Title: Legal Counsel Job Responsibilities: - Represent the organization in legal duties with guidance from more experienced attorneys. - Conduct legal research on principles and precedents, consult with higher-level attorneys, draft and execute legal documents, and gather relevant case information. - Contribute to the...
Title Senior Coverage Director Job Responsibilities The Senior Coverage Director operates within the Coverage and Complex Claim Department and is responsible for managing an array of casualty claims characterized by complex coverage issues and Long Tail Exposure (LTE) claims. These...
Title Senior Coverage Director Job Responsibilities The Senior Coverage Director is primarily responsible for managing a portfolio of casualty claims that involve complex coverage issues, Long Tail Exposure (LTE) claims, and class action litigation. Claims may include, but are not limited...
Title Senior Coverage Director Job Responsibilities The Senior Coverage Director will be responsible for managing an inventory of casualty claims with complex coverage issues, including Long Tail Exposure (LTE) claims that occur over multiple policy periods and/or involve class action...
Title: Senior Coverage Director Job Responsibilities: The Senior Coverage Director in the Coverage and Complex Claim Department will be responsible for managing an inventory of casualty claims that involve complex coverage issues, Long Tail Exposure (LTE) claims, and class action litigation. These...
Title: Senior Coverage Director Job Responsibilities: The Senior Coverage Director will be responsible for managing an inventory of casualty claims that involve complex coverage issues. These include Long Tail Exposure (LTE) claims, which occur over multiple policy periods, and/or class...
Title: AVP-Claim-Coverage & Complex Job Responsibilities: The AVP, Claim – Coverage & Complex is an individual contributor role requiring a high degree of specialized and technical competence in managing high exposure Financial Lines coverage litigation. The responsibilities include: - Selection and management of...
agreements, including services agreements, insurance agreements, benefits administration agreements,... business associate agreements, confidentiality agreements, consulting agreements, and vendor agreements. - Provide legal advice on new and evolving business initiatives to other members of the legal team and directly to the business. -...
Attorney Job Description The Managing Attorney will oversee the House Counsel Offices, supporting litigation activities in Massachusetts and Connecticut. This role involves balancing managerial duties with handling a small caseload and providing backup support on pending cases. The Managing Attorney must understand...
Title: Associate General Counsel Job Responsibilities: The Associate General Counsel will play a pivotal role in supporting and accelerating the commercial contracting function within the company. This position involves drafting, reviewing, and negotiating a wide range of sales-related agreements specific to healthcare...
Title: Commercial Contract Attorney Job Responsibilities: The Commercial Contract Attorney is responsible for supporting and enhancing the company's commercial contracting function, specifically focusing on healthcare technology and revenue cycle management (RCM) solutions. Key responsibilities include: - Drafting, reviewing, and negotiating a wide range...
Title: Associate General Counsel Job Responsibilities: - Contract Review and Negotiation: - Draft, review, and negotiate a wide variety of contracts, including physician employment agreements, vendor contracts, lease agreements, and service agreements. - Ensure that contracts comply with all...
Title: Senior Compliance Analyst, Duals (D-SNP) Products Job Responsibilities: - Partner with leadership to ensure company's compliance with Duals (D-SNP) Program requirements. - Provide regulatory interpretation and perform compliance reporting. - Lead special projects and develop compliance auditing and monitoring strategies for D-SNPs. - Respond...
Title: Senior Compliance Risk Adjustment Analyst Job Responsibilities: - Support the Risk Adjustment Compliance program elements, focusing on auditing and monitoring functions. - Collaborate with business areas to ensure effective prevention, detection, and correction of compliance issues. - Facilitate and lead external audits related...
Title: Senior Compliance Analyst, Duals (D-SNP) Products Job Responsibilities: The Senior Compliance Analyst for Duals (D-SNP) Products is responsible for ensuring compliance with the Duals (D-SNP) Program requirements, partnering with leadership to maintain the company's adherence to these standards. Key responsibilities include: -...
Title: Senior Compliance Analyst, Duals (D-SNP) Products Job Responsibilities: - Collaborate with leadership to ensure compliance with Duals (D-SNP) Program requirements. - Provide regulatory interpretation and manage compliance reporting. - Lead special projects and develop compliance auditing and monitoring strategies for D-SNPs. - Respond to...
Title: Senior Compliance Analyst, Duals (D-SNP) Products Job Responsibilities: The Senior Compliance Analyst for Duals (D-SNP) Products plays a pivotal role in ensuring that the company complies with Duals Program requirements. This position involves a variety of responsibilities including: - Partnering with...
Title: Senior Compliance Analyst, Duals (D-SNP) Products Job Responsibilities: - Partner with leadership to maintain company's compliance with Duals (D-SNP) Program requirements. - Provide regulatory interpretation and perform compliance reporting. - Lead special projects and develop and implement compliance auditing...
Title: Pharmacy Investigator Senior Job Responsibilities: - Independently identify, investigate, and develop complex cases against perpetrators of healthcare fraud to recover corporate and client funds paid on fraudulent claims. - Conduct claim reviews for appropriate coding, data mining, entity review, law enforcement referral,...
Associate Counsel Job Title Liability Associate Counsel Job Responsibilities As a Liability Associate Counsel at the company, you will be entrusted with several responsibilities aimed at providing high-quality and proactive case handling. Your primary duties will include: - Managing a caseload of lower complexity matters. -...
Title: Senior Liability Trial Attorney Job Responsibilities: - Handle a caseload of higher exposure cases and more complex litigation matters from inception through trial and appeal. - Apply effective litigation skills and techniques to try cases to verdict or negotiate resolutions. - Conduct advanced...
Title: Claims Counsel (Bodily Injury) Job Responsibilities: - Handle a wide variety of Casualty claims under the direction of a Claims Supervisor. - Conduct, coordinate, and direct investigations for all aspects of the claims process. - Determine liability, evaluate exposure, and negotiate claims to...
Title: Claims Counsel (Professional Liability) Job Responsibilities: - Handle a wide variety of litigated liability claims, including legal and medical malpractice, employment practices, law enforcement liability, and directors and officers liability under the supervision of a Claims Supervisor. - Conduct investigations throughout all...
Title: Legal Counsel Job Responsibilities: - Draft and negotiate various sales and revenue contracts, including technology-related/SaaS agreements, professional services agreements, non-disclosure agreements, and data sharing agreements. - Collaborate with business leaders and key stakeholders such as Sales, Product, and Finance departments to manage...
Title: Counsel, Claim Job Responsibilities: - Handle a caseload of predominantly low to moderate complexity, focusing on claims asserted against policyholders or the company. - Develop and apply litigation skills and techniques to try cases to verdict or negotiate resolutions. - Conduct legal research...
Privacy Officer for Aetna. This role involves providing strategic legal counsel to internal business partners regarding Federal and state healthcare and consumer privacy regulations and laws applicable to health plans, third-party administrators, and... related activities. Key duties include: - Advising b...
Officer for Aetna. This role involves providing strategic legal counsel to internal business partners regarding Federal and state healthcare and consumer privacy regulations and laws applicable to health plans, third-party administrators, and... related activities. The counsel is expected to proactively...
Title: Legal Counsel Job Responsibilities: The Legal Counsel position supports the subrogation business within the company and is responsible for handling escalated case files from subrogation analysts. The role involves working autonomously while maintaining regular collaboration and reporting to management. The Legal...
Title: Corporate & Litigation Counsel Job Responsibilities: - Investigate, analyze, strategize, adjust loss/expense reserves, and effectively manage claims and litigation involving bodily injury, property damage, professional liability, and Directors and Officers (D&O) to achieve the best possible outcome. - Provide counsel and take...
Title: Senior Manager, Staff Counsel Job Responsibilities: - Manage subordinates in all activities related to defending lawsuits against insureds in liability cases and representing the company in UM/UIM, PIP, and Subrogation suits. - Interview and/or approve job applicants for employment, conduct and/or review...
Title: General Counsel Job Responsibilities: The General Counsel at Company is responsible for providing comprehensive legal support across various domains to ensure the organization's operations are legally compliant and strategically sound. Key responsibilities include: - Providing legal advice and support to hospital administration,...
delay, payment, construction defect, injuries, litigation, and insurance matters. - Offer guidance on... procurement matters for public and private construction projects across various industries, procurement types, and delivery methods, including federal and federally funded projects. - Assist operations in disputes involving own...
Counsel Job Title: Senior Counsel Job Responsibilities: The Senior Counsel at the company is entrusted with providing comprehensive legal support across several departments, including Commercial, Business Development, Global Operations, IT, Finance, and HR. The role is pivotal for fostering business growth and innovation....
Title: Pharmacy Investigator Lead Job Responsibilities: - Provide leadership and guidance to the Special Investigations Unit Pharmacy team in investigating, collecting, researching, and analyzing billing data to detect fraudulent, abusive, or wasteful activities/practices. - Apply comprehensive sound judgment in the application of various...
Title: Pharmacy Investigator Lead Job Responsibilities: - Provide leadership and guidance to the Special Investigations Unit Pharmacy team. - Investigate, collect, research, and analyze billing data to detect fraudulent, abusive, or wasteful activities. - Assist the team manager with administration and operational activities within...
Title: Pharmacy Investigator Lead Job Responsibilities: - Provide leadership and guidance to the Special Investigations Unit Pharmacy team in investigating, collecting, researching, and analyzing billing data to detect fraudulent, abusive, or wasteful activities/practices. - Assist the team manager with the administration and operational...
Title: Pharmacy Investigator Lead Job Responsibilities: - Provide leadership and guidance to the Special Investigations Unit Pharmacy team in investigating, collecting, researching, and analyzing billing data to detect fraudulent, abusive, or wasteful activities/practices. - Assist the team manager with administration and operational activities...
Title: Pharmacy Investigator Senior Job Responsibilities: - Independently identify, investigate, and develop complex cases against perpetrators of healthcare fraud to recover corporate and client funds paid on fraudulent claims. - Conduct claim reviews for appropriate coding, data mining, entity review, law enforcement referral,...
its success. As a Fortune 50 company, Company seeks to hire the best employees to serve its customers, making it a leader in the insurance and financial services industry.... In 2024, the Leadership Council on Legal Diversity recognized Company a...
supporting the individual life insurance and annuity businesses. Key... responsibilities include: - Providing objective, thorough, timely, and well-researched legal advice and counsel to business partners on legal matters. This enables management and key decision-makers to assess the legal risks of va...
Title: Legal Counsel, Carelon Contracting Job Responsibilities: - Negotiate and manage client contracts with health plan clients, state agencies,... employer groups, and other clients of the Carelon Services businesses. This includes areas such as behavioral health, medical benefits utilization management,... specialty care...
with entities such as health plan clients, state agencies,... Services businesses. This includes areas like behavioral health, medical benefits utilization management,... specialty care solutions, and care delivery companies. - Collaborate with multiple business partners, shared services partners, and legal co...
Title Legal Counsel, Carelon Contracting Job Responsibilities The Legal Counsel at Company is tasked with providing legal advice and recommendations for initiatives and projects that align with the clients' overall objectives and needs. The job focuses on large-scale and/or high...
a broad range of real property, title insurance, escrow, and related civil... litigation matters. - Draft pleadings, motions, discovery requests, and other litigation documents. - Conduct and defend depositions, argue motions, appear at hearings, and prepare cases for mediation, arbitration, or tr...
Attorney Job Title Trial Attorney Job Responsibilities - Manage cases from initial evaluation through trial. - Represent the company and its subsidiaries in a broad range of real property, title insurance, escrow, and related civil... litigation matters. - Draft pleadings, motions, discovery requests, and other litigation...
Title: Senior Managing Counsel - Pharmacy Job Responsibilities: - Lead a team of attorneys providing legal support across pharmacy operations, product development, and payer relationships, including arrangements with 340B covered entities. - Provide strategic legal counsel on regulatory, operational, and transactional matters involving...
Title: Senior Managing Counsel - Pharmacy Job Responsibilities: - Lead a team of attorneys providing legal support for pharmacy operations, product development, payer relationships, and arrangements with 340B covered entities and others. - Offer strategic legal counsel on regulatory, operational, and transactional matters...
Title: Senior Managing Counsel- Pharmacy Job Responsibilities: - Lead a team of attorneys providing legal support across various areas, including pharmacy operations, product development, and relationships with payers and 340B covered entities. - Offer strategic legal counsel on regulatory, operational, and transactional matters...
Title: Senior Managing Counsel - Pharmacy Job Responsibilities: - Lead a team of attorneys providing legal support for pharmacy operations, product development, payer relationships, and arrangements with 340B covered entities and others. - Offer strategic legal counsel on regulatory, operational, and transactional matters...
Title: Senior Managing Counsel - Pharmacy Job Responsibilities: - Lead a team of attorneys providing legal support in pharmacy operations, product management, and payer relationships, including arrangements with 340B covered entities. - Offer strategic legal counsel on regulatory, operational, and transactional matters involving...