43 senior legal policy officer jobs found in Oklahoma City

Become a part of our caring community and help us put health first Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team of Investigators conducts investigations into allegations of fraud, waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator, you will serve as Humana's Program Integrity Officer, and will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to prevent and detect potential FWA activities pursuant to state and federal rules and regulations. Additionally, you will act as the primary point of contact for OHCA and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects of FWA activities in Oklahoma to increase Medicaid program transparency and accountability. You will report to the SIU Director and work closely with...

Become a part of our caring community and help us put health first The Senior Data Manager acquires, cleans and develops datasets from internal and external sources to support business analysis and reporting. The individual will acquire, validate, store, protect, and adhere to processes around data to ensure the accessibility, reliability, and timeliness of the data for its users. The candidate will also be responsible for developing and executing data architectures, policies, practices and procedures that properly manage the full data lifecycle needs of an enterprise. The ideal candidate will have: Ability to interact with business and IT departments in understanding user needs Able to translate the business needs to technical requirements in terms of data needs Be self-motivated and possess the ability to manage multiple priorities and meet deadlines. Possess the capacity to maintain confidentiality and work independently. Identifies...

Become a part of our caring community and help us put health first The Lead, Enterprise Data Governance Professional is responsible for implementing, operating, and maturing the Integrated Business Advancement organization's data governance program. This role applies advanced expertise to ensure consistent data quality, trustworthy data usage, and adherence to enterprise data standards. The Lead works on complex issues with moderate to substantial scope, exercises independent judgment, and operates with minimal supervision. This position also serves as a technical resource for enterprise data platforms while providing training and guidance to Data Stewards. The Lead, Enterprise Data Governance Professional provides oversight of data usage, data quality, system analysis, and data retention policies to ensure robust and compliant data management practices across the organization. This role collaborates across business units, technology teams, and leadership stakeholders to...

Company : Highmark Health Job Description : Job Summary This job is responsible for providing analytical support to HR Operations Shared Services Administration team and Centers of Excellence Team with regard to a variety of administrative, systems, and business operations problems, and participation in related system development projects. Responsibilities may include: analysis, audits, compliance and regulatory reporting, quality assurance, interaction with employees and HR staff, and higher emphasis on problem resolution. Further, this job will partner with all HR segments, including compensation, communications, talent acquisition, business partners, and HR Operations to ensure understanding of plans and compliance requirements and to assist in continuously improving HR processes and employee experience. This role is looking for someone who has experience with payroll tax and UKG experience (United Kronos Group) Essential Responsibilities Support the HR...

Company : Highmark Health Job Description : JOB SUMMARY As part of the Compensation and Recognition Center of Excellence, this job designs, develops, and consults on Sales and broad-based compensation programs and initiatives for the Company and for assigned business units; evaluates and benchmarks current compensation programs to determine competitive position; uses in-depth knowledge, strategic judgment and technical expertise to successfully develop, execute, and communicate compensation programs and processes. This role can be remote or hybrid. Preferred location is Pittsburgh PA, however will consider other locations for the right candidate. This role will be hybrid if a candidate is 50 miles or less to an office - 3 days a week onsite - T, W. Th. ESSENTIAL RESPONSIBILITIES Effectively analyze, improve, consult and educate on, and execute various base pay, variable and supplemental compensation programs for the Company and/or assigned business...

Senior Agency Closing Officer (Remote-Eligible) The Senior Agency Closing Officer will have a keen understanding of Agency requirements as it relates to closing loans, and a good understanding of crossover relationships between Originations, Underwriting, Closing, Servicing and Asset Management. Responsible to operate with autonomy and limited supervision in performing activities related to overseeing and managing the operational aspects of Fannie Mae and Freddie Mac multifamily mortgage loan closings. Able to analyze issues and process information for sound decision making. Must be able to handle the pressure of a busy mortgage finance company and independently meet strict corporate and GSE regulatory deadlines while maintaining a high quality of service. Must have superior customer service skills, be detail oriented and self-motivated. Responsibilities: Maintain close communication with customers, originators, third party vendors and underwriters to ensure proper...

Overview At PNNL, our core capabilities are divided among major departments that we refer to as Directorates within the Lab, focused on a specific area of scientific research or other function, with its own leadership team and dedicated budget. Our Science & Technology directorates include National Security, Earth and Biological Sciences, Physical and Computational Sciences, and Energy and Environment. In addition, we have an Environmental Molecular Sciences Laboratory, a Department of Energy, Office of Science user facility housed on the PNNL campus. The Emerging Threats and Technologies Division, part of the National Security Directorate, consists of over 400 scientists, engineers, and analysts with backgrounds in cyber, nuclear, intelligence, policy, data science, and other fields. We work in interdisciplinary project teams to provide innovative concepts that integrate policy, analytics, science, and technology into unique solutions. Protecting U.S. residents and...

Overview At PNNL, our core capabilities are divided among major departments that we refer to as Directorates within the Lab, focused on a specific area of scientific research or other function, with its own leadership team and dedicated budget. Our Science & Technology directorates include National Security, Earth and Biological Sciences, Physical and Computational Sciences, and Energy and Environment. In addition, we have an Environmental Molecular Sciences Laboratory, a Department of Energy, Office of Science user facility housed on the PNNL campus. The Emerging Threats and Technologies Division, part of the National Security Directorate, consists of over 400 scientists, engineers, and analysts with backgrounds in cyber, nuclear, intelligence, policy, data science, and other fields. We work in interdisciplinary project teams to provide innovative concepts that integrate policy, analytics, science, and technology into unique solutions. Protecting U.S. residents and...

Become a part of our caring community and help us put health first We are seeking an accomplished Senior Software Engineer to design, implement, and operate mission-critical stateful services that form the backbone of real-time, automated decisioning and personalization platforms. These systems are responsible for maintaining authoritative state, orchestrating lifecycle transitions, and ensuring reliable downstream effects-often in high-concurrency, low-latency environments. This position is ideal for engineers with a strong grasp of state machines, idempotency, distributed systems, and "exactly-once" execution semantics. You will also employ advanced AI-assisted and agentic engineering tools to drive correctness, velocity, resilience, and scalability. Key Responsibilities State Machine Architecture & Implementation Design, build, and maintain explicit state machines governing: Lifecycle transitions (e.g., open ? in progress ? completed ? suppressed)...

Company : Highmark Inc. Job Description : JOB SUMMARY This role is a high-impact role responsible for leading complex strategic initiatives aimed at optimizing the organization's programs in a specific business area or discipline. This individual functions as an internal "consultant," taking ownership of critical projects from conception to actionable recommendations, directly influencing strategy and driving measurable improvements in program effectiveness and resource alignment. With a deep understanding of health plan economics and exceptional strategic problem-solving abilities, the incumbent excels at transforming sophisticated ad-hoc analyses into compelling strategic solutions that align with the organization's mission of improving health outcomes and member value. ESSENTIAL RESPONSIBILITIES Lead and manage end-to-end strategic projects focused on program optimization across various clinical areas, defining project scope, methodologies,...

Become a part of our caring community and help us put health first We are seeking a seasoned Lead Software Engineer to architect and deliver the foundational services that enable real time recommendations to become dependable, auditable, and scalable outcomes. In this position, you will own the design and implementation of the State Machine (managing authoritative state and legal transitions) and Transactional Outbox (ensuring exactly-once intent emission for downstream consumers). Your solutions must be robust, traceable, and maintain high performance under significant concurrency and latency demands. This role is hands-on, combining technical leadership with active engineering: you will architect systems, set technical standards, mentor peers, and collaborate closely across platform, data, and product teams. Key Responsibilities State Machine Architecture Define execution lifecycles and business states, implementing strict legal transition guards....

Become a part of our caring community and help us put health first Job Title: CenterWell Senior Associate, Digital Department: CenterWell Digital Marketing Location: Remote Reporting To: Associate Director, CenterWell Digital Marketing Become a part of our caring community and help us put health first. At CenterWell, we're transforming healthcare by delivering integrated, personalized experiences that put patients at the center of care. As a leading provider of senior-focused primary care, home health services, and pharmacy solutions-including specialty, mail order, and retail, we're committed to whole-person wellness: physical, emotional, and social. We're seeking a strategic digital marketing associate to help elevate CenterWell's digital presence and connect more seniors with personalized care. As Senior Associate, Digital you'll own and execute digital strategies across key owned channels-website, email, SMS, and organic social-to drive awareness, engagement,...

Become a part of our caring community and help us put health first Become a part of our caring community and help us put health first Are you energized by connecting dots across brands and business units? As the Senior Associate, Enterprise & Cross Brand Initiatives, you'll support the development and execution of marketing strategies that span Humana's enterprise and brand portfolio. You'll help ensure consistency, cohesion, and strategic alignment across initiatives that impact multiple lines of business and the broader enterprise. Role Responsibilities Support the planning, development, and execution of enterprise-wide marketing initiatives that span multiple brands, business units or enterprise efforts, ensuring cohesive storytelling and brand alignment. Collaborate closely with Brand Strategy, Product Marketing, and Corporate Communications to ensure integration, consistency, and clarity across all enterprise and cross-brand marketing efforts....

Become a part of our caring community and help us put health first We are seeking a Lead Machine Learning Engineer to architect, develop, and manage machine learning systems that enable real-time, personalized decision-making across digital and assisted channels. These platforms leverage predictive modeling, optimization algorithms, and contextual data to identify the most relevant next action for each individual-at scale, with minimal latency, and with a strong emphasis on reliability and explainability. This position centers on production machine learning engineering. You will lead the creation of ML pipelines, online inference services, and decision-time scoring logic, utilizing AI-assisted and agentic solutions to enhance development velocity, model quality, and operational effectiveness. Key Responsibilities ML System Design & Architecture Design and manage end-to-end machine learning systems, including: Feature engineering and reuse strategies...

Become a part of our caring community and help us put health first We are seeking a Lead Automation Engineer to establish and guide a sophisticated quality and test automation function for a large-scale, real-time decisioning platform. This platform delivers personalized recommendations and actions across digital, call-center, and marketing channels through a combination of stateful logic, business rules, and machine learning. This position extends beyond conventional test automation. You will spearhead the adoption of AI-driven and agentic automation methods to validate intricate decision logic, broaden coverage for edge cases, and enhance system confidence where accuracy, explainability, and reliability are essential. Key Responsibilities Automation Strategy & Architecture Develop and own the comprehensive automation strategy for a distributed, real-time decisioning platform, including: API and service-level validation Stateful workflow and...

Become a part of our caring community and help us put health first We are building an innovative Next Best Action (NBA) platform designed to power personalized engagement, gamified incentives, and advanced agentic AI decision-making across the enterprise. As Lead Technical Product Manager (PM-T), you will shape the product vision, define the roadmap, and oversee delivery of the NBA platform. Your responsibilities include integrating data, predictive models, and APIs to enable real-time decisioning, rewards, and AI-driven experiences throughout digital and service channels. You will work in close partnership with engineering, data science, AI, and business teams to develop solutions that drive improvements in Star Ratings, expedite HEDIS gap closure, and enhance CAHPS satisfaction scores. Key Responsibilities Product Vision & Strategy Define and drive the NBA platform strategy to deliver data-driven personalization and intelligent engagement for all...

Become a part of our caring community and help us put health first The Director, Next Best Action (NBA) Platform, is accountable for architecting and expanding an enterprise-level, real-time decisioning platform that enables personalized, compliant, and measurable interactions across digital, call-center, and marketing channels. This position provides both technical and delivery leadership in the areas of decisioning, state management, business rules, machine learning integration, and channel activation, ensuring that all decisions are rapid, transparent, governed, and continuously optimized. Primary Responsibilities Platform & Architecture Leadership Oversee the comprehensive architecture of real-time decisioning, including: Decision orchestration services State management and lifecycle tracking Eligibility and policy evaluation Action and offer metadata management Integration of ML scoring and ranking Define clear...

Become a part of our caring community and help us put health first The Director, Corporate Communications develops and coordinates lines of communication outside the organization. The Director, Corporate Communications requires an in-depth understanding of how organization capabilities interrelate across the function or segment. The Director of CenterWell External Communications in Corporate Communications works closely with senior executives in this critical businesses on external communications, corporate reputation, media and public relations. The director also provides strategic advice and guidance to an internal team of Humana associates, as well as external public relations agency partners, to ensure Corporate Communications is successfully helping to position each of these businesses as they pursue performance and growth goals. Use your skills to make an impact This is NOT a Marketing position Required Qualifications Bachelor's degree in...

Become a part of our caring community and help us put health first Come join our IT Strategy team! We design and activate strategies to address healthcare opportunities and challenges with technology-enabled solutions. As a Principal in our team, you'll enable Humana leaders as they leverage modern technology to deliver health care and insurance for patients and members. Our team operates at the evolving and mission-driven intersection of strategy, technology, and healthcare. This role offers you the chance to help lead and grow as we transform the technology of healthcare. Primary responsibilities Create a clear strategy for IT, and harmonize that IT strategy with enterprise and business strategy in a dynamic, fast-paced environment Deliver executive-level presentations that frame data-based challenges, opportunities, and the strategic roadmaps to deliver outcomes Activate IT strategies by engaging business and tech leaders, handing off execution to...

Senior Project Manager, Mission Critical Location: Oklahoma City, OK, US, 73104 Best People + Right Culture. These are the driving forces behind JE Dunn's success. By hiring inspired people, giving them interesting and challenging work, enabling them with innovative tools, and letting them share in the company's rewards, we've found a sustainable way to grow in our industry for the last 100+ years. Our diverse teams around the country strive to enrich lives through inspired people and places everyday, and we need inspired people like you to join us in our pursuit of building perfection. JE Dunn's Advanced Facilities Group (AFG) combines Mission Critical, Advanced Industries, and Industrial & Manufacturing into one high-performing team focused on cutting-edge work to serve innovative clients on large Industrial & Manufacturing, Data Center, and Semiconductor projects. As part of the Advanced Facilities team, you'll work on some of the most advanced...

Project Manager 2, Mission Critical Location: Oklahoma City, OK, US, 73104 Best People + Right Culture. These are the driving forces behind JE Dunn's success. By hiring inspired people, giving them interesting and challenging work, enabling them with innovative tools, and letting them share in the company's rewards, we've found a sustainable way to grow in our industry for the last 100+ years. Our diverse teams around the country strive to enrich lives through inspired people and places everyday, and we need inspired people like you to join us in our pursuit of building perfection. JE Dunn's Advanced Facilities Group (AFG) combines Mission Critical, Advanced Industries, and Industrial & Manufacturing into one high-performing team focused on cutting-edge work to serve innovative clients on large Industrial & Manufacturing, Data Center, and Semiconductor projects. As part of the Advanced Facilities team, you'll work on some of the most advanced...

Become a part of our caring community and help us put health first With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. IFG is a subsidiary of Humana The Senior Organization Effectiveness Professional optimizes the effectiveness of a company, business unit, or team. Analyze the internal structure of the organization and create strategies to maximize employee work output and effectively utilize employee skills. The Senior Organization Effectiveness Professional work assignments involve moderately complex to complex...

Become a part of our caring community and help us put health first With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. IFG is a subsidiary of Humana The Senior Learning Facilitation Professional conducts or facilitates training courses for organization employees or external audiences. The Senior Learning Facilitation Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Position Overview The Senior...

Company : Highmark Health Job Description : JOB SUMMARY This job defines the product's fundamental value proposition, outlines vision and execution plans, gains alignment and support from key strategic partners and stakeholders, and oversees execution of that vision, while also providing coaching and guidance to junior team members. This incumbent will attend and participate in milestone reviews with the Delivery team. ESSENTIAL RESPONSIBILITIES Understand the department's and the company's strategic roadmap and competitive position, and develop a holistic product vision and the corresponding product strategy to drive maximum value. Actively anticipate future needs and utilize metrics and qualitative input to identify asset improvement opportunities. Represent the product in all governance meetings. Clearly set and communicate roadmaps, priorities, experiments, and decisions across audiences, from product team to executive levels....