Title: Nurse Appeals – Litigation & Legal Support Job Responsibilities: The Nurse Appeals – Litigation & Legal Support role involves a variety of critical responsibilities aimed at supporting legal and clinical operations within the organization. The primary duties include: - Investigating and processing...
Title: Pharmacy Investigator Senior Job Responsibilities: - Conduct independent identification, investigation, and development of complex cases against perpetrators of healthcare fraud to recover corporate and client funds paid on fraudulent claims. - Review claims for appropriate coding, data mining, entity review, law enforcement...
Title: Senior Data Privacy & Governance Analyst Job Responsibilities: - Collaborate with leadership to develop, implement, and administer the company's global data privacy and governance strategies and compliance program. This includes establishing goals, creating policies, and implementing procedures and enforcement measures. - Work...
Title: Director, Sr Corporate Counsel Job Responsibilities: The Director, Senior Corporate Counsel will be a vital part of the regulatory team within the department. The individual will provide legal guidance and support to the company on regulatory and compliance-related matters concerning **Members Only**...
Title: Senior Corporate Counsel - Benefits Job Responsibilities: - Advise Benefits and other internal teams on the design, administration, and compliance of the company’s . employee benefit plans, including 401(k) plan, health & welfare plans, fringe benefit programs, nonqualified deferred compensation plan,...
Title: Senior Compliance Analyst - External Audit Job Responsibilities: - Assist in maintaining the company's Compliance Program, ensuring it aligns with regulatory requirements and corporate standards. - Provide regulatory interpretation and perform compliance reporting to meet both state and federal agency requirements. - Lead...
Title: Director, Artificial Intelligence (AI) Compliance Job Responsibilities: - Ensures the organization's responsible and compliant use of artificial intelligence (AI). - Collaborates with various departments and stakeholders to promote a culture of AI compliance and ensures that all AI initiatives...