Associate General Counsel - Litigation Job Responsibilities: The Associate General Counsel... 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 and/or organizational impact and moderate risk levels. The position...
Title: Pharmacy Investigator Lead Job Responsibilities: - Provide leadership and guidance to the Special Investigations Unit Pharmacy team in investigating, collecting, researching, and analyzing billing data to detect fraudulent, abusive, or wasteful activities/practices. - Assist the team manager with administration and operational activities...
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: 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: 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, Carelon Contracting Job Responsibilities: The Legal Counsel for Carelon Contracting is tasked with providing legal advice and recommendations for various initiatives and projects that align with the overall objectives and needs of clients. The role involves handling large-scale and...