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Channel Development Lead

Humana

Montgomery, AL

The Channel Development Lead is responsible for driving sales program effectiveness through strategic planning, operational excellence, and data-driven decision-making. This role develops…

VP Insurance Product Design & Implementation - Government Markets

Highmark Health

Montgomery, AL

…design, and delivery of a multi-billion-dollar portfolio spanning Medicare Advantage, ACA Marketplace, and Medicaid products. This role drives the multi-year product roadmap, overseeing…

Senior Full Stack Engineer - NBA

Humana

Montgomery, AL

…Center experience, the operational system used by business and program teams to create, configure, govern, and publish member actions across the enterprise. Built on React, Node.js,…

AD, Behavioral Economics

Humana

Montgomery, AL

…actionable insights and scalable decision framework that inform program design, outreach strategy, and operational investment…

Policy Governance Professional

Humana

Montgomery, AL

The Policy Governance Professional supports the Medicaid Utilization Management Policy Governance program. Reporting to the Policy Governance Lead, the primary responsibility of this role…

Fraud and Waste Investigator

Humana

Montgomery, AL

Partner with cross-functional teams to support fraud prevention, recovery efforts, and program integrity initiatives.

Sr Technical Security Product Owner (DevSecOps Engineering)

Humana

Montgomery, AL

…team, ensuring backlog priorities trace to initiative goals and program-level security outcomes. This role owns the backlog for DevSecOps Engineering, Humana's security engineering team…

Field Access Manager - Ohio Valley

Merck

Montgomery, AL

Partner cross-functionally to identify and address barriers to patient access and supporting patient satisfaction.

Field Access Manager- New England South

Merck

Montgomery, AL

Partner cross-functionally to identify and address barriers to patient access and supporting patient satisfaction.

Program Integrity Contract Lead

Humana

Montgomery, AL

The Program Integrity (PI) Contract Lead is an important member of the leadership team and works directly with Program Integrity Leadership, the Compliance Officer, and the Compliance…

VP, Regional CMO, Primary Care

CenterWell

Montgomery, AL

The Regional CMO will directly lead a team of regional & area medical directors and serve as dyad partner to the Regional Market President for one of the Primary Care Organization’s regions…

Facets Configuration Manager (Remote - US)

Cognizant

Montgomery, AL

• $130,000 to $145,000 USD / year

Partner with business, compliance, operations, technology, vendors, and client stakeholders to ensure alignment and successful program outcomes.

Facets Product and Benefits Consultant (Remote - US)

Cognizant

Montgomery, AL

• $113,000 to $130,000 USD / year

Partner with cross-functional teams to assess impacts across claims, pricing, provider networks, eligibility, and downstream systems.

AVP, Chief Medicare Officer - Georgia Gulf States

CVS Health

Montgomery, AL

Aetna is recruiting for an AVP, Chief Medicare Officer who has Medicare market specific P&L accountability for the IVL/DSNP products in Georgia, Alabama, Mississippi, Louisiana, and…

QNXT Technical Manager – (Remote, US)

Cognizant

Montgomery, AL

• $113,000 to $130,000 USD / year

Partner with client business and IT teams to design scalable solutions that align with operational and strategic objectives.

Sleep Coach - Remote

Accendra Health

Montgomery, AL

• $20 to $22 USD / hour

Experience working with various insurance plans, including HMO, PPO, and Medicare, is preferred.

Sleep Coach - Remote

Accendra Health

Montgomery, AL

• $20 to $22 USD / hour

Experience working with various insurance plans, including HMO, PPO, and Medicare, is preferred.

Lead, Third Party Cyber Security Risk Management

Humana

Montgomery, AL

…cybersecurity risks from third-party (i.e., Humana vendors, partner organizations, etc.) entities that may introduce risk to Humana's cybersecurity risk posture. The Lead, Third Party…

Lead Director, Agile Practice Management

CVS Health

Montgomery, AL

…Stakeholders to drive outcomes and long-term value through Medicare and other strategic initiatives. Oversees a budget of $35M–$50M and directly leads 10–12 Agile Practice Leads (Scrum…

NetworX and Facets Pricing Config Consultant – Remote

Cognizant

Montgomery, AL

• $113,000 to $130,000 USD / year

Partner with Provider Contracting, Claims Operations, Business, and IT teams to implement and support configuration enhancements.

NetworX Pricing Configuration Lead Consultant

Cognizant

Montgomery, AL

• $130,000 to $150,000 USD / year

Partner with Provider Contracting, Claims Operations, Business, and Technology teams to implement, validate, and support pricing solutions.

NetworX Pricing Configuration Lead Consultant - Healthcare Payer

Cognizant

Montgomery, AL

• $130,000 to $150,000 USD / year

Partner with Provider Contracting, Claims Operations, Business, and Technology teams to implement, validate, and support pricing solutions.

NetworX and Facets Pricing Config Consultant – Remote

Cognizant

Montgomery, AL

• $113,000 to $130,000 USD / year

Partner with Provider Contracting, Claims Operations, Business, and IT teams to implement and support configuration enhancements.

Vice President, MSO Operations & Provider Services

CenterWell

Montgomery, AL

…owner of the operating model that enables provider engagement, program deployment, performance improvement, onboarding, and practice support across multiple…

Sr. NetworX Pricing Config Consultant

Cognizant

Montgomery, AL

• $130,000 to $150,000 USD / year

Partner with Provider Contracting, Claims Operations, Business, and Technology teams to implement, validate, and support pricing solutions.