- CenterWell (Montgomery, AL)
- …a part of our caring community and help us put health first** The Project Management Lead manages all aspects of a project, from start to finish, so that it is ... completed on time and within budget. The Project Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Project… more
- Humana (Montgomery, AL)
- …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. +… more
- Humana (Montgomery, AL)
- …rules, regulations and sub-regulatory guidance that apply to Insurance Products (ie, Medicare Advantage, Part D, Group Specialty, and Individual Specialty), ... your skills to make an impact** **Required Qualifications** + Experience with Medicare Advantage and/or Medicaid + Comprehensive knowledge of Microsoft Office… more
- Humana (Montgomery, AL)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicare Advantage, and Medicaid requirements and will ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other… more
- Humana (Montgomery, AL)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicaid , and Medicare Advantage requirements and will ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other… more
- CenterWell (Montgomery, AL)
- …records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program ... a part of our caring community and help us put health first** The Program Management Lead , Offshore Coding Operations conducts quality assurance audits of medical… more
- Humana (Montgomery, AL)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... part of our caring community and help us put health first** The Lead Solutions Architect provides architecture leadership for CenterWell Home Health programs and… more
- Humana (Montgomery, AL)
- …project leadership and consulting. + Knowledge of healthcare business domains, including Medicare , Medicaid , Group , Specialty, etc. + Development level ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
- Prime Therapeutics (Montgomery, AL)
- …account management experience + Knowledge of the applicable line of business (eg, Medicare , Medicaid , Exchange, Commercial, Employer Group ) Every employee ... all provider and member materials and communications, and product ownership for Medicare and Medicaid formularies + Provide consultation and recommendations to… more
- Gentiva (Montgomery, AL)
- …Demonstrated ability to apply hospice principles, industry standards, and regulatory compliance ( Medicare , Medicaid , JCAHO, ACHC) + Knowledge and compassion for ... **Overview** **Advance Hospice Care. Lead Clinical Excellence. Inspire Compassionate Teams.** We are...and professional manner + L ead or facilitate Interdisciplinary Group (IDG) meetings, including presenting patient updates, reviewing charts,… more
- Oracle (Montgomery, AL)
- …one visualization tool like BO or Tableau + Healthcare experience with Medicaid / Medicare Claims Reporting **Expectations** + Perform other responsibilities as ... needs. Applies Oracle methodology, company procedures, and leading practices. As a Lead Consultant you will consult on data and modelling impacts, guiding clients… more