Title: Sr. Claims Specialist (Workers Compensation, NE Region) Job Responsibilities: The Senior Workers Compensation Claims Specialist is responsible for handling multi-party commercial line Workman’s Compensation claims of moderate to high exposure and complexity within specific authority limits. The essential duties include: -...
a strategic in-house attorney position focusing on legal matters related to managed care, payer contracting, and regulatory compliance. The primary responsibilities include: - Providing legal and business guidance on complex contractual and regulatory issues involving payor relationships, third-party administrators, Medicare Advan...
Title: Assistant General Counsel - Specialty Alliance Job Responsibilities: The Assistant General Counsel – Specialty Alliance is responsible for providing legal support to the Vice President, Associate General Counsel, Pharmaceutical & Specialty Solutions. The role involves managing a variety of complex...
Title: Counsel, Healthcare Transactions & Regulatory Data Job Responsibilities: - Advise on legal and regulatory issues arising in connection with corporate transactions, including acquisitions, dispositions, operator transitions, and facility closures, with a particular focus on healthcare-specific considerations. - Lead or support the preparation...
Title: Director, Healthcare Product Attorney Job Responsibilities: - Coordinate and consult with legal colleagues to ensure alignment across departmental initiatives, incorporating multiple legal perspectives. - Guide and advise product, engineering, technology, and other operational teams across the entire product development lifecycle, from concept...
Title: Associate General Counsel - Litigation Job Responsibilities: The Associate General Counsel is tasked with providing expert legal advice and strategic counsel on complex, high-impact litigation and related projects. The role primarily focuses on large-scale projects or those with high financial stakes,...
Title: Nurse Appeals – Litigation & Legal Support Job Responsibilities: The Nurse Appeals role in Litigation & Legal Support is fundamentally responsible for managing and processing medical necessity appeals requests from both members and providers. Key responsibilities include: - Supporting legal, management, and...
Products Compliance Associate The candidate will help get beer, wine, and other regulated product licenses in markets across the nation. Will play an integral part in the company’s national liquor license and compliance program, by working closely with legal counsel...
Title: Claims Compliance Analyst Job Responsibilities: - Support the maintenance of a central 50-state claims compliance library. - Assist with internal audits and regulatory reviews. - Validate compliance with Claims Best practices. - Analyze data and file trends to identify potential compliance issues and build...
Title: Sr. Claims Specialist (Workers Compensation, NE Region) Job Responsibilities: The Senior Workers Compensation Claims Specialist is tasked with handling multi-party commercial line Workman’s Compensation claims of moderate to high exposure and complexity within specific authority limits. The aim is to...
Title: Sr. Claims Specialist (Workers Compensation, NE Region) Job Responsibilities: The Senior Workers Compensation Claims Specialist at the company will manage multi-party commercial line Workers Compensation claims of moderate to high exposure and complexity. The role involves ensuring claims are processed efficiently...
Title: Corporate Counsel, Specialty Care Job Responsibilities: - Serve as the primary legal contact for assigned assets and/or business units, acting as a legal reviewer for advertising/promotional and/or scientific exchange materials. - Collaborate with other practice areas and functions relating to the assigned...
Title: Senior Managing Counsel - Pharmacy Job Responsibilities: - Lead a team of attorneys providing legal support across various domains, including pharmacy operations, product development, payer relationships, and arrangements with 340B covered entities and others. - Provide strategic legal counsel...
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 operates under...
Title: Sr. Claims Specialist (Workers Compensation, NE Region) Job Responsibilities: The Senior Workers Compensation Claims Specialist is responsible for handling multi-party commercial line Workman’s Compensation claims that have moderate to high exposure and complexity, all within specific authority limits. The role is...
bulletins, court reporters/decisions, and statutory changes, and manage any backlog while implementing targeted compliance training. - Develop and own controls related to federal protocols such as Medicare, the Office of Foreign... Assets Control (OFAC), and the Child Support Lien Network. - Collab...
Title: Counsel Job Responsibilities: - Draft, review, and negotiate a diverse range of contracts, including commercial sales, procurement, and clinical research agreements, ensuring the company's interests are safeguarded. - Act as the legal representative on promotional review committees for . products and provide...
Title: Paralegal – Spine & Orthopaedic Practice Job Responsibilities: - Act as the primary liaison between physicians, paralegals, attorneys, patients, and insurance representatives. - Obtain, organize, and summarize medical records and reports for case preparation and legal review. - Track deadlines for subpoenas, depositions,...