at Stephenson Cancer Center is seeking a highly skilled and culturally respectful Lead Administrative Support Specialist to provide advanced administrative and operational support to center leadership, clinicians, and program teams. Your organizational leadership, attention to detail, and ability to manage complex administrative responsibilities enable scientists, clinicians, and community partners to focus on improving cancer outcomes and strengthening trust with Native American communities.
Senior Student Program Specialist University of OklahomaSenior Student Program SpecialistNorman, OklahomaThe Senior Student Program Specialist will fulfill an essential role within the department to lead the undergraduate program, student engagement, and the Accreditation Board for Engineering and Technology (ABET) accreditation process. With a new building, new equipment, and new resources, our student programs continue to grow and forge research that will help rebuild and advance society.
NewLean Six Sigma Quality Improvement Specialist - Green Belt (Contract Contingent) ProSidian ConsultingLean Six Sigma Quality Improvement Specialist - Green Belt (Contract Contingent)Oklahoma City, OKWork shall include but not be limited to the following areas: a] Drafting Services and Computer Aided Engineering Graphics (CAEG) Support; b] Engineering Drawing Preparation, Maintenance, Filing and Reproduction, and c] Maintain FAALC Engineering Library (1) Maintain Engineering Drawing Copies, (2) Maintain Computer Databases, (3) Maintain FAA Specifications, (4) Maintain Electronic Equipment Modifications, (5) Maintain National Stock Number Files, (6) Maintain FAA Equipment Modification Publications, and (7) Provide Engineering Library Research Assistance such as [a] Environmental Safety and Occupational Health Support [b] Lean Six Sigma Quality Improvement Support, [c] Logistics Specialist Support, [d.] Management and Program Analyst Support, and [e] Project Management Support. These services shall include facilitating, planning, coordinating, reviewing, evaluating and reporting all activities for the purpose of completing organizational continual improvement projects, identifying and removing the causes of defects and errors in the FAA Logistic Centers processes using Lean Six Sigma techniques to remove any waste in these processes.
Project Management Specialist Level III S & K Technologies, Inc.Project Management Specialist Level IIIOklahoma City, OKFull timeThe Project Management Specialist III shall provide management and program analysis services to the FAALC to include, but not limited to planning, scheduling, conducting, and reporting analyses of management, administrative, and logistics programs and procedures to determine resource requirements and utilization, workflow processes, and the efficiency, effectiveness, and productivity of functional operations. Refers difficult problems and work issues to a manager and/or team lead, program/project manager or more experienced technical specialist when guidelines are not available or applicable.
NewHuman Resources Management Specialist State of OklahomaHuman Resources Management SpecialistOklahoma City, OKLevel II: Education and Experience requirements at this level consist of a bachelor's degree plus one year of professional experience in human resources management; or a master's degree in human resources, industrial/organizational psychology, public administration, sociology, psychology or a closely related degree; or four years of technical human resources management experience plus one year of professional experience in human resources management. Level III: Education and Experience requirements at this level consist of bachelor's degree plus two years of professional experience in human resources management; or a master's degree in human resources, industrial/organizational psychology, public administration, sociology, psychology or a closely related degree plus one year of professional experience in human resources management; or an equivalent combination of education and experience.
NewWater/Wastewater Engineering Specialist STVWater/Wastewater Engineering SpecialistOklahoma City, OklahomaIf you are innovative, enjoy problem solving and technical challenges, like collaborating to find the best solution, and want to be in an environment where you are valued as you learn and grow, we would like to talk with you. STV is seeking a professional Water/Wastewater Engineering Specialist to join our Water/Wastewater division in either Oklahoma City, OK.
Student and Family Micro-Credentialing Learning Specialist University of OklahomaStudent and Family Micro-Credentialing Learning SpecialistNorman, OklahomaThe K20 GEAR UP the LIFE Student and Family Micro-Credentialing Specialist will support the project team in planning, organizing, communicating, and monitoring evidence-based services with project partners and ensure they are aligned with specified project outcomes. The incumbent will utilize project management, participant management, and the development of high-quality resources supporting the implementation of their team's services and monitoring stakeholder engagement in these services.
Electrical Engineering Specialist STVElectrical Engineering SpecialistOklahoma City, OklahomaExperience with 480 V and below electrical equipment (MCC and motor controls, transformers, VFDs, etc) and calculations: Conduit fill, voltage drop, transformer sizing, Feeder/conductor sizing, panelboard and breaker sizing. - Experience with wiring diagrams, electrical interconnects, panel layouts, junction box design, PLC design, plot plans, loop diagrams, I/O lists, P&IDs, cable/conduit schedules, electrical and instrumentation details.
NewTransportation Specialist State of OklahomaTransportation SpecialistEdmond, OKEducation and Experience requirements at this level consist of five years of experience in transportation related work; or an equivalent combination of education and experience, substituting 30 semester hours for up to four years of the required experience, including two college courses in mathematics, natural science, engineering or a closely related field. Education and Experience requirements at this level consist of three years of experience in transportation related work; or an equivalent combination of education and experience, substituting 30 semester hours for each year of the required experience, including two college courses in mathematics, natural science, engineering or a closely related field.
Client Relationship Specialist III BOK Financial CorpClient Relationship Specialist IIIOklahoma City, OKThe Client Relationship Specialist III supports relationship managers and clients in the management of the commercial banking portfolios, including compliance/operational processes, ensuring that all of the commercial banking processes flow effectively and efficiently. Youll assist Commercial Lending Officers in developing new lending and depository business with existing and prospective customers, including preparing packages for Bank product presentations, with guidance from CRS IV or Supervisor.
Senior Accounting Specialist University of OklahomaSenior Accounting SpecialistOklahoma City, OklahomaThe Office of the Bursar provides operational support to students, academic departments, and administrative offices to ensure that the University of Oklahoma stays on mission: to provide the best possible educational experience for our students through excellence in teaching, research and creative activity, and service to the state and society. The Office of the Bursar is currently looking for a Senior Accounting Specialist that will communicate and work with our students here at the OU Health Sciences Center and its many departments!
Senior Human Resource Specialist (50513) Gap Solutions, Inc.Senior Human Resource Specialist (50513)Oklahoma City, OKConduct various workforce related studies such as workforce mobility assessment, workforce competency model, workforce career path model, workforce performance analysis, workforce staffing structure and workforce demand model.\n\n. Position Objective: As a Senior Human Resource Specialist, apply a broad range of advanced skills and expertise in the full range of federal HR areas including but not limited to staffing, classification, processing, benefits, recruitment, compensation, SES programs, work life programs, policy and employee and labor relations.
Lead Admin Support Specialist University of OklahomaLead Admin Support SpecialistOklahoma City, OklahomaOU Health Stephenson Cancer Center is Oklahoma’s only National Cancer Institute (NCI)-Designated Cancer Center, and one of only 73 NCI-Designated Cancer Centers in the United States. Travel Coordination — Manage travel authorizations, arrange travel logistics, and support conference registrations for physicians, guest speakers, faculty recruits, and leadership.
NewDisability Program Specialist IV State of OklahomaDisability Program Specialist IVOklahoma City, OKAbility is required to read and comprehend statutes, guidelines, and other technical matter; to analyze situations and make appropriate decisions; to communicate effectively, both orally and in writing; to establish and maintain effective working relationships with others; to develop and implement various programs dealing with the problems of persons with disabilities; to provide technical assistance to clients and others in matters associated with disability programs and services; to conduct inspections and investigations; to provide casework management; and to supervise the work of others. Knowledge, Skills and Abilities required at this level include knowledge of federal, state and municipal laws and regulations affecting programs for persons with disabilities; of available community resources for persons with disabilities; of employment problems related to various types of disabilities; of complaint procedures associated with disability problems; of interviewing techniques; of techniques used in research and investigations; of report writing; of grievance and legal processes; and of supervisory principles and practices.
MV Support Specialist I State of OklahomaMV Support Specialist IOklahoma City, OKThe preferred minimum qualifications for this position are: An Associate's Degree in any field; PLUS one (1) year of experience in customer service, call center, administrative support, or motor vehicle; OR three (3) years of experience in customers service, call center, administrative support, or motor vehicle; OR equivalent combination of education and experience. The Motor Vehicle Support Specialist serves as the first point of contact for License Operators (LOs), internal staff, and the public regarding motor vehicle services and transactions.
NewProcessing Specialist I State of OklahomaProcessing Specialist IOklahoma City, OKAn associate's degree in accounting, business, public administration or a closely related field; PLUS two (2) years of experience in bookkeeping, tax revenue, customer service, accounts maintenance, or closely related work. The Level III is the subject-matter-expert or Team Lead where employees are assigned responsibilities at the full performance level and have authority to authorize issuance of titles on vehicles, boats and motors.
Provider Enrollment Specialist II - Full Time Experity IncProvider Enrollment Specialist II - Full TimeOK$19.10–$22.50 / hourFlexibility - Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance. Experity is a mission-driven team transforming on-demand healthcare across the U.S., empowering urgent care clinics with industry-leading software that makes care faster, easier, and more patient-focused.
Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Oklahoma City, OKRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.