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: Legal Counsel, **Members Only** Contracting Job Responsibilities: The Legal Counsel, **Members Only** Contracting, is tasked with providing legal advice and recommendations for initiatives and projects developed in response to clients' overall objectives and needs. The role focuses on large-scale and/or high financial level...
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,...
Title: Executive Concierge Analyst I Job Responsibilities: The Executive Concierge Analyst I, also known as the Grievance and Appeals Analyst I, plays a crucial role in responding to inquiries from regulatory agencies and executive leadership. The position involves providing support to legal,...