Clinical Documentation Improvement Jobs in Oklahoma
Clinical Documentation Improvement jobs in Oklahoma are open across Oklahoma City, Tulsa, and Edmond and other Oklahoma metros, with employers like University of Oklahoma, Saint Francis Health System, and Ascension hiring at every experience level. Find a role that fits below and apply directly.
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Showing 5 of 293+ Clinical Documentation Improvement jobs
JOB SUMMARY:
The Clinical Pharmacist in the Quality Improvement Department plays a pivotal role in advancing the health plan’s performance in CMS Star Ratings (Part D) and Population Health initiatives. This position is responsible for developing, implementing, and evaluating pharmacy-related quality improvement strategies that enhance medication adherence, optimize therapeutic outcomes, and improve member health outcomes across diverse populations.
KEY RESPONSIBILITIES:
- Lead and support initiatives to improve Part D measures. Analyze prescription drug performance data and identify trends, gaps, and opportunities for improvement.
- Collaborate with internal and external teams and PBM to implement targeted interventions and outreach strategies.
- Monitor CMS technical specifications and ensure compliance with regulatory updates.
- Completes education for members and providers, including, but not limited to, alternative medication therapies for all medications where clinically appropriate, high-risk medications for polypharmacy, patient assistance programs, and protocols for statin rechallenge.
- Design and execute clinical programs that address medication-related gaps in care.
- Support disease management programs through evidence-based medication therapy recommendations.
- Engage with health system leaders, providers, care managers, and members to promote safe and effective medication use.
- Collaborate and execute clinical initiatives for Part-D PBM programs.
- Develop, implement, and oversee the execution of pharmacologic protocols and interventions that improve quality and value to members and providers.
- Utilize pharmacy claims, HEDIS, and Stars data to drive decision-making.
- Develop dashboards, reports, and presentations for internal and external stakeholders.
- Participate in quality committees and cross-functional workgroups.
- Provide clinical education to providers, pharmacists, and care teams.
- Design and disseminate provider-facing educational materials to support CMS Stars polypharmacy quality measures (e.g., Poly-ACH and COB), promoting evidence-based alternatives for prescribing strategies to optimize medication regimens and improve patient outcomes. Develops member-facing materials to support medication adherence and chronic disease management.
- Represent the health plan at community events, provider meetings, and industry conferences.
- Supervises other team members, including both clinical and non-clinical personnel, in program operation and implementation.
- Perform other duties as assigned.
QUALIFICATIONS:
- Geriatric specialty or certification a plus, Geriatric Pharmacy (BCGP).
- Strong analytical and data interpretation skills.
- Proficiency in Microsoft Office, specifically Excel and Power BI, data visualization tools, and pharmacy claims platforms.
- Excellent communication, collaboration, and project management abilities.
- Board Certification (e.g., BCPS, BCACP) preferred.
- Familiarity with HEDIS, NCQA, and Medicare regulations preferred.
- Successful completion of Health Care Sanctions background check.
EDUCATION/EXPERIENCE:
- Doctor of Pharmacy (PharmD) required from an accredited school of pharmacy; residency training (PGY1 or PGY2) preferred.
- Active and unrestricted pharmacist license by the Oklahoma State Board of Pharmacy.
- Minimum 3 years of clinical pharmacy experience, preferably in managed care, health plan, or quality improvement settings.
- Experience with CMS Star Ratings, MTM programs, and population health strategies.
- Experience with health equity and culturally competent care initiatives preferred.
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.
JOB SUMMARY:
The Clinical Pharmacist in the Quality Improvement Department plays a pivotal role in advancing the health plan’s performance in CMS Star Ratings (Part D) and Population Health initiatives. This position is responsible for developing, implementing, and evaluating pharmacy-related quality improvement strategies that enhance medication adherence, optimize therapeutic outcomes, and improve member health outcomes across diverse populations.
KEY RESPONSIBILITIES:
- Lead and support initiatives to improve Part D measures. Analyze prescription drug performance data and identify trends, gaps, and opportunities for improvement.
- Collaborate with internal and external teams and PBM to implement targeted interventions and outreach strategies.
- Monitor CMS technical specifications and ensure compliance with regulatory updates.
- Completes education for members and providers, including, but not limited to, alternative medication therapies for all medications where clinically appropriate, high-risk medications for polypharmacy, patient assistance programs, and protocols for statin rechallenge.
- Design and execute clinical programs that address medication-related gaps in care.
- Support disease management programs through evidence-based medication therapy recommendations.
- Engage with health system leaders, providers, care managers, and members to promote safe and effective medication use.
- Collaborate and execute clinical initiatives for Part-D PBM programs.
- Develop, implement, and oversee the execution of pharmacologic protocols and interventions that improve quality and value to members and providers.
- Utilize pharmacy claims, HEDIS, and Stars data to drive decision-making.
- Develop dashboards, reports, and presentations for internal and external stakeholders.
- Participate in quality committees and cross-functional workgroups.
- Provide clinical education to providers, pharmacists, and care teams.
- Design and disseminate provider-facing educational materials to support CMS Stars polypharmacy quality measures (e.g., Poly-ACH and COB), promoting evidence-based alternatives for prescribing strategies to optimize medication regimens and improve patient outcomes. Develops member-facing materials to support medication adherence and chronic disease management.
- Represent the health plan at community events, provider meetings, and industry conferences.
- Supervises other team members, including both clinical and non-clinical personnel, in program operation and implementation.
- Perform other duties as assigned.
QUALIFICATIONS:
- Geriatric specialty or certification a plus, Geriatric Pharmacy (BCGP).
- Strong analytical and data interpretation skills.
- Proficiency in Microsoft Office, specifically Excel and Power BI, data visualization tools, and pharmacy claims platforms.
- Excellent communication, collaboration, and project management abilities.
- Board Certification (e.g., BCPS, BCACP) preferred.
- Familiarity with HEDIS, NCQA, and Medicare regulations preferred.
- Successful completion of Health Care Sanctions background check.
EDUCATION/EXPERIENCE:
- Doctor of Pharmacy (PharmD) required from an accredited school of pharmacy; residency training (PGY1 or PGY2) preferred.
- Active and unrestricted pharmacist license by the Oklahoma State Board of Pharmacy.
- Minimum 3 years of clinical pharmacy experience, preferably in managed care, health plan, or quality improvement settings.
- Experience with CMS Star Ratings, MTM programs, and population health strategies.
- Experience with health equity and culturally competent care initiatives preferred.
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.
See All 293+ Clinical Documentation Improvement Jobs in Oklahoma
Find roles in Oklahoma that match your experience and apply in just a few clicks.
Find JobsClinical Documentation Improvement Jobs by City in Oklahoma
Where Oklahoma roles are concentrated, by current openings.
Clinical Documentation Improvement Job Market in Oklahoma
A snapshot from current Oklahoma openings, updated as new roles post.
Who's Hiring
- University of Oklahoma42
- Saint Francis Health System33
- Ascension24
- Oklahoma State University24
- OU Health23
Top Industries Hiring
- Healthcare & Medical Services140
- Education56
- Animal Care & Pet Services22
- Biotechnology & Pharmaceuticals17
- Agriculture & Farming7
What Oklahoma Employers Look For
The qualifications that appear most often in clinical documentation improvement jobs across Oklahoma.
- CDIP or CCDS certification, or active pursuit of one
- Minimum three to five years of clinical coding or nursing experience in an acute-care setting
- Proficiency with CDI software platforms such as 3M 360 Encompass or Optum CAC
- Strong working knowledge of ICD-10-CM/PCS coding guidelines and MS-DRG methodology
- Demonstrated ability to write compliant, non-leading physician queries
- Familiarity with quality metrics including PSI, HAC, and mortality indicators
Clinical Documentation Improvement Jobs in Oklahoma: Frequently Asked Questions
How many clinical documentation improvement jobs are there in Oklahoma?
There are 293+ clinical documentation improvement openings in Oklahoma on Migrate Mate as of June 2026, with the most roles in Oklahoma City, Tulsa, and Edmond. New positions post regularly as employers across Oklahoma hire.
Which Oklahoma cities have the most clinical documentation improvement jobs?
Oklahoma City, Tulsa, and Edmond have the most clinical documentation improvement openings in Oklahoma right now, with additional roles spread across smaller metros statewide.
Which companies hire clinical documentation improvements in Oklahoma?
Employers hiring clinical documentation improvements in Oklahoma include University of Oklahoma, Saint Francis Health System, and Ascension, based on current listings on Migrate Mate as of June 2026.
Are there remote clinical documentation improvement jobs in Oklahoma?
Yes. About 2% of clinical documentation improvement openings tied to Oklahoma are remote or hybrid as of June 2026. The rest are on-site roles based in Oklahoma metros.
How do I apply for clinical documentation improvement jobs in Oklahoma?
You can apply to clinical documentation improvement jobs in Oklahoma directly on Migrate Mate. Search the listings above, find roles that match your experience and preferred Oklahoma location, then apply to each one that fits.
See All 293+ Clinical Documentation Improvement Jobs in Oklahoma
Find roles in Oklahoma that match your experience and apply in just a few clicks.
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