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The candidate will support and advance the goals and objectives of the BH Corporate Office of Clinical Ethics. Serve as lead professional staff for ethics case consultation services at four hospitals in an 8 hospital system. 50% FTE duty and 50% FT office base located at BH-Dearborn. Provide expert ethics analysis on case consultations at other system hospitals via web portal. Serve as training faculty for professional development of BH system ethics co...
Health Care Attorney
Responsibilities: Will focus on reimbursement and subrogation claims recovery in the healthcare industry. Recover the maximum amount possible for each case by developing cases, identifying all potential recovery sources, regularly communicating with all parties, and overcoming legal objections to recovery. Assist with diverse projects. Determine appropriate strategy for case handling; exercise proper judgment and decision making to maximize recovery po...
Southfield office of our client seeks health and welfare attorney with 5+ years of experience in counseling employers regarding health and welfare benefits and related laws and regulations, including the Affordable Care Act, HIPAA, and COBRA. The candidate will be drafting plan documents and employee communications, overseeing plan governance and compliance, and negotiating agreements with third-party administrators, providers, and vendors. Must be licensed and in good stan...
Health and Welfare Attorney
The candidate should be an ERISA health and welfare attorney preferably having 5+ years of experience counseling employers regarding health and welfare benefits and related laws and regulations, including the Affordable Care Act, HIPAA, and COBRA. Responsibilities will include: drafting plan documents and employee communications, overseeing plan governance and compliance, and negotiating agreements with third-party administrators, providers, and...
Analyst – Certificates and Riders
Duties: Write and revise certificates and riders, obtain internal sign-off; and submit the certificates and riders through the approval processes. Act as a consultant to other BCBSM departments in the development and implementation of new or modified products to ensure that certificates and riders are correctly written and approved within designated timeframes. Resolve benefit issues and inquiries, and support the responsibilities of t...
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Quality/Risk Specialist II
Responsibilities: Under minimal direction, supports the effective surveillance, analysis, and prevention of events which may injure patients, lead to malpractice claims, and cause loss to the health care system. Collaborates with multidisciplinary health care teams to reduce and prevent adverse medical outcomes, minimize the risk of injury to patients, staff and visitors, and control any associated liability. Will be involved in sentinel event in...
Attorney – Associate
Duties: Responsible for handling basic legal matters. Translates legal conditions into lay terms and effectively communicates basic legal principles to business clients. Drafts basic legal documentation and works on less complex cases or parts of larger cases. Work with Attorney and Senior Attorney on complex matters. Provide legal analysis and opinion as to complex matters under the direction of the Attorney or Senior Attorney. Appear in courts an...
Compliance Officer - The Compliance and Privacy
Duties: Oversees all activities related to the development, implementation, maintenance of and adherence to the company’s policies and procedures covering the privacy of, and access to patient health information in compliance with federal and state laws and the company’s information privacy practices. In addition, acts as staff to the COO, CEO and Board of Directors by monitoring and reporting results relating to privacy,...
The candidate provides legal services for company and assigned Regional Health Ministry (RHM) consistent with the company Legal Department and, in coordination with, the needs of the assigned team, and the strategies and priorities of the organization. Responsible for handling a variety of routine to moderately complex legal matters or projects. Work requires independent judgment and often requires direct client contact. This position may be assigned to c...