Adjustment Clerk jobs in Enid, OK

Adjustment Clerk reviews and follows up on customer complaints regarding account balances and uncredited items. Analyzes associated documents and makes necessary adjustments to accounts and/or recommendations to resolve customer issues. Being an Adjustment Clerk communicates results of findings to customer. Requires a high school diploma or its equivalent. Additionally, Adjustment Clerk typically reports to a supervisor or manager. The Adjustment Clerk possesses a moderate understanding of general aspects of the job. Works under the close direction of senior personnel in the functional area. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)

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Director, Risk Adjustment
  • Centene Corporation
  • Oklahoma, OK FULL_TIME
  • You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

    Oklahoma Complete Health, a Centene company, is committed to providing quality healthcare solutions to transform the health of Oklahomans.


    At Oklahoma Complete Health, we are community advocates and change-makers in search of an inclusive culture grounded by our commitment to work-life balance, competitive compensation, and continuous career development. Join us and be a part of a collaborative, growing network of innovative thinkers delivering solutions at the local level.

    Position Purpose: The Director, Risk Adjustment is a key strategic leader responsible for driving the Risk Adjustment for various lines of business and achieving related revenue targets. This includes identifying opportunities to improve completeness as well as accuracy of risk adjustment data submitted to CMS and HHS. This leader is also responsible for the development, analysis and reporting of key risk adjustment metrics, as well as overseeing analyses of new legislation and regulations regarding Risk Adjustment and assessing the impact of any changes in the programs.

    • Partner with executive leadership to plan the strategic direction of Risk Adjustment initiatives to facilitate achievement of the business goals and objectives and success criteria for the future. Evaluate and oversee the development and implementation of CMS and HHS risk adjustment program changes. Incorporate changes and requirements into strategy.
    • Coordinate with appropriate functional areas including Medical Management, Quality, Pharmacy, Operations, etc. as it relates to Risk Adjustment, Clinical Risk Groups and Quality initiatives. Use analytics to define Risk Adjustment focus. Identify areas to increase quality and maximize opportunities.
    • Direct the development of key analytics and data to support Risk Adjustment financial forecasts, analysis and reporting to engage key stakeholders and communicate program results to the organization. Educate internal and external stakeholders on changes in regons and the critical nature of risk adjustment and recommend areas of process improvement.
    • Maximize return on investment in Risk Adjustment operations by reducing reliance on vendors and increasing validity of data submissions.
    • Maintain and oversee an effective and optimal Risk Adjustment submission process and Quality Assurance Program. Monitor, measure and communicate Risk Adjustment performance and submission quality relative to the various program strategies.
    • Develop performance targets for both internal and external constituents. Ensure that performance targets are set and included in contracts where appropriate. Track progress against stated goals and drive to attainment.
    • Verify that data submissions are complete and accurate and that the pertinent authority has confirmed receipt. Serve as the subject matter expert in projects and initiatives. Drive Risk Adjustment best-practices across all lines of business.
    • Ensure alignment and attainment of Risk Adjustment goals with business owners. Develop and implement employee training and provider outreach programs, as needed, to improve Risk Adjustment performance.

    Education/Experience: Must possess a Bachelor’s Degree from an accredited college or university. Preferred field of study: business, math, finance, economics, actuarial science, healthcare administration or other related health care field. Position requires at least two years of experience with Risk Adjustment. Experience at a Manager or Director level is preferred. Experience with actuarial, finance and/or operational activities of a health plan. Demonstrated success in improving Risk Adjustment measures. Demonstrated success leading cross-functional teams. Ability to prioritize tasks with competing deadlines.


    Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.


    Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

  • 23 Days Ago

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Clerk
  • Postal Source
  • Shawnee, OK FULL_TIME
  • POSTAL CLERK NO EXPERIENCE REQUIRED PAID TRAINING PROVIDED JOB SECURITY The Postal Service is the largest government related agency in terms of employees. The Postal Service currently employs nearly 1...
  • Just Posted

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Clerk
  • The Postal Service
  • Hillsdale, OK FULL_TIME
  • POSTAL CLERK NO EXPERIENCE REQUIRED PAID TRAINING PROVIDED JOB SECURITY The Postal Service is the largest government related agency in terms of employees. The Postal Service currently employs nearly 1...
  • Just Posted

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Clerk
  • The Postal Service
  • Carrier, OK FULL_TIME
  • POSTAL CLERK NO EXPERIENCE REQUIRED PAID TRAINING PROVIDED JOB SECURITY The Postal Service is the largest government related agency in terms of employees. The Postal Service currently employs nearly 1...
  • Just Posted

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Clerk
  • Postal Source
  • Durant, OK FULL_TIME
  • POSTAL CLERK NO EXPERIENCE REQUIRED PAID TRAINING PROVIDED JOB SECURITY The Postal Service is the largest government related agency in terms of employees. The Postal Service currently employs nearly 1...
  • Just Posted

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Clerk
  • Postal Source
  • Ponca, OK FULL_TIME
  • POSTAL CLERK NO EXPERIENCE REQUIRED PAID TRAINING PROVIDED JOB SECURITY The Postal Service is the largest government related agency in terms of employees. The Postal Service currently employs nearly 1...
  • Just Posted

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0 Adjustment Clerk jobs found in Enid, OK area

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Travel Nurse RN - ICU - Intensive Care Unit - $1,664 per week
  • Aureus Medical Group - Nursing
  • Enid, OK
  • Job Description Aureus Medical Group - Nursing is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursi...
  • 3/28/2024 12:00:00 AM

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Travel Nurse RN - Med Surg - $1,954 per week
  • Aureus Medical Group - Nursing
  • Enid, OK
  • Job Description Aureus Medical Group - Nursing is seeking a travel nurse RN Med Surg for a travel nursing job in Enid, O...
  • 3/28/2024 12:00:00 AM

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General Manager in Training - Retail
  • Love
  • Enid, OK
  • ** General Manager in Training - Retail** Location: Enid, OK, US, 73701 **Req ID:** 289889 Address: 4104 East Randolph E...
  • 3/28/2024 12:00:00 AM

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Rental Tech II
  • Warren CAT
  • Enid, OK
  • TEAM UP WITH US! The Rental Technician II is responsible for providing high quality repair service on equipment, in orde...
  • 3/27/2024 12:00:00 AM

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Sales and Management Intern
  • Buckle LLC
  • Enid, OK
  • Summary The Sales and Management Intern position's primary responsibility is to fulfill our mission statement, "to creat...
  • 3/27/2024 12:00:00 AM

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Assistant Manager
  • Sonic Drive-In
  • Tonkawa, OK
  • Description: There are two kinds of people in this world: SONIC employees and those who wish they were SONIC employees. ...
  • 3/26/2024 12:00:00 AM

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Airplane Pilot
  • Department of Defense
  • Enid, OK
  • Summary Click on "Learn more about this agency" button below for IMPORTANT additional information. This position may be ...
  • 3/25/2024 12:00:00 AM

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Branch Office Administrator
  • Edward Jones
  • Kingfisher, OK
  • Would you call yourself a relationship builder, a problem solver or a critical thinker? If you answered yes, we need you...
  • 3/11/2024 12:00:00 AM

Enid (ē'nĭd) is a city in Garfield County, Oklahoma, United States. As of the 2010 census, the population was 49,379, making it the ninth-largest city in Oklahoma. It is the county seat of Garfield County. Enid was founded during the opening of the Cherokee Outlet in the Land Run of 1893, and is named after Enid, a character in Alfred, Lord Tennyson's Idylls of the King. In 1991, the Oklahoma state legislature designated Enid the "purple martin capital of Oklahoma." Enid holds the nickname of "Queen Wheat City" and "Wheat Capital" of Oklahoma and the United States for its immense grain storage...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Adjustment Clerk jobs
$29,797 to $37,003
Enid, Oklahoma area prices
were up 1.2% from a year ago

Adjustment Clerk in Columbus, GA
Council member Bernard Brush said the issue of low salaries for the clerks and service director has been on council's radar for several years.
December 25, 2019
Adjustment Clerk in Saint Cloud, MN
The title adjustment clerk is given solely for the reason that these individuals provide adjustment in lieu of advice.
February 19, 2020
Adjustment Clerk in Port Arthur, TX
An Adjustment Clerk performs a variety of research functions and meets established standards for production and quality.
February 16, 2020