Title: Senior Managing Counsel - Pharmacy Job Responsibilities: - Lead and manage a team of attorneys providing legal support for pharmacy operations, product development, payer relationships, and arrangements with 340B covered entities and other affiliates. - Offer strategic legal counsel on regulatory, operational,...
Title: President (VP), Special Investigations Unit (SIU) Job Responsibilities: The President (VP) of the Special Investigations Unit (SIU) is tasked with leading, planning, organizing, and controlling the activities of cross-functional employees engaged in detecting and eliminating fraudulent behavior. Key responsibilities include:...
The following jobs are no longer active but were real openings previously posted by employers. These listings provide valuable insight into employer hiring trends and frequently lead to job offers. In many cases, employers are still hiring or open to strong candidates even if no new job is posted. Applying to these listings often makes you the only applicant, increasing your chances of being hired.
Claims Specialist - Professional Liability (PL) Elder Care Duties: Analyzes and processes complex or technically difficult Elder Care / Aging Services claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions. Negotiates... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
General Counsel The candidate will be responsible for analyzing, managing and advising on legal and regulatory matters of the organization. Provide legal support to the Company’s operations, development and finance teams. The key purpose of the job is to advise the Company on issues concerning regulatory matters, legal rights, obligations and privileges that relate to its management and its field of operation. Oversee and manages external counsel where appropriat... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Director, Special Investigations Duties: Responsible for staffing and managing associates in multiples locations to ensure that adequate resources exist to investigate fraud and abuse. Assists the... VP in setting priorities, goals and objectives for the fraud and abuse department. Collaborates... with the legal and business departments to determine the best course of action against a perpetrator of fraud or abuse. Establishes process... for establishing cases and assignment of cases... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
SIU Pharmacy Investigator The candidate will work on complex fraud investigations. Will manage a... load of cases and provide expertise as it relates to pharmacy fraud, waste and abuse. Manage... a caseload of pharmacy fraud investigations. Identify fraud schemes... and trends within the Pharmacy line of business, geographic region, or across specialties. Develop and maintain strong working relationships with the business and market offices in their assigned regions. Collaborate with... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Information: Not Specified Job Title: Assistant General Counsel - Clinical (Hybrid) Company: A Member-Owned Health Insurance Company Experience: 5 Years Location: Chicago, IL Job Summary This is an opportunity for a motivated lawyer to provide legal support to A Member-Owned Health Insurance Company's health care management and clinical strategy and operations teams and other internal business partners supporting A Member-Owned Health Insurance Company... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
I, II, / Senior The candidate claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Responsible for independently identifying and developing enterprise-wide specific healthcare investigations and initiatives that may impact more than one company health plan, line of business and/or state. Interface internally with Senior l... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
I, II, / Senior The candidate claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Responsible for independently identifying and developing enterprise-wide specific healthcare investigations and initiatives that may impact more than one company health plan, line of business and/or state. Interface internally with Senior l... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
General Counsel The candidate serves as a member of the Enterprise Litigation Team handling litigation across Firm’s five-state area, with a focus on bringing an innovative approach to affirmative litigation and recovery opportunities. Responsible for providing legal advice, support, and coordination on more complex legal matters or projects, requiring senior level attorney skills. With the assistance of outside counsel, lead the strategic direction of complicate... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Investigator I, II or Senior The candidate is responsible for independent identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover... corporate and client funds paid on fraudulent claims. Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Interface internally with Senio... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Investigator I, II or Senior The candidate is responsible for independent identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover... corporate and client funds paid on fraudulent claims. Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Interface internally with Senio... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here