• Medicaid CMS Certification…

    NTT DATA North America (Montgomery, AL)
    …of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Medicaid CMS Certification Lead to join our team in ... forward-thinking organization, apply now. We are currently seeking a Medicaid Systems Certification Lead to...and management of any risks associated with certification , and response to CMS requests and… more
    NTT DATA North America (08/23/25)
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  • Interoperability Lead Product Owner

    Humana (Montgomery, AL)
    …Refinement, Sprint Review, Sprint Retrospective, ART Synch, Scrum of Scrums, PO Synch, System Demo, Solution Demo, etc. + Lead your dedicated scrum team(s) ... caring community and help us put health first** The Lead Product Owner is responsible for conveying product vision...development team members based on Humana's LPM (Lean Portfolio Management ) strategy with a top-down value approach. + Manage… more
    Humana (09/09/25)
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  • Medical Director - Southeast Region

    Humana (Montgomery, AL)
    …+ Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, ... medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
    Humana (09/10/25)
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  • Medical Director - OneHome

    Humana (Montgomery, AL)
    …in educational activities by attending required conferences and also create content to lead /teach/present for individual subject matter contribution Preferred ... the Lead Medical Director. **Other duties:** + Identify medical management operational improvements, including those within the medical director area +… more
    Humana (08/25/25)
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  • Behavioral Health Medical Director - Medicare

    Humana (Montgomery, AL)
    …is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, Medicaid state contracts, clinical reference ... of a Medicare or Medicaid type population + Current and ongoing Board Certification in an approved ABMS Medical or ABPN Specialty + A current and unrestricted… more
    Humana (08/09/25)
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  • Medical Director - Acute Rehab Team

    Humana (Montgomery, AL)
    …Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid , or other Medical management organizations, hospitals/ Integrated Delivery ... by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences,… more
    Humana (09/11/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Montgomery, AL)
    …clinical setting. + Experiencein Lean, Six Sigma, TQI, TQC or other quality management certification . + Experiencein health plan provider network performance ... leadership, problem-solving, data analytics, team development, communication, implementation, and project management . The incumbent often plays a central role in the… more
    Highmark Health (08/20/25)
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  • Medical Director - Northeast Region

    Humana (Montgomery, AL)
    …+ Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, ... medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
    Humana (07/25/25)
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  • Onboarding Program/Strategy Advancement Principal

    Humana (Montgomery, AL)
    …a strategic and collaborative Onboarding Program/Strategy Advancement Principal to lead Humana's enterprise member onboarding transformation program. This role ... customer lifecycle. As Onboarding Program Manager, you will serve as the program lead for this enterprise-wide effort, reporting to the AVP of Strategy Advancement.… more
    Humana (09/11/25)
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