Title: Senior Counsel, Commercial Job Responsibilities: The Senior Counsel at the company will play a pivotal role in providing comprehensive legal support for the company’s commercial operations. The responsibilities include: - Acting as a strategic business partner to support business objectives and advising...
Title: Senior Counsel, Commercial Job Responsibilities: The Senior Counsel for the company will join a supportive and inclusive team of attorneys and legal professionals, reporting to the Assistant General Counsel. This role involves working directly with executives and associates across all levels...
Title: Senior Counsel Job Responsibilities: - Serve as the strategic business partner for clients to support business objectives and advise on risk mitigation strategies. - Provide practical, solution-oriented approaches to a broad range of legal issues and risks, and structure, write, and negotiate...
General Counsel - Commercial Transactions Job Title Assistant General Counsel - Commercial Transactions Job Responsibilities The Assistant General Counsel for Commercial Transactions is responsible for providing exceptional legal advice within the company's expanding sectors, which include pharmaceutical distribution, manufacturing, precision medicine, and life sciences....
The following jobs are no longer active but were real openings previously posted by employers.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.
The candidate will identify appropriate sources to research information related to a legal matter (., implications of new regulations) or that impact the business. Monitor developments in a particular area that may impact existing projects in collaboration with Compliance/Regulatory Team (., Federal regulations). Research applicability of laws, regulations, and other requirements to cases, contracts, or decisions. Analyze data to make conclusions and summariz... 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Note: This job is no longer active.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 Responsibilities: Will handle and is responsible for the legal affairs of a C&S Health Plan. Work closely with Health Plan Operations and the Plan Compliance Officer. Provide legal and strategic guidance for the following health plan operations: Claims administration, clinical services, quality assurance, audit and recoveries, compliance and integrity, risk management, marketing, business development, government contract procurement, and network adm... 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 reports ultimately to C&S’s General Counsel and is responsible for the legal affairs of a C&S Health Plan. Will work closely with Health Plan Operations and the Plan Compliance Officer provides legal and strategic guidance for the following health plan operations Claims Administration, Clinical Services, Quality Assurance, Audit and Recoveries, Compliance and Integrity, Risk Management, Marketing, Business Development, Governmen... 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
Managed Care The candidate wil have responsibility for monitoring, tracking, and coordinating the Health Plan Audit and Compliance functions on behalf of IPAs managed by Coast Healthcare Management (CHM) and Premier Health Plan, a California limited Knox-Keene Full Risk health Director, Managed Care is responsible to ensure that all required Health Plan Audits, reporting and Training are completed timely, monitored, and tracked for each Director, M... 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, Managed Care Responsibilities: Develop and implement a Health Plan Audit Dashboard to track all Health Plan reports, Audits, follow-up audits, corrective action plans, and training. Develop and implement processes to ensure that all CMS required trainings (General Compliance, Standards of Conduct, HIPAA, False Claims Act, Anti-Kickback, and Fraud, Waste and Abuse, etc.)... are completed timely by CHM regular and temporary staff and First Tier, Downstream, and Related... 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
Description Deputy General Counsel- Prescription Solutions- Cypress or Irvine, CA-303359 Description Prescription Solutions is one of the largest pharmacy benefit managers in the United States and has been recognized nationally for its innovative clinical programs studying the efficacy, quality and safety of drugs. It provides retail pharmacy network claims processing; mail order pharmaceuticals; specialty pharmaceutical management; retail network contracting; rebate c... 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
II - Telecommute The candidate will investigate, collect, research and analyze billing data in order to detect fraudulent, abusive or wasteful activities/practices. Will use appropriate system tools, analyzes data to detect fraudulent, abusive or wasteful payments to providers and subscribers. Prepare statistical/financial analyses and reports to document findings and maintain up-to-date case files for management review. Prepare final report and notification of... 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 The candidate will be 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 assi... 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
Legal Counsel The candidate will be responsible for completing a variety of routine and non-routine legal assignments and intermediate level projects independently and using professional legal concepts and principles in accordance with company and departmental objectives to solve challenging, or legal issues in practical ways. Works autonomously with regular collaboration and reporting to management. At this level the associate has developed a specific technical depth... 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
Staff VP, Program Integrity / Investigations The candidate will provide leadership to the Commercial Special Investigations Unit, Provider Audit and Data Mining teams. Primary duties include: development and implementation of program strategies, goals, deliverables, and overall program execution. Develop and administer a strategy that continually reduces the inappropriate provider payments and optimizes opportunities to drive fraud, waste and abuse savings... including identify... 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