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The following jobs are no longer active but were real openings previously posted by employers.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.
Counsel The candidate will be responsible for supporting strategic initiatives, product development and overseeing the technology licensing work for the business and managing members of the contracting legal team. Must have 10+ years of experience providing legal counsel to clients. Must have comprehensive commercial contract drafting and negotiation skills. In-depth legal knowledge that allows for expeditious problem identificaation and resolution is essential. Shoul... 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Note: This job is no longer active.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
and Compliance Officer Duties: Provide leadership, direction and oversight of Integrity and Compliance Program (ICP). Ensure has established systems, policies and procedures to effectively comply with applicable laws and regulations pertaining to its business activities, including those pertaining to federal and state health care programs. Provides oversight and leadership to the operations of Mount Carmel's Integrity and Compliance Program (ICP) in accordance 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
Counsel Responsibilities : The candidate will know, understand, incorporate and demonstrate the mission, vision and values of firm and assigned RHM in leadership behaviors, practices and decisions. Provides legal counsel to assigned RHM and its operating entities with respect to matters in the field of corporate healthcare law. Meets routinely with the supervisor to establish priorities and manage expectations for the delivery of legal services at the assigned RHM.... 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
Operations Counsel The candidate will provide responsibilities include: Drafts, reviews, and edits a wide range of commercial contracts for the company. Assist with company compliance with existing regulatory and contractual obligations (CMS, HIPAA and Federal/State Privacy Laws,... Respective State Insurance Regulations). Consults on an ongoing basis on related issues with operations managers and executives regarding applicable laws and regulations, including, HIPAA, Federal/S... 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
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