Title: Nurse Appeals – Litigation & Legal Support Job Responsibilities: The Nurse Appeals – Litigation & Legal Support role is centered around the investigation and processing of medical necessity appeals requests from members and providers. The primary duties include: - Supporting legal, management,...
Title: Pharmacy Investigator Lead Job Responsibilities: - Provide leadership and guidance to the Special Investigations Unit Pharmacy team to investigate, collect, research, and analyze billing data to detect fraudulent, abusive, or wasteful activities/practices. - Assist the team manager with the administration and operational...
Title: Associate General Counsel Job Responsibilities: The Associate General Counsel is an integral part of the Office of the General Counsel, working under the guidance of the Associate Vice President and Deputy General Counsel for the company. This role involves managing a...
Title: Lead Counsel, Practice Management Job Responsibilities: - Serve as a principal legal advisor for CORE Ventures and The US Oncology Network, providing sophisticated, solutions-oriented guidance on a broad range of legal, regulatory, and business matters affecting oncology practice management....
Title: Legal Counsel, **Members Only** Contracting Job Responsibilities: The Legal Counsel for **Members Only** Contracting is responsible for providing comprehensive legal advice and recommendations on various initiatives and projects that align with client objectives and needs. This role involves working on large-scale projects with...
Title: Associate General Counsel - Litigation Job Responsibilities: The Associate General Counsel is tasked with providing legal advice and strategic counsel on complex, high-impact litigation and related projects. This role primarily focuses on large-scale and/or high financial level projects with broad departmental...
Title: Project Manager - Tax Transformation Job Responsibilities: As a Project Manager within the Tax Transformation Technology Team at the company, the primary responsibilities involve guiding strategic initiatives and orchestrating cross-functional teams to deliver impactful technology solutions. The role requires managing complex...
Title: Director, Privacy Compliance Governance Team Lead Job Responsibilities: - Manage privacy compliance governance and processes supporting core business lines, including reporting, audit engagement, policy management, trainings, and privacy-related processes like breach response and opt-out management. - Oversee reporting for Privacy Compliance &...