- TEKsystems (Montgomery, AL)
- …Medicaid Enterprise Certification Toolkit (MECT). The AMMP To support this effort, the Medicaid Agency is seeking an experienced Project Analyst to be a ... This position requires 100% on-site in Montgomery AL central Medicaid office. Skills Required Project Management o Perform standard project functions such… more
- Humana (Montgomery, AL)
- …help us put health first** Humana Healthy Horizons is seeking a Senior Product Manager who will develop, deliver, and manage products for customer use. The Senior ... Product Manager work assignments involving moderately complex to complex issues...feedback to ensure products are meeting business needs across Medicaid , evolving products over time to ensure product evaluation… more
- Cognizant (Montgomery, AL)
- …among patients, hospitals, and government agencies to ensure eligibility for Medicaid , social security, county indigent, or other types of healthcare funding. ... process, standards, and documentation by client. + Evaluates and reports project status, schedules, issues, resolutions, and completions. + Guide underperforming… more
- CenterWell (Montgomery, AL)
- …financial data driven methods to develop and influence drug strategies for the Medicaid lines of business. + Utilizes broad understanding of pharmacy, managed care, ... PBM, market and regulatory insights to support the development of Medicaid formulary and medical drug strategies to mitigate Humana's costs and trend while improving… more
- Humana (Montgomery, AL)
- …put health first** Humana Healthy Horizons is seeking a Senior Implementation Business Project Manager to manage a specific defined business area (non-IT) within ... the IT implementation activities. This is NOT a traditional Project Manager role. The Senior Implementation Business...health plan. + 2+ years of experience working in Medicaid and/or Medicare. + Excellent communication skills (written, oral,… more
- Prime Therapeutics (Montgomery, AL)
- …passion and drives every decision we make. **Job Posting Title** Client Quality Manager Stars and Quality **Job Description** The Senior Client Quality Manager ... role provides leadership and subject matter expertise on Medicare Stars, Medicaid quality and the Commercial/Health Insurance Marketplace Quality Rating System (HIM… more
- Humana (Montgomery, AL)
- …information exchange, better outcomes and improved member experience. The Lead Product Manager understands the healthcare industry and various changes it is going ... through. As part of the Interoperability team, lead product manager will lead all phases of the product life cycle from inception to implementation by developing… more
- Prime Therapeutics (Montgomery, AL)
- …our passion and drives every decision we make. **Job Posting Title** Program Manager , SPS Vendor Management - Remote **Job Description** The Program Manager ... within Prime's Vendor Lifecycle Management (VLM) team. The Program Manager will be the primary VLM point of contact...2 years of work experience in healthcare, PBM, state Medicaid plans, specialty pharmacy, or health care consulting +… more
- Evolent (Montgomery, AL)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Manager , Provider Data Operations** **What You Will Be Doing:** The Manager , ... + Use data-driven decision-making skills to effectively prioritize day-to-day operations, project work, and address client requests and escalations + Identify areas… more
- CenterWell (Montgomery, AL)
- …for reporting, implementation, and maintenance of Humana's Healthy Horizon Medicaid business. The Senior Pharmacy Contracting Professional work assignments involve ... The individual in this position will operate under Humana's Pharmacy Benefits Manager (PBM), Humana Pharmacy Solutions, to maintain Humana's pharmacy network for… more
- Prime Therapeutics (Montgomery, AL)
- …in business requirements, system specifications, process flows, process change and/or project management in supporting Compliance with Medicaid requirements. + ... + Advise internal clients regarding compliance with State and Federal Medicaid regulatory and contractual requirements + Provides leadership to the business… more
- Public Consulting Group (Montgomery, AL)
- …For larger, more complex projects, the Analyst may work with a dedicated project manager . + **Documentation.** The Analyst will be responsible for ensuring ... open to leadership opportunities in the future. **Position Requirements:** + ** Project Management.** For smaller projects, the Analyst will manage directly, setting… more
- CenterWell (Montgomery, AL)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... practice residency or similar pharmacy practice experience** **Knowledge of Medicare and Medicaid as it relates to pharmacy** **Six Sigma and/or Project … more
- CenterWell (Montgomery, AL)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction** **Exercises considerable ... practice residency or similar pharmacy practice experience** **Knowledge of Medicare and Medicaid as it relates to pharmacy** **Six Sigma and/or Project … more
- Intermountain Health (Montgomery, AL)
- …management, and designated areas in the response process. 5. Assists manager with interviews, onboarding, monitoring and measuring goals, annual reviews and ... or two (2) years of prior experience leading others or leading project or programs. Certified Revenue Cycle Representative (CRCR) Certification completed within 3… more