- 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
- Merck (Montgomery, AL)
- **Job Description** **Role Summary** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who ... SLs, including questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific… 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
- 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
- Zurich NA (Montgomery, AL)
- …Member of the Bar + Extensive experience in and in-depth knowledge of Casualty claims management + Highly detail-oriented with a strong focus on accuracy + ... AVP, Medical Bill Review Litigation 119916 Zurich Insurance is...and other legal filings + Maintain accurate and up-to-date claims documentation, ensuring compliance with best practices for high-complexity… 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
- NASCO (Montgomery, AL)
- …and others as necessary to complete work and communicates with the Director of Government Programs regarding status of projects and assignments. **Responsibilities** ... by Government regulatory changes * Provides substantive, subject-matter support to the Director of Government Programs * Manages the NASCO annual training process… 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