Contract Manager The candidate will manage the full life cycle of Pharmacy Benefit Management (PBM) contracts from RFP through client contract execution. Oversee the contract approval process, ensuring compliance, version control, and support the negotiation and execution of standard and...
Title: Sr Investigator Job Responsibilities: The Sr Investigator is tasked with independently identifying, investigating, and developing complex cases against individuals or entities perpetrating healthcare fraud. The primary objective is to recover corporate and client funds paid on fraudulent claims. Key duties include: -...
Title: Sr Investigator Job Responsibilities: The Sr Investigator is tasked with the independent identification, investigation, and development of complex cases against individuals or entities perpetrating healthcare fraud. The primary aim is to recover corporate and client funds that have been paid on...
Title: Sr Investigator Job Responsibilities: The Sr Investigator is tasked with the independent identification, investigation, and development of complex cases targeting healthcare fraud perpetrators to recover funds paid on fraudulent claims. The primary duties include: - Conducting claim reviews for appropriate coding, data...
Job Title: Nurse Appeals (Grievance & Appeals) Job... Responsibilities: The Nurse Appeals role involves several... key duties include: - Supporting legal, management, and executive leadership... by managing State Fair Hearing and External Medical Review requests. - Acting as a resource for both clinical and...
Job Title: Nurse Appeals (Grievance & Appeals) Job... Responsibilities: The Nurse Appeals role involves a... Key duties include: - Supporting legal, management, and executive leadership... by managing State Fair Hearing and External Medical Review requests. - Acting as a resource for both clinical and...
Job Title: Nurse Appeals (Grievance & Appeals) Job... Responsibilities: The Nurse Appeals role involves investigating... Key responsibilities include: - Supporting legal, management, and executive leadership... by managing State Fair Hearing and External Medical Review requests. - Acting as a resource for clinical and non-clinical...
Job Title: Nurse Appeals (Grievance & Appeals) Job... Responsibilities: The Nurse Appeals is tasked with... providers. This role supports legal, management, and executive leadership... by managing State Fair Hearing and External Medical Review requests. The position acts as a resource for both...
Job Title: Senior Paralegal Job Responsibilities: The Senior Paralegal... will be responsible for... support and assisting federal prosecutors in the investigation and prosecution of various matters. Key responsibilities include: - Preparing substantive legal documents such as subpoenas,... deposition notices, interrogatories, and d...
Job Title: Corporate Legal Assistant Job Responsibilities: - Organize and... maintain contracts and legal files. - Obtain good standing... certificates from the Secretary of State. - Prepare meeting minutes for shareholders. - Prepare and file DBAs (Doing Business As). - Apply for Federal Identification numbers and...
Job Title: Nurse Appeals (Grievance & Appeals) Job... members and providers. - Support legal, management, and executive leadership... by managing State Fair Hearing and External Medical Review requests. - Act as a resource for both clinical and non-clinical teams by conducting thorough investigations...
Job Title: Paralegal -- General Counsel --... (Job ID: 61448) Job Responsibilities: The paralegal in the Office of... Counsel (OGC) performs substantive legal work under the supervision... excludes accepting cases, rendering legal advice, making court appearances... unless legally permitted, or engaging in...
Job Title: Paralegal, Veterinary Operations Job Responsibilities: The Paralegal,... Veterinary Operations plays a... role in supporting the legal function within the department.... provides regulatory and operational legal support to veterinary hospital... include: - Supporting the Senior Counsel and the broader legal team...
Job Title: Paralegal, Veterinary Operations Job Responsibilities: The Paralegal,... Veterinary Operations plays a... role in supporting the legal function within the Veterinary... Providing regulatory and operational legal support to veterinary hospital... the Senior Counsel and the broader legal team with legal an......
Job Title: Paralegal – Spine & Orthopaedic... and reports for case preparation and legal review. - Track deadlines for... subpoenas, depositions, discovery requests, and other legal documents. - Review and manage... attorney and provider requests for depositions, IMEs, trials, and narrative r...
Job Title: Senior Paralegal Job Responsibilities: The Senior Paralegal at... crucial role in supporting legal and contracting efforts. The... position serves as the primary contact for contracting support for RayzeBio’s procurement and commercial contracts. Key responsibilities include: - Drafting, reviewing, redlining, and negotiating...
Job Title: Healthcare Legal Assistant Job Responsibilities: - Support attorneys... deadlines. - Prepare pleadings, discovery shells, tables of contents and authorities, and finalize complex legal documents with precision. - Coordinate... case schedules, deadlines, and calendars. - Communicate professionally with clients and internal teams. - Provide gen...
Job Title: Paralegal, Veterinary Operations Job Responsibilities: - Support... Counsel and the broader legal team on legal and... regulatory issues impacting veterinary hospitals and clinical operations. - Conduct legal and regulatory research on... veterinary practice acts, licensure rules, controlled substances compliance (DEA, Health...
license and compliance program, by working closely with legal counsel to understand compliance... requirements for liquor and regulated products across the country, as well as working with the company’s licensing and field teams to ensure compliance with local requirements t...
license and compliance program, by working closely with legal counsel to understand compliance... requirements for liquor and regulated products across the country, as well as working with the company’s licensing and field teams to ensure compliance with local requirements t...
license and compliance program, by working closely with legal counsel to understand compliance... requirements for liquor and regulated products across the country, as well as working with the company’s licensing and field teams to ensure compliance with local requirements t...
license and compliance program, by working closely with legal counsel to understand compliance... requirements for liquor and regulated products across the country, as well as working with the company’s licensing and field teams to ensure compliance with local requirements t...
license and compliance program, by working closely with legal counsel to understand compliance... requirements for liquor and regulated products across the country, as well as working with the company’s licensing and field teams to ensure compliance with local requirements t...
Title: Senior Risk Management Professional Job Responsibilities: The Senior Risk Management Professional is responsible for identifying and analyzing potential sources of loss to minimize risk. This role involves developing and implementing controls and cost-effective approaches to minimize the risk of Medicaid operations...
Title: Senior Risk Management Professional Job Responsibilities: The Senior Risk Management Professional is tasked with identifying and analyzing potential sources of loss to minimize risk. The role involves working on moderately complex to complex issues where the analysis of situations or data...
Title: Senior Risk Management Professional Job Responsibilities: The Senior Risk Management Professional is responsible for identifying and analyzing potential sources of loss to minimize risk within the organization. The role involves developing and implementing controls and cost-effective approaches to minimize risk specifically...
Title Senior Risk Management Professional Job Responsibilities The Senior Risk Management Professional at the company plays a crucial role in identifying and analyzing potential sources of loss to minimize risk. The responsibilities include: - Developing and implementing controls and cost-effective strategies to minimize risks...
Title Senior Risk Management Professional Job Responsibilities The Senior Risk Management Professional plays a crucial role in identifying and analyzing potential sources of loss to minimize risk for the company's Medicaid operations within the Payment Integrity Unit. The responsibilities include:...
Title: Senior Risk Management Professional Job Responsibilities: The Senior Risk Management Professional is responsible for identifying and analyzing potential sources of loss to minimize risk within the organization. This position involves developing and implementing controls and cost-effective strategies to manage risks associated...
Title: Senior Risk Management Professional Job Responsibilities: The Senior Risk Management Professional is responsible for identifying and analyzing potential sources of loss to minimize risk, specifically within the Medicaid operations of the company's Payment Integrity Unit. The role involves developing and implementing...
Title: Senior Risk Management Professional Job Responsibilities: The Senior Risk Management Professional plays a critical role in identifying and analyzing potential sources of loss to minimize risk within the company. This involves working on moderately complex to complex issues where a thorough...
Title: Senior Risk Management Professional Job Responsibilities: The Senior Risk Management Professional plays a crucial role in identifying and analyzing potential sources of loss to minimize risk, particularly within the Medicaid operations of the company’s Payment Integrity Unit. This role involves a...
Title: Senior Risk Management Professional Job Responsibilities: The Senior Risk Management Professional is tasked with identifying and analyzing potential sources of loss to minimize risk within the organization. This role involves handling moderately complex to complex issues, requiring an in-depth evaluation...
Title: Senior Risk Management Professional Job Responsibilities: The Senior Risk Management Professional is responsible for identifying and analyzing potential sources of loss in order to minimize risk within the organization. This role involves developing and implementing controls and cost-effective approaches to mitigate...
Title: Senior Risk Management Professional Job Responsibilities: The Senior Risk Management Professional is responsible for identifying and analyzing potential sources of loss to minimize risk within the company. This involves developing and implementing controls and cost-effective strategies to mitigate risks associated with...
Title: Senior Risk Management Professional Job Responsibilities: The Senior Risk Management Professional is responsible for identifying and analyzing potential sources of loss to minimize risk within the company. This role involves developing and implementing controls and cost-effective approaches to minimize risk in...
Title: Senior Risk Management Professional Job Responsibilities: The Senior Risk Management Professional is responsible for identifying and analyzing potential sources of loss to minimize risk within the company. This role involves developing and implementing controls and cost-effective strategies to mitigate risks in...
Title: Senior Risk Management Professional Job Responsibilities: The Senior Risk Management Professional is tasked with identifying and analyzing potential sources of loss to minimize risk. This role involves developing and implementing controls and cost-effective approaches to minimize risk in Medicaid operations within...
Title: Senior Risk Management Professional Job Responsibilities: The Senior Risk Management Professional is responsible for identifying and analyzing potential sources of loss to minimize risk, specifically within the Medicaid operations of the company's Payment Integrity Unit. The role involves developing and implementing...
Title: Senior Risk Management Professional Job Responsibilities: The Senior Risk Management Professional is responsible for identifying and analyzing potential sources of loss to minimize risk within the company. This role involves developing and implementing controls and cost-effective approaches to mitigate risks associated...
Title: Investigator Senior - Pharmacy Job Responsibilities: The Investigator Senior - Pharmacy is tasked with the independent identification, investigation, and development of complex healthcare cases targeting perpetrators of healthcare fraud. This role is crucial for recovering corporate and client funds...
Title: Investigator Senior - Pharmacy Job Responsibilities: The Investigator Senior - Pharmacy is responsible for independently identifying, investigating, and developing complex healthcare cases against perpetrators of healthcare fraud to recover corporate and client funds paid on fraudulent claims. Key responsibilities include: - Conducting...
Title: Investigator Senior - Pharmacy Job Responsibilities: The Investigator Senior - Pharmacy is tasked with independently identifying, investigating, and developing complex healthcare cases against individuals or entities committing healthcare fraud. The role focuses on recovering corporate and client funds paid on fraudulent...
Title: Technical Specialist, Auto Liability Job Responsibilities: - Investigate, evaluate, reserve, negotiate, and resolve assigned Auto and Homeowner related Bodily Injury and Property Damage claims. - Provide quality claim handling throughout the claim life cycle, including customer contacts, coverage, investigation, evaluation, reserving, litigation...
**Job Title:** Paralegal **Job Responsibilities:** As a Paralegal at the company, you... will be an integral part of the Legal team, supporting the General... Counsel and the broader Legal function. Your role will... involve leading and scaling essential legal workflows to support a......
Title: Litigation Specialist, GL (Construction) Job Responsibilities: - Handle assigned Specialty Liability related Bodily Injury and Property Damage claims. - Provide quality claim handling throughout the claim life cycle, including customer contact, coverage, investigation, evaluation, reserving, litigation management, negotiation, and resolution. - Maintain compliance...
Title: Litigation Specialist, GL (Construction) Job Responsibilities: - Handle assigned claims directly, providing quality customer service and ensuring file quality and timely coverage analysis. - Investigate each claim promptly and strategically, contacting relevant parties such as policyholders, claimants, law enforcement agencies, and witnesses...