Title: Legal Counsel, **Members Only** Contracting Job Responsibilities: - Negotiate and manage client contracts with health plan clients, state agencies, employer groups, and other clients of the **Members Only** Services businesses, including behavioral health, medical benefits utilization management, specialty care solutions, and...
Title Legal Counsel, Carelon Contracting Job Responsibilities The Legal Counsel at Company is tasked with providing legal advice and recommendations for initiatives and projects that align with the clients' overall objectives and needs. The job focuses on large-scale and/or high...
Title: Nurse Appeals – Litigation & Legal Support Job Responsibilities: - Supports legal, management, and executive leadership by managing State Fair Hearing and External Medical Review requests. - Acts as a resource for both clinical and non-clinical teams by managing and conducting thorough...
Title: Compliance Manager Job Responsibilities: The Compliance Manager plays a critical leadership role within the Carelon Insights Payment Integrity Regulatory Compliance (PIRC) organization, primarily responsible for overseeing and managing Commercial Compliance activities. The position's core responsibilities include: - Providing strategic direction and oversight...
The following jobs are no longer active but were real openings previously posted by employers.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 be responsible to serve as the general counsel for the Hampton Roads Market. Acts as lead counsel for one or more subject matter areas of expertise on behalf of firm. General understanding of healthcare related statutes and their regulations, interpretations, court cases, and regulatory and other governmental analysis (including the Stark Law, Fraud and Abuse / Anti Kickback Prohibitions, Tax Exemption Principals and Intermediate... 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Note: This job is no longer active.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 serves as the general counsel for the Hampton Roads Market. Acts as lead counsel for one or more subject matter areas of expertise on behalf. General understanding of healthcare related statutes and their regulations, interpretations, court cases, and regulatory and other governmental analysis (including the Stark Law, Fraud and Abuse / Anti Kickback Prohibitions, Tax Exemption Principals and Intermediate Sanctions).... 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
Investigator / Paralegal The candidate will be responsible to conduct complaint investigations and compliance reviews under the authority of the HIPAA Rules. Analyze information provided by members of the public to determine whether the complaint raises an allegation of a violation of the HIPAA Rules. Develops and drafts investigative plans and data requests; interviews witnesses and other involved parties; analyzes data submitted by covered entities; and drafts admini... 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
Investigator / Paralegal / Legal Duties: Conducts complaint investigations and compliance reviews under the authority of the HIPAA Rules. Analyzes information provided by members of the public to determine whether the complaint raises an allegation of a violation of the HIPAA Rules. Develops and drafts investigative plans and data requests; interviews witnesses and other involved parties; analyzes data submitted by covered entities; and drafts administrative and correc... 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 report directly to the General Counsel. . degree from an accredited law school is required. Must have 5 years of experience in some matters under (more is preferred). In-house experience highly desirable. Must be licensed to practice law in at least one state. If licensed in a state other than Virginia, must obtain Virginia Corporate Counsel license. Experience in the following areas is of particular interest: Anti-kickback and Stark compliance... 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
VP Payment Models, Analytics and Reporting Duties: Responsible for leading the development of payment models to support migration from volume to value based contracting. Position has end-to-end financial and analytical accountability for the company’s value-based payment models (., shared savings/shared risk, bundle payment, pay for performance). As the healthcare industry continues to transform, moving away from traditional fee-for-service reimbursement, this rol... 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 provide legal advice and support on a variety of legal issues to staff of company, its affiliated and related companies with emphasis on California. Will support corporate governance, internal controls, compliance and enterprise risk management. Act as lead Legal Department resource for California service center and west market. Provide legal advice and consultation to business operations, as assigned, in regard to federal and sta... 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
Manager The candidate will be responsible for managing foundational and strategic compliance responsibilities with consistent excellence that support the team and management. Manage/oversee projects, initiatives, regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments; audit planning, conducting mock audits, conducting audit training, managing audit evidence preparation, assessing audit preparedness. Establish project plans,... 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
a high-level, PI or Medical Malpractice Litigation Paralegal with 4 years experience. Should have heavy trial preparation experience and be able to work a case diligently, discovery, reviewing medical records and be well-versed in complex litigation matters. 4-year degree is preferred.... 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 Secretary The candidate should have strong computer skills and several years experience in mass torts/personal injury or medical malpractice.... 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