- Humana (Montgomery, AL)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health episodic, home health per diem, DME, and waiver requests. The Medical Director provides medical interpretation and… more
- CenterWell (Montgomery, AL)
- …Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - ... to drive business growth. + Participates in special projects as needed. The Home Health Clinic Operations Strategy Lead collaborates concurrently with training,… more
- Evolent Health (Montgomery, AL)
- …support the overall success of Field Medical Directors. + May function as Medical Director for select health plans or regions, assuming overall ... for the culture. **What You'll Be Doing:** As a Medical Director for the Musculoskeletal department, you...+ Routinely interacts with leadership and management staff, other Medical Directors, and health plan members and… more
- Humana (Montgomery, AL)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Humana (Montgomery, AL)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- Humana (Montgomery, AL)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Humana (Montgomery, AL)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims and preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The… more
- Humana (Montgomery, AL)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Elevance Health (Montgomery, AL)
- …administers skilled nursing care; participates in teaching patients and caregivers on home medical management; provides leadership by working cooperatively to ... drug therapies through our specialty pharmacies, our infusion centers, and the home setting._ **Title: Lead Nursing Operations** **Specialist ( Director ** **of… more
- Humana (Montgomery, AL)
- **Become a part of our caring community and help us put health first** The Associate Director , Cloud Architecture designs, builds, and maintains data processing ... unstructured data to insights at enterprise scale. The Associate Director , Cloud Architecture requires an in-depth understanding of how...time that is best for your schedule. To ensure Home or Hybrid Home /Office employees' ability to… more
- Bristol Myers Squibb (Montgomery, AL)
- …in accordance with Company policies and in collaboration with the home office medical matrix team + Lead Health Economics and Outcomes Research for any given ... and provide solutions compliantly + Work closely with the home office HEOR/ medical teams to develop, interpret,...Cell Therapy Account Managers, Heme/Onc National Account Executives, and home office matrix teams. + Assist Sr. Director… more
- NASCO (Montgomery, AL)
- **Overview** As the Director of Cloud Operations at NASCO, you'll be at the forefront of driving technical excellence and innovation in cloud services, with a strong ... emphasis on AWS.The Director is responsible for the management and optimization of...is designed to support the physical, mental, and financial health of our associates. We offer: **Physical and Mental… more
- Conviva (Montgomery, AL)
- **Become a part of our caring community and help us put health first** The Associate Director , Security Architecture will play a key role in implementing ... enterprise can achieve the enterprise security strategy. The Associate Director , Security Architecture will play a key role in...a high speed DSL or cable modem for a home office. Associates or contractors who live and work… more
- GAF (Montgomery, AL)
- …180,000-230,000 **How We Protect What Matters Most:** 1. We offer a wide range of health insurance options that include medical , dental, and vision for you and ... solutions to the building materials space. Extending beyond the home , the roads that connect us-to our families, to...that espouse a curious, proactive, and adaptable mindset. The Director of Customer Operations for GAF Roads will be… more
- Evolent Health (Montgomery, AL)
- …recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests… more
- Evolent Health (Montgomery, AL)
- …interpretation, guidelines and/or system support. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to… more
- Evolent Health (Montgomery, AL)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...Opportunities:** This person will also work closely with the Director of Client Finance to analyze and communicate client… more
- Gentiva (Montgomery, AL)
- …Gentiva Hospice is a member of the Gentiva family - an industry leader in hospice, palliative, home health , and personal home care. Our place is by the side ... you will be eligible for:** + Competitive Pay + Medical , Dental, Vision Plans + Wellness Program and Resources...Six (6) months of patient care experience in hospice, home health , ICU, geriatric, or oncology strongly… more
- CenterWell (Montgomery, AL)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... **Become a part of our caring community and help us put health first** The Formulary Operations Management Advisor provides leadership and oversight of the… more
- Humana (Montgomery, AL)
- **Become a part of our caring community and help us put health first** Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible ... Improvement Program Lead reports directly to the National Medicaid Quality Director . The Quality Improvement Program Lead exercises independent judgment and decision… more