Tulsa, Oklahoma, United States · On-site
JOB SUMMARY: The Director Enterprise Data & Analytics is responsible for leading the organization’s data strategy, analytics, reporting, governance, and data engineering functions. This role partners across executi…
Skills: Data Strategy, Business Intelligence, Data Governance, Data Engineering, Healthcare Analytics
Tulsa, Oklahoma, United States · On-site
JOB SUMMARY: The Stars Medication Adherence Specialist implements, tracks and supports new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for providers and…
Skills: Medication Adherence, Healthcare Quality Improvement, Data Collection, Chart Research, Pharmacy Coordination
Tulsa, Oklahoma, United States · On-site
JOB SUMMARY: The Analyst provides analytical support for all departments, including analysis, pricing, capitation, network and provider specific reporting. Analytical support includes creating and executing beginner and …
Skills: Data Analysis, Reporting, Statistical Analysis, Data Modeling, SAS
Tulsa, Oklahoma, United States · On-site
JOB SUMMARY: The Cost Containment Specialist is responsible for ensuring CommunityCare receives appropriate reimbursement of payment on claims. The Specialists will take actions such as identification of outstanding over…
Skills: Claims processing, Cost containment, Medical billing, Data entry, Overpayment recovery
Tulsa, Oklahoma, United States · On-site
JOB SUMMARY: This position is a part of a team that provides support to Brokers via email and phone communication. Support is provided for billing/invoice inquiries, eligibility inquiries, claims inquiries, and benefit v…
Skills: Customer Service, Broker Support, Communication, Active Listening, Time Management
Tulsa, Oklahoma, United States · On-site
JOB SUMMARY: Responsible for retaining existing Medicare and Individual Health Plan members through proactive outreach, exceptional service, and personalized support. The Retention Specialist helps CommunityCare achieve …
Skills: Medicare Advantage, Individual Health Plan, Customer Service, Member Retention, Proactive Outreach
Tulsa, Oklahoma, United States · On-site
JOB SUMMARY: Responsible for retaining existing Medicare and Individual Health Plan members through proactive outreach, exceptional service, and personalized support. The Retention Specialist helps CommunityCare achieve …
Skills: Medicare Advantage, Individual Health Plan, Customer Service, Member Retention, Relationship Building
Tulsa, Oklahoma, United States · On-site
JOB SUMMARY: The Sr. Software Engineer will build out the next generation of our platform. As a Sr. Software Engineer, you are expected to work independently, and within teams, leading the development of software feature…
Skills: C#, .NET, Microsoft SQL, JavaScript, Angular
Tulsa, Oklahoma, United States · On-site
JOB SUMMARY: The Data Engineer will be responsible for expanding, optimizing and monitoring our data and data pipeline architecture, as well as optimizing data flow and collection across organizational teams. The Data En…
Skills: Data Engineering, Data Pipeline Architecture, SSIS, ETL, SQL
Tulsa, Oklahoma, United States · Remote OK
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 memb…
Skills: Utilization review, Clinical review, Care management, Discharge planning, Medical necessity determination
Tulsa, Oklahoma, United States · On-site
JOB SUMMARY: The Facilities Security Coordinator is responsible for ensuring a safe and secure work environment for employees and guests at the CommunityCare Member & Resource Center. The Facilities Security Coordinator …
Skills: Security monitoring, Customer service, Emergency response, Access control systems, Surveillance
Tulsa, Oklahoma, United States · Remote OK
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 memb…
Skills: Utilization review, Clinical review, Care management, Discharge planning, Managed care
Tulsa, Oklahoma, United States · On-site
JOB SUMMARY: Responsible for providing customer service support for behavioral health benefits, directing members to appropriate in network services, processing prior authorizations according to CMS and State regulations…
Skills: Customer service, Telephone support, Prior authorizations, Behavioral health, Data entry
Tulsa, Oklahoma, United States · Remote OK
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 memb…
Skills: Utilization review, Clinical review, Care management, Medical necessity determination, Discharge planning
Tulsa, Oklahoma, United States · On-site
JOB SUMMARY: Responsible for providing customer service support for behavioral health benefits, directing members to appropriate in network services, processing prior authorizations according to CMS and State regulations…
Skills: Customer service, Telephone support, Prior authorizations, Data entry, Microsoft applications
Tulsa, Oklahoma, United States · On-site
JOB SUMMARY: Responsible for maintaining and supporting the Help Desk and new systems including network installations, personal computers support and maintenance, and infrastructure development. KEY RESPONSIBILITIES: Mai…
Skills: Help Desk Support, Network Administration, Hardware Troubleshooting, Software Troubleshooting, LAN/WAN Networking
Tulsa, Oklahoma, United States · Remote OK
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 memb…
Skills: Utilization review, Clinical review, Care management, Discharge planning, Managed care
Tulsa, Oklahoma, United States · On-site
JOB SUMMARY: The Clinical Quality Program RN (STARS) plays a critical role in promoting, protecting, and improving the health of the health plan's members. This role involves developing and implementing initiatives to ma…
Skills: Clinical assessment, Critical thinking, Problem-solving, Communication, Patient engagement
Tulsa, Oklahoma, United States · On-site
JOB SUMMARY: The Provider Performance Specialist plays a key role in strengthening relationships between the health plan and its provider network by offering education, support, and guidance on performance improvement in…
Skills: Provider relations, Provider engagement, Performance improvement, Star ratings, HEDIS
Tulsa, Oklahoma, United States · On-site
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 in…
Skills: Employee engagement, Internal communications, Event coordination, Project management, Organizational skills
Tulsa, Oklahoma, United States • On-site
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The Director of Enterprise Data & Analytics leads the organization's data strategy, governance, and engineering functions to drive AI-enabled decision-making. They partner with executive leadership to modernize data platforms and ensure reporting solutions align with regulatory requirements.
Candidates must possess at least seven years of progressive experience in analytics or data engineering, including three years in a leadership capacity. A bachelor's degree in a relevant field is required, with a master's degree preferred, alongside extensive hands-on experience with Power BI and healthcare data domains.
The Director Enterprise Data & Analytics is responsible for leading the organization’s data strategy, analytics, reporting, governance, and data engineering functions. This role partners across executive, technical, financial, clinical, and operational teams to deliver trusted data, scalable analytics, reporting modernization, and AI-enabled decision-making support that advances operational excellence, regulatory confidence, and long-term business success.
KEY RESPONSIBILITIES:
CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin
Caring for Oklahomans like no other health plan can or does.
CommunityCare is Oklahoma's largest locally owned health plan. Products offered include group and individual plans, Medicare Advantage plans, an employee assistance program and a workers' compensation plan. Located in Tulsa, CommunityCare is owned by Ascension St. John and Saint Francis Health System. CommunityCare is proud to be Oklahoma’s best choice for health care.
Offices: Two West Second Street, Suite 100, Tulsa, OK 74103, US
Caring for Oklahomans like no other health plan can or does.
CommunityCare is Oklahoma's largest locally owned health plan. Products offered include group and individual plans, Medicare Advantage plans, an employee assistance program and a workers' compensation plan. Located in Tulsa, CommunityCare is owned by Ascension St. John and Saint Francis Health System. CommunityCare is proud to be Oklahoma’s best choice for health care.
Offices: Two West Second Street, Suite 100, Tulsa, OK 74103, US
