Title: Vice President & Associate General Counsel, Clinical Operations Job Responsibilities: The Vice President & Associate General Counsel for Clinical Operations is a pivotal role within the company's Law Department, primarily tasked with advising the company's care delivery lines, specifically...
Title: Legal Counsel, Carelon Contracting Job Responsibilities: - Negotiate and manage client contracts with entities such as health plan clients, state agencies, employer groups, and other clients associated with the Carelon Services businesses. This includes areas like behavioral health, medical benefits utilization...
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,...
The following jobs are no longer active but were real openings previously posted by employers.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.
Recovery Analyst DUTIES: Meet the goal of taking 16 inbound calls and making 32 (640/month) outbound calls daily. Maintain 100% quality of 550-700 file count. Maintain tickets daily. Process incoming calls and questionnaires from plan members and patients. Determine if there is a recoverable opportunity. Process subrogation reimbursement files for a potential recovery by investigation and analyzing facts and legal issues developed by contacts with healthcare plan... 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Note: This job is no longer active.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
Attorney - Payment Integrity Duties: Identify relevant legal issues that could impact coordination and payment integrity processes and advise business leadership as appropriate so that informed decisions can be made. Provide timely and appropriate legal review and advice to assigned payment integrity audit and recovery team(s). This may include communicating with parties outside of The Rawlings Company to assist in the benefit coordination and recovery efforts of the an... 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
Investigator The candidate will be responsible for investigating, collecting, researching and analyzing billing data in order to detect fraudulent, abusive or wasteful activities/practices on an enterprise wide basis for company's Special Investigations Unit. Using appropriate system tools, analyzes data to detect fraudulent, abusive or wasteful payments to providers and subscribers. Prepares statistical/financial analyses and reports to document findings and maintain... 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
Investigator The candidate will be responsible for investigating, collecting, researching and analyzing billing data in order to detect fraudulent, abusive or wasteful activities/practices on an enterprise wide basis for company's Special Investigations Unit. Using appropriate system tools, analyzes data to detect fraudulent, abusive or wasteful payments to providers and subscribers. Prepares statistical/financial analyses and reports to document findings and maintain... 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
Job Title: Compliance Manager ## Overview 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
Assistant / Paralegal Duties: Will work with in-house counsel as a paralegal and support the COO as an administrative assistant. Will be responsible for various facility responsibilities while working with the in-house legal counsel and the COO for compliance with company's policies. Assist in the day-to-day administrative needs of each supervisor. Review medical records requests and organize with protocols. Collections- assist with tracking, correspondence an... 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
Attorney - Duties: Serves as the primary contracts’ attorney for Shelby County Health Care Corporation (SCHCC) and its affiliates. Provides other legal counsel duties at the request of the Senior Vice President/Chief Legal Officer and General Counsel. Will review, draft, and negotiate contractor, purchasing, construction, clinical and education affiliation, . agreements, along with various and numerous other contracts involved in running a complex medical organi... 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
Assistant The candidate provides legal assistance and coordinates the daily administrative operations to support Legal and Risk Management functions within 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 Relations and Engagement The candidate directs and implements the hospital's employee/labor relations function to include providing consultation and assistance to organizational leaders/management in employee relations and labor relations matters, EEOC reporting, affirmative action planning, safety, worker compensation, management training and unemployment compensation administration. Assures compliance with all organizational, state, federal and local reg... 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
President The candidate reports to Executive Vice President, General Counsel and Corporate Secretary. Leads one of 4 key legal functional areas: healthcare, governance, contracts, and litigation and claims. Leads management of litigation and claims for the company. Management of litigation will include budgeting and cost containment measures, case management plans, and other world class litigation management strategies. Prepares and reviews correspondence and communicat... 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