Title: Nurse Appeals (Grievance & Appeals) Job Responsibilities: The Nurse Appeals role involves a range of responsibilities focused on managing and processing medical necessity appeals from members and providers. Key duties include: - Supporting legal, management, and executive leadership by managing State Fair...
Title: Nurse Appeals (Grievance & Appeals) Job Responsibilities: The Nurse Appeals role involves investigating and processing medical necessity appeal requests from members and providers. Key responsibilities include: - Supporting legal, management, and executive leadership by managing State Fair Hearing and External Medical Review...
Contract Manager The candidate will manage the full life cycle of Pharmacy Benefit Management (PBM) contracts from RFP through client contract execution. Oversee the contract approval process, ensuring compliance, version control, and support the negotiation and execution of standard and...
The following jobs are no longer active but were real openings previously posted by employers.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.
General Counsel The candidate will handle matters for both the Claims and Litigation Service Line as well as the Corporate Legal Services Service Line. Will handle a broad range of litigation and claims matters, including medical malpractice, employment, contract disputes, general liability, peer review matters, and government investigations. Negotiate and handle general as well as complex contracts relating to various types of business transactions including, phys... 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Note: This job is no longer active.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
General Counsel The candidate will handle matters for both the Claims and Litigation Service Line as well as the Corporate Legal Services Service Line. Will handle a broad range of litigation and claims matters, including medical malpractice, employment, contract disputes, general liability, peer review matters, and government investigations. Negotiate and handle general as well as complex contracts relating to various types of business transactions including, phys... 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
Officer Duties: For the assigned entities, implement and monitor the organization-wide Compliance and Ethics program and assure integration of the Code of Conduct and related policies into all relevant activities, under the direction and oversight of the Director and/or Manager and the Chief Compliance Officer, including: Enhance compliance and adherence to UH policies and procedures. Keep apprised of compliance and regulatory industry developments, including but... 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
Analyst The candidate will develop and maintain detailed schedule of IT software and hardware for annual operating budget; including basic contract terms, budget amounts and information sources. Create purchase order requisitions for all software and hardware purchases. Receive vendor invoices, validate compliance with contract terms, compare to budgeted amount, seek IT manager approval to pay and process for payment. Monitor the contract spend to the operating budg... 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
Officer The candidate will report to the Director and/or Manager of Compliance, the Compliance Officer will be responsible for: For the assigned entities, implement and monitor the organization-wide Compliance and Ethics program and assure integration of the Code of Conduct and related policies into all relevant activities, under the direction and oversight of the Director and/or Manager and the Chief Compliance Officer, including: Enhance compliance and adherence... 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
Compliance Officer The candidate acts as an independent, objective leader to strategically plan, design, implement, maintain, monitor and update a system-wide compliance and ethics program designed to ensure company and its subsidiaries comply with applicable laws, regulations and accreditation standards pertaining to its business activities. Provides effective leadership and guidance to the Board of Directors, the CEO and the Senior Leadership team on compliant and et... 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
The candidate is responsible for competently and professionally handling legal matters delegated by Assistant General Counsels, Associate General Counsels, Deputy General Counsel and/or Chief Legal Officer, including handling legal transactions and providing legal support to UHHS and its subsidiaries and legal research and writing and oversees paralegal and law clerk research projects. Handles administrative responsibilities delegated by Deputy G... 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
The candidate will be responsible for handling legal matters delegated by Assistant General Counsels, Associate General Counsels, Deputy General Counsel and/or General Counsel, including handling legal transactions and providing legal support to UHHS and its subsidiaries. Reviews, revises and negotiates contracts. Experience with contract negotiation directly related to clinical research preferred, including Clinical Trial Agreements, Data Use Agreements and Materia... 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
Specialist Duties: Reporting to the Manager of Hospital Compliance, the Compliance Specialist will assist in health care compliance and investigations, education, policy development, data analysis, trending and reporting. Know, understand, incorporate and demonstrate the mission, vision and values of University Hospitals in behaviors, practices and decisions. Assist in ensuring compliance with federal, state and local laws, regulations, rules and UH policies gover... 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
Policy Specialist Duties: Actively researches emerging public policy trends, monitors and provides review, analysis and recommendations for UH position on emerging and pending health care regulations and legislation to strategically guide UH government relations initiatives. Writes position papers, letters and plans advocacy communication strategy on policy issues. Actively seeks integration, coordination and cooperation with internal teams such as Legal, Finance, Str... 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