Title: Nurse Appeals – Litigation & Legal Support Job Responsibilities: The Nurse Appeals – Litigation & Legal Support role involves a variety of critical responsibilities aimed at supporting legal and clinical operations within the organization. The primary duties include: - Investigating and processing...
Title: Senior Legal Counsel I Job Responsibilities: The Senior Legal Counsel I is responsible for providing legal advice and counsel to corporate officers, managers, and employees of the Company and its subsidiaries, affiliates, and joint ventures. This role primarily serves...
The following jobs are no longer active but were real openings previously posted by employers.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.
be fully engaged in providing Quality/No Harm, Customer Experience, and Stewardship by providing legal counsel and support to **Members Only**, Inc. and its affiliated entities (“**Members Only**”). The Senior Counsel (the “Attorney”) is responsible for providing superior quality, competitive value, and... 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Note: This job is no longer active.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
Senior Director, Compliance Duties: Responsibility for leading and directing the Medicare Part D compliance team which is part of the Medicare Compliance Organization. Given the ever-changing Medicare regulatory environment, the Senior Director of Compliance plays a key role within the Medicare Compliance organization. Maintain a strong relationship with appropriate counterparts at the Centers for Medicare and Medicaid Services and department heads.... Promotes and enforces com... 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Note: This job is no longer active.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
Subrogation Case Worker I The candidate will process all casualty or estate functions involving several state Medicaid beneficiaries or deceased Medicaid... beneficiaries to include intake,... maintenance, claims review and selection, management, settlement and related functions to the case. Will effectively work, maintain and manage a variety of cases with current and accurate notes. May have some training responsibilities for other case workers limited to projects and specific t... 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
Subrogation Case Worker I The candidate will process all casualty or estate functions involving several state Medicaid beneficiaries or deceased Medicaid... beneficiaries to include intake,... maintenance, claims review and selection, management, settlement and related functions to the case. Will effectively work, maintain and manage a variety of cases with current and accurate notes. May have some training responsibilities for other case workers limited to projects and specific t... 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
Legal Analyst The candidate will research government regulations and guidance on the health care industry, including on PBM operations. Summarize and communicate regulations to management and other internal stakeholders. Utilize various hardcopy and electronic resources to research health care and related regulations. Identify laws and regulations that affect PBM operations, including those related to Medicare, Medicaid, and the Patient Protection... and Affordable Care Act (AC... 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
Legal Analyst The candidate will research government regulations and guidance on the health care industry, including on PBM operations. Summarize and communicate regulations to management and other internal stakeholders. Utilize various hardcopy and electronic resources to research health care and related regulations. Identify laws and regulations that affect PBM operations, including those related to Medicare, Medicaid, and the Patient Protection... and Affordable Care Act (AC... 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
Legal Analyst The candidate will research government regulations and guidance on the health care industry, including on PBM operations. Will summarize and communicate regulations to management and other internal stakeholders. Utilize various hardcopy and electronic resources to research health care and related regulations. Identify laws and regulations that affect PBM operations, including those related to Medicare, Medicaid, and the Patient Protection... and Affordable Care Ac... 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
Legal Analyst The candidate will research government regulations and guidance on the health care industry, including on PBM operations. Will summarize and communicate regulations to management and other internal stakeholders. Utilize various hardcopy and electronic resources to research health care and related regulations. Identify laws and regulations that affect PBM operations, including those related to Medicare, Medicaid, and the Patient Protection... and Affordable Care Ac... 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
Administrator The candidate will perform analysis, revisions and approvals of healthcare provider contract language modifications, evaluating them against specific standards and provide assessment of potential operational risks. Review contract language to evaluate modifications against specified standards. Collaborate with the contracting staff at subsidiaries, and operational stakeholders at corporate to revise contract language to support business needs and/or pr... 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
Administrator The candidate will perform analysis, revisions and approvals of healthcare provider contract language modifications, evaluating them against specific standards and provide assessment of potential operational risks. Review contract language to evaluate modifications against specified standards. Collaborate with the contracting staff at subsidiaries, and operational stakeholders at corporate to revise contract language to support business needs and/or pr... 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