• Healthcare Engineer

    Veterans Affairs, Veterans Health Administration (Tuskegee, AL)
    …as a Project Engineer at an assigned Department of Veterans Affairs (VA) Healthcare System. The Healthcare Engineer serves as resident and program engineer ... consisting of the planning, design, and overseeing of major healthcare system projects. Salary Range: GS-7 $65,121 - $84,657...building and utility systems in the delivery of health care Assists in development and implementation of the environment… more
    Veterans Affairs, Veterans Health Administration (04/16/24)
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  • Behavioral Health Medical Director - N. Central…

    Humana (Montgomery, AL)
    …services such as inpatient rehabilitation. **Preferred Qualifications:** + Knowledge of the managed care industry including Medicare Advantage, Managed ... delivery models. Maintains efficient operations while ensuring attainment of quality of care and financial goals. Provides information for pricing guidelines… more
    Humana (04/09/24)
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  • Value Based Program - Data & Reporting Lead

    Humana (Montgomery, AL)
    …and summarizing data into reports and dashboards + Experience in Medicaid and/or Medicare managed care + Experience working with big and complex data sets within ... the best course of action. **Key Responsibilities** + Analyze financial , utilization, and performance data to identify opportunities to...attention to detail + Experience in Medicaid and Medicaid managed care + Experience in a system… more
    Humana (04/12/24)
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  • Value Based Programs Lead

    Humana (Montgomery, AL)
    …savings and risk models + Expertise in Medicaid and Medicaid managed care + Ability to understand and analyze financial , utilization, and performance data ... to move providers from volume to value + Analyze financial , utilization, and performance data to identify opportunities to...+ Bachelor's Degree + 5+ years of experience in managed care operations, provider reimbursement and analytics,… more
    Humana (04/18/24)
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  • Associate Director, Medicaid Value Based Payment…

    Humana (Montgomery, AL)
    …impact** **Required Qualifications** + Bachelor's Degree + 5+ years experience in managed care operations, provider reimbursement and analytics, and value-based ... on negotiations of specialty VBP model terms. + Analyze financial , utilization, and performance data to identify opportunities to...+ Masters Degree + Expertise in Medicaid and Medicare managed care + Expertise performing claims data… more
    Humana (04/12/24)
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  • Clinical Sales Specialist, IBD - Virginia Beach,…

    Takeda Pharmaceuticals (Montgomery, AL)
    …opportunities and adaptability to changing market conditions + Demonstrated understanding of managed care landscape and how it influences/impacts business + ... at all times. + Strategically managing allocated resources provided including financial /budgets, managed markets, medical affairs, home office, etc. **Minimum… more
    Takeda Pharmaceuticals (03/21/24)
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  • Oncology Key Account Manager - Mid South (TN, AL,…

    Merck (Mobile, AL)
    …key thought leaders and/or influential customers in large group practices, hospitals, or managed care organizations + .Minimum of 5 years' experience in ... leader in Oncology and our commitment to supporting the efforts of Oncology healthcare providers in improving patient health outcomes and becoming a trusted resource… more
    Merck (04/10/24)
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  • Manager, Provider Contract Network Management…

    The Cigna Group (Birmingham, AL)
    …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... with total medical cost initiatives. + Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract… more
    The Cigna Group (03/16/24)
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  • HEDIS Senior Data and Reporting Professional

    Humana (Montgomery, AL)
    …experience in healthcare . + Must have experience working with HEDIS measures in Managed Care settings. + Advanced proficiency in SQL, SAS and other data ... working with complex data sets within large organizations and/or the analysis of healthcare data including multi-level drill down assessment of key utilization and … more
    Humana (03/15/24)
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  • Senior Provider Compensation Consultant

    Banner Health (AL)
    …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... In accordance with State Pay Transparency Rules. You have a place in the health care industry. If you're looking to leverage your abilities to make a real difference… more
    Banner Health (03/08/24)
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  • HEDIS Data and Reporting Lead, Medicaid Quality

    Humana (Montgomery, AL)
    …+ Prior people leader experience. + Medicaid Quality Experience, preferably in the managed care setting. + Advanced Degree in a quantitative discipline, such ... flexible packages to give our employees a sense of financial security-both today and in the future, including: +...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
    Humana (04/19/24)
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  • Support Broker

    Public Partnerships LLC (Montgomery, AL)
    …services within their state-approved personalized budget. We are appointed by states and managed healthcare organizations to better serve more of their residents ... and communities and "self" direct their own long-term home care . Our role as the nation's largest and most...Our role as the nation's largest and most experienced Financial Management Service provider is to assist those eligible… more
    Public Partnerships LLC (04/17/24)
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  • Tax Accountant 1 - Remote US

    Public Partnerships LLC (Montgomery, AL)
    …services within their state-approved personalized budget. We are appointed by states and managed healthcare organizations to better serve more of their residents ... and communities and "self" direct their own long-term home care . Our role as the nation's largest and most...Our role as the nation's largest and most experienced Financial Management Service provider is to assist those eligible… more
    Public Partnerships LLC (04/02/24)
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  • IT Cloud Procurement Category Lead

    Humana (Montgomery, AL)
    …capabilities, supplier goals and objectives, risk profile, and supplier's financial position for requisite categories. + Develop multi-year sourcing pipelines ... skills + Strong drive for creating value for internal customers. + Self- managed / motivated: the ability to independently set priorities, meet commitments and… more
    Humana (04/14/24)
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  • Senior Medical Pharmacy Analyst - Remote

    Prime Therapeutics (Montgomery, AL)
    …degree in technical or analytic field (eg, computer science, statistics) + Managed care experience preferred. + Database management strongly preferred. Potential ... Analyst - Remote **Job Description** Design, document, develop and roll out financial , clinical and utilization analyses using a variety of computing tools (eg,… more
    Prime Therapeutics (04/03/24)
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  • Senior Director, Product Development & Innovation

    Prime Therapeutics (Montgomery, AL)
    …assigned. **Responsibilities** Minimum 10 years experience in product development preferably within the managed care industry plus 5+ or more years of experience ... direction related to business cases, feasibility assessments, pricing assessments and financial (ROI) analysis. + Work with Prime's Client Engagement and Marketing… more
    Prime Therapeutics (03/11/24)
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  • Director, Clinical Account Services - Remote…

    Prime Therapeutics (Montgomery, AL)
    …solutions in support of our clients' goals to reduce expenses and improve care . Serves as facilitator and mentor to the clinical liaisons for assigned contract(s). ... of the account in order to meet targeted profitability. Understands that the financial impact of all clinical recommendations is essential for both the client's cost… more
    Prime Therapeutics (04/04/24)
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  • Call Center and Claims Representative

    Humana (Montgomery, AL)
    …+ Ability to type at least 40 WPM. + Experience working in a managed health care setting. **Additional Information** + **Workstyle:** Home. Home workstyle is ... flexible packages to give our employees a sense of financial security-both today and in the future, including: +...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
    Humana (04/18/24)
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  • Senior Accreditation Utilization Management…

    Humana (Montgomery, AL)
    …Power BI + Registered Nurse or Behavioral Health Licensed Professional. + Managed care , Medicaid health plan experience **Additional information** + ... flexible packages to give our employees a sense of financial security-both today and in the future, including: Health...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
    Humana (04/10/24)
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  • Senior Data Architect (Principal Enterprise…

    Wolters Kluwer (Montgomery, AL)
    …global leader in professional information, software solutions, and services for the healthcare , tax and accounting, financial and corporate compliance, legal and ... growing people and teams through modeling, coaching, and demonstrating care . + Working knowledge of Azure data platform -...strategy and related business architecture. Define how data are managed by different data entities and IT systems, and… more
    Wolters Kluwer (03/22/24)
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