• Director - Claims ( Remote )

    Sedgwick (Montgomery, AL)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Director - Claims ( REMOTE ) Are you looking for an opportunity to ... Establishes policy and procedures to assure compliance to best practices, claims management services standards, state regulations, and client service requirements. +… more
    Sedgwick (11/06/25)
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  • Medical Director - Claims Management

    Humana (Montgomery, AL)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (11/01/25)
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  • GYN Oncology, Regional Medical Scientific…

    Merck (Montgomery, AL)
    **Job Description** The Oncology Regional Medical Scientific Director , Oncology is a credentialed (ie, MD, PhD, PharmD, or DNP) therapeutic and disease expert who ... external medical and scientific community. Scientific exchange does not include promotional claims about any drug, vaccine or biologic product. The Oncology Regional… more
    Merck (11/07/25)
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  • AVP, Complex Construction Claims - NY Labor…

    Zurich NA (Montgomery, AL)
    … Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-MD1 #LI- DIRECTOR #LI- REMOTE EOE Disability / Veterans ... AVP, Complex Construction Claims - NY Labor Law 126105 Zurich North...dynamic and experienced leader to join our Complex Liability Claims team. In this high-impact role, you'll take charge… more
    Zurich NA (11/06/25)
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  • Professional Liability Claims (Attorney),…

    Zurich NA (Montgomery, AL)
    …and litigation management skills. This position can be office, hybrid, or fully remote anywhere in the lower 48 states. ** Claims Handling & Investigation:** ... Professional Liability Claims (Attorney), Claims Construction, (Senior or...AM - Owings Mills, AM - Parsippany, AM - Remote Work (US), AM - Rocky Hill, AM -… more
    Zurich NA (10/30/25)
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  • Executive Underwriter OR AVP, Underwriting…

    Zurich NA (Montgomery, AL)
    …experience in the Claims or Underwriting Support are OR AVP, Underwriting Director - Energy, Oil, Gas and Chemicals Requirements: + High School Diploma or ... Executive Underwriter OR AVP, Underwriting Director - Energy, Oil, Gas & Chemicals 128378...and 10 or more years of experience in the Claims or Underwriting Support area OR + Zurich Certified… more
    Zurich NA (10/30/25)
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  • Executive Underwriter OR AVP, Underwriting…

    Zurich NA (Montgomery, AL)
    Executive Underwriter OR AVP, Underwriting Director - Contract Surety 127264 Zurich Insurance is currently looking for anExecutive Underwriter OR AVP, Underwriting ... Director - Contract SuretyDivision. This is a highly technical and...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich approved Apprenticeship… more
    Zurich NA (10/18/25)
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  • PCO Medical Director - UM - Full Time

    CenterWell (Montgomery, AL)
    Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary Care work assignments involve moderately complex ... Director relies on medical background and reviews health claims . The Medical Director work assignments involve...teams or organizational committees. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
    CenterWell (11/06/25)
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  • Medical Director - Medicaid N. Central

    Humana (Montgomery, AL)
    …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (10/25/25)
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  • Medical Director - National UM Team…

    Humana (Montgomery, AL)
    …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (11/07/25)
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  • Director , Global Value Evidence Operations

    Otsuka America Pharmaceutical Inc. (Montgomery, AL)
    **Position Summary:** The Director GVE Operations oversee and coordinates projects within the department to ensure alignment with organizational goals. This role is ... other integrated data generation initiatives. This position reports to the Senior Director , Global Integrated Evidence & Innovation Operations and can be based in… more
    Otsuka America Pharmaceutical Inc. (09/13/25)
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  • Director , Global Marketing Nephrology…

    Otsuka America Pharmaceutical Inc. (Montgomery, AL)
    As the Director of Global Marketing (Nephrology & Immunology), you will transform science into strategy by driving global brand strategy, influencing launch ... degree (MBA, PharmD, PhD, MD) strongly preferred. + Location: Remote , with ability to be in Princeton, NJ for...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (10/14/25)
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  • Medical Director - Medicare Grievances…

    Humana (Montgomery, AL)
    …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of… more
    Humana (11/06/25)
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  • Health Plan Account Manager Sr - Remote

    Prime Therapeutics (Montgomery, AL)
    …every decision we make. **Job Posting Title** Health Plan Account Manager Sr - Remote **Job Description** The Sr Health Plan Account Manager serves as a line of ... or insurance, to include 1 year of experience within claims analysis or other operational PBM functions and 3...ability to adjust focus **Reporting Structure** Reports to the Director within the Markets Team Every employee must be… more
    Prime Therapeutics (11/05/25)
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  • Business Change Lead - Crop

    Zurich NA (Montgomery, AL)
    …Qualifications** * Bachelors Degree and 7 or more years of experience in the Claims , Consulting, Risk Engineering or Underwriting area OR * High School Diploma or ... and 9 or more years of experience in the Claims , Consulting, Risk Engineering or Underwriting area OR *...for resume submission. Location(s): AM - Anoka, AM - Remote Work (US) Remote Working: Hybrid Schedule:… more
    Zurich NA (11/11/25)
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  • Healthcare Regulatory Compliance Manager…

    Fujifilm (Montgomery, AL)
    …Holdings America Corporation ("HLUS") Department reporting to the Corporate Compliance Director . The Compliance Manager will be responsible for managing the ... anti-money laundering (AML). Under the supervision of the Corporate Compliance Director , this individual will ensure the effectiveness of compliance frameworks,… more
    Fujifilm (11/05/25)
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  • Sr Supplier Medical Process Specialist

    Zurich NA (Montgomery, AL)
    …to improve operational efficiencies, quality and/or timeliness. At Zurich North America Claims , we understand the importance of flexibility and work-life balance in ... your career decisions.This position is fully remote . Our hybrid work model is designed to meet...Analyze operational data, identify trends, and collaborate with the Claims and Admin Support teams to optimize vendor performance… more
    Zurich NA (11/07/25)
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  • Data Engineer

    Wondr Health (Montgomery, AL)
    …**Information Technology** **POSITION:** **Data Engineer** **REPORTS TO:** ** Director ** **,** **Data** **Engineer** **ing** **SUPERVISES:** **None** **JOB ... diabetes and hypertension, helps enhance employee productivity and engagement, decreases claims costs, and improves overall physical and mental wellbeing. A master… more
    Wondr Health (11/01/25)
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