Top 91 Economic consultant Jobs in Alabama

MPPS Behavioral Health Policy Consultant
CVS Health —Alabama
- $67,900 - $182,549 a year
- Full-time
- Remote
- 7 years
- Bachelor's degree
- Fair chance
- Health insurance
- Dental insurance
3d
Financial Consultant
WealthBridge Financial Group —Mobile, AL
- $100,000 - $150,000 a year
- Full-time
- Hybrid work
- Mid-level
- Finance
- Analysis skills
- Disability insurance
- Health insurance
Quick Apply
Account Executive, Strategic
CVS Health —Alabama
- $68,000 - $174,134 a year
- Full-time
- Remote
- 7 years
- Sales
- Bachelor's degree
- Health insurance
- Dental insurance
Senior Business Advisor
The University of Alabama in Huntsville —Alabama
- $30.45 - $38.06 an hour
- On call
- Google Workspace
- 5 years
- Finance
Business Advisor
The University of Alabama in Huntsville —Alabama
- $52,343 a year
- On call
- Google Workspace
- Marketing
- Mid-level
Customer Service Specialist
Housing Authority of the Birmingham District —Birmingham, AL
- Full-time
- Microsoft Outlook
- Writing skills
- English
Vice President, Advisory Consulting
Osaic —Alabama
- $140,000 - $175,000 a year
- Full-time
- Office
- Finance
- Bachelor's degree
- Health insurance
- Dental insurance
11d
CLINICAL RESEARCH REGULATORY COORDINATOR II
University of Alabama at Birmingham —Birmingham, AL
- $47,665 - $77,455 a year
- Day shift
- Mid-level
- 3 years
- University
Case Manager - Special Programs
Housing Authority of the Birmingham District —Birmingham, AL
- Full-time
- Microsoft Outlook
- Customer service
- Writing skills
Restaurant Growth Partner - Global Food Ventures
Qureos Inc —Birmingham, AL
- Remote
- Mid-level
- Commercial
Consumer Payment and Partnerships Manager
Regions —Birmingham, AL
- $152,376.95 - $194,760.00 a year
- Full-time
- Office
- Bachelor's degree
- Product management
- Health savings account
- Health insurance
HCV Clerk
Housing Authority of the Birmingham District —Birmingham, AL
- Full-time
- Microsoft Outlook
- Writing skills
- English
Inspector
Housing Authority of the Birmingham District —Birmingham, AL
- Full-time
- Microsoft Outlook
- Writing skills
- English
Assistant Property Manager
Housing Authority of the Birmingham District —Birmingham, AL
- Full-time
- Microsoft Outlook
- Writing skills
- Basic math
Talent Roster - Proposal Compliance Reviewer Consultant – European Union
IFDC- International Fertilizer Development —Muscle Shoals, AL
- Remote
- English
- 8 years
- Business development
Quick Apply
Principal Aortic Account Manager
Endologix —Mobile, AL
- $150,000 a year
- Full-time
- Hospital
- Inventory management
- Data analysis skills
- Commuter assistance
- Health savings account
Buyer
Performance Foodservice —Clanton, AL
- Full-time
- No high school diploma
- High school diploma or GED
- Contracts
- Employee stock purchase plan
- Health insurance
3d
Wealth Advisor -Montgomery, AL
Regions —Centre, AL
- $103,277.30 - $140,652.00 a year
- Full-time
- 5 years
- Mid-level
- Office
- Health savings account
- Health insurance
Commercial Banking Leader
Regions —Birmingham, AL
- $202,708 - $252,090 a year
- Full-time
- 7 years
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- Health insurance
Talent Roster - Proposal Development – Budget/Pricing Specialist Consultant
IFDC- International Fertilizer Development —Muscle Shoals, AL
- Remote
- 5 years
- Finance
- Business development
Quick Apply

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economic consultant jobs near alabama

MPPS Behavioral Health Policy Consultant

CVS Health -
Alabama

Apply Now

Job Details

Full-time
$67,900 - $182,549 a year
3 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Requirements specification
Requirements design
Software implementation
Medical claims processing software
Technical solutions implementation
Utilization management
Requirements management

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

May reside anywhere in the US

Position Summary

The Behavioral Health Medical Policy Lead is responsible for the identification, development, and execution of behavioral health clinical and payment policies, ensuring alignment with evidence-based guidelines, regulatory requirements, and enterprise affordability goals.

This role serves as a subject matter expert (SME) bridging clinical policy, coding, and claims adjudication by translating behavioral health policy intent into clear business requirements that drive accurate configuration and enforcement within claims processing platforms.

The position partners across Medical Policy, Medical Coding, Compliance, and vendor teams to ensure policy is operationalized consistently across end-to-end claims workflows (intake, edits, adjudication, denials, and appeals).

Behavioral Health Policy Identification & Development

Lead identification of new and emerging behavioral health policy opportunities, including:

Utilization management gaps
Medical correct coding vulnerabilities
Payment integrity risks
Interpret clinical evidence, regulatory guidance, and industry best practices to:

Develop or revise behavioral health medical policies
Define coverage criteria, limitations, and exclusions
Ensure policies are clinically sound, evidence-based, and aligned with CMS/state guidance

Payment Policy & Claims Editing Strategy

Define and drive payment policy strategies to ensure accurate claim adjudication and cost containment
Translate behavioral health policy intent into:

Claims editing logic
Correct coding requirements (DX, CPT/HCPCS, modifiers, frequency rules)
Adjudication outcomes (deny, pend, allow, PA requirement)
Partner with payment integrity and vendor teams (e.g., editing engines) to implement scalable solutions

Business Requirements Development (BRDs)

Own development of detailed Business Requirements Documents (BRDs) to support policy implementation, including:

Policy intent and business objectives
Coding and clinical logic
Claims system behavior across adjudication points
Configuration and testing requirements

Ensure requirements are:

Clear, actionable, and testable
Aligned with claims platform capabilities (e.g., ACAS, QNXT, HRP)
Act as the primary liaison between clinical SMEs and technical/configuration teams

Claims Adjudication & Operational Integration

Partner with claims operations to ensure policy is correctly implemented across:

Front-end edits
Pre-payment edits
Post-adjudication processes

Validate that behavioral health policies are correctly translated into system logic and medical coding rules
Support testing, defect resolution, and go-live readiness

Quality Assurance, Compliance & Audit Readiness

Perform policy QA and validation to ensure:

Alignment between clinical intent and system execution
Compliance with federal/state regulations and payer requirements
Support audits and remediation efforts by:

Identifying gaps in policy, medical coding, or configuration
Driving corrective actions

Cross-Functional Leadership & Governance

Serve as Behavioral Health SME across:

Medical Policy governance forums
Payment policy and vendor edit workgroups
Partner with:

Clinical teams (BH providers, UM)
Medical coding SMEs
Compliance and legal
IT and vendor partners
Lead end-to-end policy lifecycle from intake through execution and monitoring

Required Qualifications

7+ years of experience in medical policy, payment policy, or correct coding; behavioral health clinical practice; or utilization management
Ability to interpret behavioral health clinical standards and translate into policy
Apply correct coding frameworks (ICD-10, CPT/HCPCS) in policy and claims contexts
Develop business requirements documents (BRDs) supporting claims system configuration
Strong knowledge of behavioral health services (e.g., psychiatry, SUD, therapy modalities) and medical necessity criteria and utilization management
Experience translating policy into medical coding logic (ICD-10, CPT, HCPCS), claims editing and adjudication rules
Demonstrated experience developing business requirements (BRDs) for system implementation
Experience with claims adjudication platforms and/or vendor editing solutions

Preferred Qualifications

Experience with Medicaid and/or Medicare behavioral health policy
Experience with payment integrity vendors (e.g., Cotiviti, Optum, ClaimsXten)

Strong background in policy governance, audit/remediation and process improvement / Lean methodologies
Formal training or coursework in healthcare policy or health economics, clinical informatics or data analytics and/or utilization management or population health
Ability to effectively influence cross-functional teams without formal authority

Education

Bachelor’s degree in behavioral health or related field
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) (aligns with medical policy + coding roles) required and/or obtained within one year of start date in role

Pay Range

The typical pay range for this role is:

$67,900.00 - $182,549.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 07/28/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

economic consultant jobs in alabama

MPPS Behavioral Health Policy Consultant

Financial Consultant

Account Executive, Strategic

Senior Business Advisor

Business Advisor

Customer Service Specialist

Vice President, Advisory Consulting

CLINICAL RESEARCH REGULATORY COORDINATOR II

Case Manager - Special Programs

Restaurant Growth Partner - Global Food Ventures

Consumer Payment and Partnerships Manager

HCV Clerk

Inspector

Assistant Property Manager

Talent Roster - Proposal Compliance Reviewer Consultant – European Union

Principal Aortic Account Manager

Buyer

Wealth Advisor -Montgomery, AL

Commercial Banking Leader

Talent Roster - Proposal Development – Budget/Pricing Specialist Consultant

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