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Carrot Peelers, Sales, Personality and Your Job Search
In-House
Attorney
Health Care
3-5 yrs required
Health Benefit Plan Administration - Attorney The candidate must have experience in this or similar industries, to solve issues presented by employers, their health plans, and those that service them; such as responding to audits, ensuring regulatory compliance, explaining plan terms, applicable laws, and resolving disputes between health plans, patients, and healthcare service providers – in an effort to protect plan members and sponsors. Duties will include conducting legal research, responding to questions regarding agency rules, statutory requirements, and legal compliance, communicating with plan administrators, and answering any number of questions regarding administration of compliant health plans in light of applicable rules and laws. Degree from an accredited law school and admittance to a State Bar is essential. Should have knowledge of latest developments in healthcare, the Patient Protection and Affordable Care Act, and ERISA. Must show demonstrable experience with, or interest (study) in, regulatory and agency law, including IRS, DOL, and HHS, especially as it relates to employee benefit plans. Prior work with health benefit plans, third party administrators, and/or health insurance carriers is essential. Should preferably have proven record in managing cases involving Medicare and CMS, billing and payment rules and processes. Should have 3-5 years experience relating to: Health benefit plan administration; Hospital billing and payment rules and processes; Healthcare and ERISA law. Experience with healthcare regulatory / agency law, including IRS, DOL, and HHS is essential.
Requisition ID: 1049
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