- Humana (Montgomery, AL)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- Humana (Montgomery, AL)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Humana (Montgomery, AL)
- …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
- Merck (Montgomery, AL)
- …needs to support collaboration to further differentiate our portfolio. The Oncology Regional Medical Scientific Director , RMSD, is a credentialed (ie, MD, PhD, ... **Job Description** Our Medical Affairs team advances patient care by engaging...and scientific community. Scientific exchange does not include promotional claims about any drug, vaccine or biologic product. RMSDs… more
- Intermountain Health (Montgomery, AL)
- **Job Description:** Reporting to the Senior Director of Revenue Integrity, the Revenue Integrity Director is responsible for directing and executing the ... Reconciliation, Revenue Guardian, and Claim Edits. The Revenue Integrity Director defines and carries out the strategy for maximizing...for you and your family. Our generous package includes medical , dental, and vision coverage. But health is more… more
- Takeda Pharmaceuticals (Montgomery, AL)
- …plasma-derived therapies for patients with immunologic, hematologic, and other complex diseases. The Director , Global Labeling Strategy Lead is a key role in the PDT ... new TLP, CCDS, USPI and EU SmPC. **How you will contribute:** ** Management of Labeling Cross-Functional Teams** + Leads Labeling cross-functional teams providing… more
- Takeda Pharmaceuticals (Montgomery, AL)
- …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
- Genesis Healthcare (Elmore, AL)
- …within the schedule (16-24 hours per week). This is a Dual Role Attending Physician/ Medical Director . It is clinical in nature. Must be BC/BE Internal Medicine ... our day-to-day operations. Responsibilities The Attending Physician works with the Center Medical Director to ensure that delivery of clinical services achieves… more
- Allied Universal (Montgomery, AL)
- …files associated with the program; + Assists with the workers' compensation claims management , issuing and obtaining claim paperwork, collecting statements, and ... hold positions on our senior leadership team. We offer medical , dental and vision coverage, life insurance, 401K, employee...with various administrative duties as assigned by the Branch management team, and Human Resources Director or… more
- Mathematica (Montgomery, AL)
- …or APCD claims data; EHR and/or HIE data; healthcare informatics; medical coding). * Ability to describe difficult technical problems and solutions to a ... data pipelines and analyses involving large administrative data sources such as state Medicaid claims and APCDs, as well as clinical data sources such as EHRs and… more
- Evolent (Montgomery, AL)
- …to both members and providers + Appropriately identifies and refers quality issues to the Senior Director of Medical Management or Medical Director . ... and Oncology Heathcare experience/knowledge** + Minimum of one year of experience with medical management activities in a managed care environment + Excellent… more
- The Cigna Group (Montgomery, AL)
- …channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management . Credentialing, Legal, Medical ... Must reside in either: Arkansas, Alabama or Mississippi,_** The **Manager, Network Management ** serves as an integral member of the Provider Contracting Team and… more