Title: Grievance & Appeals Nurse (RN) Job Responsibilities: - Investigate and process medical necessity appeals requests from members and providers. - Support legal, management, and executive leadership by managing State Fair Hearing and External Medical Review requests. - Act as...
Title Senior Legal Counsel I Job Responsibilities - Provides legal advice and counsel to corporate officers, managers, and employees of the Company and its subsidiaries, affiliates, and joint ventures across various lines of business under the general direction of Legal...
Title: Senior Corporate Counsel - Benefits Job Responsibilities: The Senior Corporate Counsel - Benefits at the company will play a crucial role in providing legal guidance and strategic support regarding the company's . employee benefit plans and programs. The primary responsibilities include: -...
Title: Grievance & Appeals Nurse (RN) Job Responsibilities: - The Nurse Appeals is responsible for investigating and processing medical necessity appeals requests from members and providers. - Supports legal, management, and executive leadership by managing State Fair Hearing and External Medical Review requests. -...
The following jobs are no longer active but were real openings previously posted by employers.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.
and Employment Counsel Candidate will provide legal support to company, subsidiaries and affiliates, and employed healthcare professionals on all matters involving labor and employment issues. Will work closely with human resources and internal departments to manage legal affairs touching on labor and employment issues, including appropriate policies, strategies, and advice in a dynamic workforce. Will be responsible for providing legal advice to company’s human reso... 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Note: This job is no longer active.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
Employee Benefits Compliance Attorney The candidate will be responsible for monitoring and communicating ongoing and changing laws affecting health and welfare plans, including ACA, ERISA, the Code, HIPAA, and COBRA. The individual... in this role will be responsible for the development and presentation of materials on various health and welfare compliance related issues to internal sales teams, as well as external clients. Establish effective working relationships with interna... 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
Compliance Manager Duties: Will oversee company's regulatory compliance and government relations activities. Identify areas of most significant company's compliance risk to more effectively develop compliance programs and assure execution of company's compliance programs. Serve as a HIPAA privacy officer. Develop, implement... and oversee the company's regulatory compliance program. Develop, maintain, communicate, and update all compliance materials for relevancy and accuracy,... 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
Manager- Healthcare The candidate will develop, implement and oversee the TLC Regulatory Compliance Program. Develop, maintain, communicate, and update all compliance materials for relevancy and accuracy, including the TLC Code of Conduct and policies/procedures for TLC Compliance Program operation. Participate on the TLC Compliance Committee. Facilitate investigations of complaints and alleged violations of the TLC Code of Conduct, compliance policies and procedu... 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
/ Compliance Specialist The candidate will coordinate with various internal departments and committees to develop processes and document, manage, and monitor policies and procedures to ensure operational and procedural compliance with state and federal regulations. Will work closely with legal departments and translate legal requirements/regulations and facilitate risk assessments to highlight compliance process vulnerabilities. Recommend and build new policies and p... 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
Compliance Specialist - Privacy The candidate ensures that the Company's privacy-related policies and procedures comply with all applicable local, state, and federal laws and regulations. Will have direct responsibility for overseeing the Company's responses to requests, subpoenas and inquiries from government entities related to patient records. Manages record release process including patient requests, subpoenas and government inquires. Maintains database of all ins... 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
Compliance Specialist - Privacy The candidate ensures that the Company's privacy-related policies and procedures comply with all applicable local, state, and federal laws and regulations. Will have direct responsibility for overseeing the Company's responses to requests, subpoenas and inquiries from government entities related to patient records. Manages record release process including patient requests, subpoenas and government inquires. Maintains database of all ins... 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
Analyst The candidate will research government regulations and guidance on the health care industry, including on PBM operations. Will summarize and communicate regulations to management and other internal stakeholders. Utilize various hardcopy and electronic resources to research health care and related regulations. Identify laws and regulations that affect PBM operations, including those related to Medicare, Medicaid, and the Patient Protection and Affordable Care Ac... 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
of Billing Compliance - UC Health Business Center - Corporate Compliance Duties: Will assist company and its entities to provide care and to conduct business in accordance with applicable medicare and medicaid coding, billing and reimbursement regulations and direct a comprehensive annual schedule of compliance auditing and monitoring reviews as well as special compliance audit requests throughout company. Develop and manage the overall billing compliance plan and p... 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
Licensure Analyst The candidate interfaces with internal and external clients on UR licensure activities. Evaluates, interprets, and summarizes state regulatory guidelines (and changes to guidelines). Manages the UR licensure activities for specific states. Compiles all materials required for application submission, Development and submission of reporting requirements to state licensing bodies, providing UR licensure subject matter expertise to business leads.... 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