131 management jobs found in Montgomery, AL

Job Family: Customer Care Type: Full time Date Posted:Aug 08, 2022 Req #: JR12884 Location: NV, Las Vegas TX, Austin National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint AZ, Phoenix TX, Houston WA, Seattle TX, Grand Prairie CO, Denver Description Primary duties may include, but are not limited to: Managing incoming calls or incoming post services claims work. Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests. Obtains intake (demographic) information from caller. Conducts a thorough radius search in Provider Finder and follows up with provider on referrals given. Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. Processes incoming requests, collection of information needed for review from providers, utilizing scripts to...

Job Family: Customer Care Type: Full time Date Posted:Aug 15, 2022 Req #: JR15909 Location: NV, Las Vegas TX, Grand Prairie National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint NV, Las Vegas Description Primary duties may includes, but are not limited: Managing incoming calls or incoming post services claims work. Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests. Refers cases requiring clinical review to a Nurse reviewer. Responsible for the identification and data entry of referral requests into the UM system in accordance with the plan certificate. Responds to telephone and written inquiries from clients, providers and in-house departments. Conducts clinical screening process. Authorizes initial set of sessions to provider. Checks benefits for facility based treatment....

Job Family: Cyber Security Type: Full time Date Posted:Aug 15, 2022 Req #: JR8521 Location: GA, Atlanta National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description Title: Privileged Access Management Architect Location: Atlanta, GA or near other Elevance Health location Develops strategic and tactical plans for a comprehensive enterprise-wide information security program. Leads the development of policies, technical standards, guidelines, procedures, and other elements of an infrastructure necessary to support information security in compliance with established company policies, regulatory requirements, and generally accepted information security controls. Responsible for the selection and delivery of strategic network security, access control and secure transaction/messaging solutions. Primary Duties May Include, But Are Not Limited To Architect to Design and build Next-Gen Privileged Access Management...

Job Family: Customer Care Type: Full time Date Posted:Aug 15, 2022 Req #: JR15913 Location: NV, Las Vegas TX, Austin CO, Colorado Springs National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint AZ, Phoenix NV, Las Vegas WA, Bellevue TX, Grand Prairie Description Primary duties may includes, but are not limited : Managing incoming calls or incoming post services claims work. Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests. Refers cases requiring clinical review to a Nurse reviewer. Responsible for the identification and data entry of referral requests into the UM system in accordance with the plan certificate. Responds to telephone and written inquiries from clients, providers and in-house departments. Conducts clinical screening process. Authorizes initial set of sessions...

Duties (1) Serves as primary state representative and point of contact for all DOD highway movements. Coordinates directly with the state Department of Transportation (DOT) to determine highway availability, restrictions, permit requirements and changes or additions to the State Highway Network Database. Approves requests for use of the highway network by utilizing the approved federal operating system, and then issues movement orders. (2) Coordinates directly with the USPFO Traffic Manager to obtain necessary commercial transportation support. Ensures requirements necessary to execute the plans have been identified and coordinated. Ensures proper handling of special and unique movement requirements. Uses and interprets U.S. Forces Command (FORSCOM) and Army regulations, technical manuals, traffic bulletins/regulations, federal and DOT regulations. (3) Exercises functional authority to manage and coordinate the movement of DOD convoys during peacetime, mobilization...

Job Family: Customer Care Type: Full time Date Posted:Aug 15, 2022 Req #: JR15909 Location: NV, Las Vegas TX, Grand Prairie National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint NV, Las Vegas Description Primary duties may includes, but are not limited: Managing incoming calls or incoming post services claims work. Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests. Refers cases requiring clinical review to a Nurse reviewer. Responsible for the identification and data entry of referral requests into the UM system in accordance with the plan certificate. Responds to telephone and written inquiries from clients, providers and in-house departments. Conducts clinical screening process. Authorizes initial set of sessions to provider. Checks benefits for facility based treatment....

Job Family: Cyber Security Type: Full time Date Posted:Aug 15, 2022 Req #: JR8521 Location: GA, Atlanta National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description Title: Privileged Access Management Architect Location: Atlanta, GA or near other Elevance Health location Develops strategic and tactical plans for a comprehensive enterprise-wide information security program. Leads the development of policies, technical standards, guidelines, procedures, and other elements of an infrastructure necessary to support information security in compliance with established company policies, regulatory requirements, and generally accepted information security controls. Responsible for the selection and delivery of strategic network security, access control and secure transaction/messaging solutions. Primary Duties May Include, But Are Not Limited To Architect to Design and build Next-Gen Privileged Access Management...

Job Family: Customer Care Type: Full time Date Posted:Aug 15, 2022 Req #: JR15913 Location: NV, Las Vegas TX, Austin CO, Colorado Springs National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint AZ, Phoenix NV, Las Vegas WA, Bellevue TX, Grand Prairie Description Primary duties may includes, but are not limited : Managing incoming calls or incoming post services claims work. Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests. Refers cases requiring clinical review to a Nurse reviewer. Responsible for the identification and data entry of referral requests into the UM system in accordance with the plan certificate. Responds to telephone and written inquiries from clients, providers and in-house departments. Conducts clinical screening process. Authorizes initial set of sessions...

Duties (1) Serves as primary state representative and point of contact for all DOD highway movements. Coordinates directly with the state Department of Transportation (DOT) to determine highway availability, restrictions, permit requirements and changes or additions to the State Highway Network Database. Approves requests for use of the highway network by utilizing the approved federal operating system, and then issues movement orders. (2) Coordinates directly with the USPFO Traffic Manager to obtain necessary commercial transportation support. Ensures requirements necessary to execute the plans have been identified and coordinated. Ensures proper handling of special and unique movement requirements. Uses and interprets U.S. Forces Command (FORSCOM) and Army regulations, technical manuals, traffic bulletins/regulations, federal and DOT regulations. (3) Exercises functional authority to manage and coordinate the movement of DOD convoys during peacetime, mobilization...

Job Family: Customer Care Type: Full time Date Posted:Aug 10, 2022 Req #: JR13848 Location: VA, Norfolk National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description Primary duties may includes, but are not limited: Managing incoming calls or incoming post services claims work. Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests. Refers cases requiring clinical review to a Nurse reviewer. Responsible for the identification and data entry of referral requests into the UM system in accordance with the plan certificate. Responds to telephone and written inquiries from clients, providers and in-house departments. Conducts clinical screening process. Authorizes initial set of sessions to provider. Checks benefits for facility based treatment. Develops and maintains positive customer...

Duties As a Management and Program Analyst, you will : Provides data management technical assistance to Headquarters, Federal Lands, and/or Division office staff to ensure that decision-making is informed and data driven. Assists leadership in developing and deploying performance measures to monitor program-wide accomplishments, improve quality and efficiency, add value, that support accomplishment of the agency’s strategic goals and objectives. Develops tools for mining information systems that support defining, developing, and deploying processes for conducting process and program reviews to ensure effective stewardship and oversight, and accountability for the delivery of FHWA’s various programs. Provides analytical support for non-routine management studies and fact-finding reviews. The ideal candidate will have a solid working knowledge of data analytical tools such as Excel, Access, SharePoint, PowerBI, and some statistical analysis...

Job Family: Claims Type: Full time Date Posted:Aug 09, 2022 Req #: JR3034 Location: GA, Atlanta Virginia, Virginia Beach Florida, Tampa National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description This is an entry level position in the Enterprise Grievance & Appeals Department that reviews, analyzes and processes non-complex pre service and post service grievances and appeals requests from customer types (i.e. member, provider, regulatory and third party) and multiple products (i.e. HMO, POS, PPO, EPO, CDHP, and indemnity) related to clinical and non clinical services, quality of service, and quality of care issues to include executive and regulatory grievances. Primary duties may include, but are not limited to: Reviews, analyzes and processes non-complex grievances and appeals in accordance with external accreditation and regulatory requirements, internal policies and claims events requiring...

Job Family: Medical and Clinical Type: Full time Date Posted:Aug 15, 2022 Req #: JR1432 Location: National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description Job Description: External Nurse Medical Mgmt I Location: Remote Schedule: varies, 8a-8p EST, M-F, some weekend and Holiday(s) may be required Salary Range: 60,240-75,300 Primary Duties May Include, But Are Not Limited To Responsible to collaborate with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources. Ensures medically appropriate, high-quality, cost-effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services, and appropriateness of treatment setting by utilizing the applicable medical policy and industry standards accurately interpreting benefits and...

Job Family: Cyber Security Type: Full time Date Posted:Aug 12, 2022 Req #: PS73655 Location: IN, Indianapolis Colorado, Denver National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description Security Analyst III Denver, CO or Indianapolis, IN How You Will Make a Difference Responsible for providing enterprise security solutions for business, regulatory, and legal requirements, and assuring the confidentiality, integrity, and availability of information assets. Primary duties may include, but are not limited to: Participates and completes tasks associated with the implementations for systems and network security technologies Executes testing plans Coordinates and prepares reporting of data security events and incidents Provides system and network architecture support Provides technical support to business and technology associates Provides trouble resolution on complex issues Performs...

Job Family: Claims Type: Full time Date Posted:Jul 14, 2022 Req #: JR4966 Location: NV, Las Vegas National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description Sign Bonus of $500.00 This is an entry level position in the Enterprise Grievance & Appeals Department that reviews, analyzes and processes non-complex pre service and post service grievances and appeals requests from customer types (i.e. member, provider, regulatory and third party) and multiple products (i.e. HMO, POS, PPO, EPO, CDHP, and indemnity) related to clinical and non-clinical services, quality of service, and quality of care issues to include executive and regulatory grievances. Primary Duties May Include, But Are Not Limited To Reviews, analyzes, and processes non-complex grievances and appeals in accordance with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of...

Job Family: Medical and Clinical Type: Full time Date Posted:Aug 15, 2022 Req #: JR14569 Location: TN, Brentwood National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description Responsible for supporting the development and implementation of quality improvement interventions and audits. Work Shift Four 10 hour shifts, availability 7 AM to 7 PM, including weekends Primary Duties May Include, But Are Not Limited To Researches, collects data, and submits and resolves administrative appeals. Contributes to external reviews site visit preparations by the State, accreditation review and Quality Management Committee; conducts internal monitoring and audits timeline compliance standards. Processes, tracks, trends, and reports complaint and grievances issues. Prepares complaint and grievance files for Fair Hearings and serves as a subject matter expert on complaints and grievances for non-clinical staff....

Job Family: Analytics Type: Full time Date Posted:Aug 15, 2022 Req #: JR13913 Location: National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description Monitors call volume demand in real time and flexes workforce accordingly. Ensures that the best possible call center service levels are achieved to maximize utilization. Monitors call volume and average speed of answer (ASA) in real time & adjusts schedules to ensure consistent service is maintained. Primary Duties May Include, But Are Not Limited To Monitors and reacts to fluctuations in call volume as they occur in order to restore service levels as quickly as possible. Schedules activities around forecasted call patterns. Schedules off-phone activities when call volume projections are down. Manages and adjusts call routing when unusual call patterns exist in order to ensure service levels are met. Updates schedules to ensure WFM system is able to...

Job Family: Business Development and Planning Type: Full time Date Posted:Aug 15, 2022 Req #: PS73759 Location: CA, Woodland Hills TX, Fort Worth TX, Austin CA, Rancho Cordova CA, Costa Mesa TX, Dallas National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint CA, Glendale CA, Sacramento CA, Walnut Creek TX, Houston TX, San Antonio CA, Cerritos Description Business Development Director - Medicare Sales Location: Eligible to work remotely with weekly local travel expectation of 25% of the time. Elevance Health's Government Business Group’s Medicare West Sales team is looking for an Business Development Director to join its team. This high-performing individual contributor will be responsible for coordinating and overseeing the development of new business areas which complements existing offerings. Our ideal candidate has experience and knowledge of Medicare, business development, sales,...

Job Family: Medical and Clinical Type: Full time Date Posted:Aug 11, 2022 Req #: PS74120 Location: National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description Description - External This position is both telephonic and field-based. You will support our members with approximately 50% of field work in the CT territory. When you are not in the field, you will work remotely from home. Work will be completed during standard business hours, with flexibility to meet business needs. Note: Temporarily not doing fieldwork. Telephonic outreach only. The health and safety of Anthem associates and the various stakeholders we serve is a top priority for our business every day. Be part of an extraordinary team. We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you...

Job Family: Cyber Security Type: Full time Date Posted:Aug 15, 2022 Req #: JR10207 Location: GA, Atlanta National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description Title: Information Security Exec Advisor Location: Atlanta, GA; or near any Elevance Health location SailPoint Architect who will be responsible for innovating ,leading and delivering the Next Gen Digital Identity Governance Solution. Primary Duties Include But Are Not Limited To Design and Build an Identity Governance Platform that is scalable by partnering with Enterprise Security, Regulatory Compliance and Business Process requirement. Develop IGA Platform with right Balance of Security and User Experience. Design and Build Role Based Access Control and Attribute Based Access Control solutions. Extensive experience with designing and implementing SailPoint IdentityIQ including a deep architectural understanding of its technical...

Job Family: Business Development and Planning Type: Full time Date Posted:Aug 15, 2022 Req #: JR7375 Location: National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description The Market Plan President-Kansas is responsible for the fiscal, operational management, legislative and regulatory objectives of an assigned Health Plan. A Health Plan at this level is large and complex in operating factors, which may include alliance or other joint venture relationships. Primary duties may include, but are not limited to: Establishes strategies that create or sustain a competitive advantage. Aligns strategy to achieve business goals and builds a culture of accountability. Manages the P&L of the assigned Health Plan. Oversees operating gain, growth, cost of care commitments, revenue, quality, and accreditation goals. Develops and manages key State regulatory and legislative relationships and processes, including premium...

Duties VA Careers - Pharmacy : https://youtube.com/embed/Fn_ickNBEws The incumbent works closely with the pharmacy management in establishing overall operational policies and procedures in accordance with manuals, directives and memorandums. Directs and critically reviews the work of other pharmacy technicians, student technicians, volunteers and technical trainees assigned to the Central Alabama Veterans Healthcare System. Incumbent will train all non-professional pharmacy personnel and volunteers. Will assist in technician and volunteer scheduling and assure that each duty has at least one back-up technician. Plans, prioritizes and assigns daily work activities to be accomplished on each shift. Coordinates work assignments in order to cover peak work periods and absences/vacancies. Directs staffing and workload assignments and coordinates with the Pharmacy management. Coordinates leave schedules and makes recommendations to the pharmacy...

Position Description If you are a security engineer with at least two years of experience and want to be a part of a larger collaborative team, Serco has a great opportunity for you! This Security Engineer will not only have thorough demonstrative security operations experience, but also have a sound understanding of information security principles, independent thinking, analytical skills, technical knowledge, and the ability to maintain quality service standards set by the organization. If you also possess a fundamental knowledge of cloud technologies, then you would be our ideal candidate. Serco has a robust information security program that includes analyzing, triaging, and handling security events; deploying and maintaining security infrastructure; troubleshooting security-related issues; provisioning accounts and access; identifying, reporting, and remediating vulnerabilities; performing incident response activities; and documenting processes, procedures, and systems. Our...

To serve the students nutritous and attractive meals in a pleasant atmosphere while adhering to budgetary regulations. Duty Days 187 Reports To CBP Manager & Director, Principal Salary Range: From/To See appropriate salary schedule... Additional Job Information NON-DISCRIMINATION STATEMENT The Following Person Has Been Designated To Handle Inquiries Regarding The Non-discrimination Policies The Bessemer City School System does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs and activities and provides equal access to the Boy Scouts and other designated youth groups. Dr. Jameka Thomas, Section 504; and Title IX Coordinator 1621 - 5th Avenue North Bessemer, Alabama 35021 Phone: 205.432.3028 Email: jathomas@bessk12.org Job Attachment View Attachment NON-DISCRIMINATION STATEMENT The Following Person Has Been Designated To Handle Inquiries Regarding The Non-discrimination Policies The Bessemer City School...