Title: Grievance & Appeals Nurse (RN) Job Responsibilities: - Investigate and process medical necessity appeals requests from members and providers. - Support legal, management, and executive leadership by managing State Fair Hearing and External Medical Review requests. - Act as...
Title: Grievance & Appeals Nurse (RN) Job Responsibilities: - The Nurse Appeals is responsible for investigating and processing medical necessity appeals requests from members and providers. - Supports legal, management, and executive leadership by managing State Fair Hearing and External Medical Review requests. -...
Title: Investigator Senior - Pharmacy Job Responsibilities: The Investigator Senior - Pharmacy is responsible for independently identifying, investigating, and developing complex healthcare cases against perpetrators of healthcare fraud to recover corporate and client funds paid on fraudulent claims. Key responsibilities include: - Conducting...
The following jobs are no longer active but were real openings previously posted by employers.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.
Financial Advisor The candidate will operate within the team’s client service and wealth management strategy to ensure high-quality client service. Engage the client/prospect, frame the discussion, and convey the team mission to better position the Advisor for additional business opportunities. Review, research, and analyze data to create customized, annual financial plans for clients. Deliver the financial plan to clients in partnership with the Financial Advisor/... 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Note: This job is no longer active.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
and Compliance Officer Duties: Provide leadership, direction and oversight of Integrity and Compliance Program (ICP). Ensure has established systems, policies and procedures to effectively comply with applicable laws and regulations pertaining to its business activities, including those pertaining to federal and state health care programs. Provides oversight and leadership to the operations of Mount Carmel's Integrity and Compliance Program (ICP) in accordance with... 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
Counsel Responsibilities : The candidate will know, understand, incorporate and demonstrate the mission, vision and values of firm and assigned RHM in leadership behaviors, practices and decisions. Provides legal counsel to assigned RHM and its operating entities with respect to matters in the field of corporate healthcare law. Meets routinely with the supervisor to establish priorities and manage expectations for the delivery of legal services at the assigned RHM.... 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
Counsel The candidate will be responsible for supporting strategic initiatives, product development and overseeing the technology licensing work for the business and managing members of the contracting legal team. Must have 10+ years of experience providing legal counsel to clients. Must have comprehensive commercial contract drafting and negotiation skills. In-depth legal knowledge that allows for expeditious problem identificaation and resolution is essential. Shoul... 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
Care Regional Expansion Consultant - Central / Western Region Duties: The candidate develops and executes strategies for a function or discipline that span a large business unit or multiple markets/sites. Directs others to resolve business problems that affect multiple functions or disciplines. Product, service or process decisions are most likely to impact multiple functions and/or customer accounts (internal or external). Develops, maintains, and executes Complex C... 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
Care Expansion Consultants (State level) The candidate develops and executes strategies for a function or discipline that span a large business unit or multiple markets/sites. Directs others to resolve business problems that affect multiple functions or disciplines. Responsible for achieving growth goals. Develops, maintains, and executes Complex Care market expansion strategies for region. Serves as technical expert for Complex Care Products to state governments, in... 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
Director of Billing Compliance - UC Health Business Center - Corporate Compliance Duties: Will assist company and its entities to provide care and to conduct business in accordance with applicable medicare and medicaid coding, billing... and reimbursement regulations and direct a comprehensive annual schedule of compliance auditing and monitoring reviews as well as special compliance audit requests throughout company. Develop and manage the overall billing compliance plan and p... 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
Healthcare Economics The candidate will develop and implement regional health economics and reimbursement activities for key administrative stakeholders. Will develop and implement regional reimbursement strategies and economic value plans to support physician and facility customers by identifying opportunities to partner with hospitals regarding the economics of firm technologies and programs. Lead regional healthcare economic and reimbursement education for inter... 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
Corporate Counsel – Health Care Duties: Provide counsel and advice on all aspects of health care regulation including federal and state fraud, waste and abuse laws, Medicare and Medicaid requirements, the... Health Insurance Portability and Accountability Act and the HITECH Act with emphasis on federal and state laws, rules, and regulations relating to the provision of health care services by Nurse Practitioners and Physician Assistants Review, draft, and negotiate contract... 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
Counsel – Health Care Pharmacy Duties: Provide health care regulatory guidance and advice relating to the operation of pharmacies. Will provide guidance and analysis on a wide variety of regulatory issues impacting pharmacies and also provide contract counseling and drafting, assistance with contract disputes, and training to internal clients on legal issues and compliance. Provide legal services similar to those mentioned above to other areas of business. Prov... 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