Title: Senior Managing Counsel- Pharmacy Job Responsibilities: - Lead a team of attorneys providing legal support for pharmacy operations, product development, payer relationships, and arrangements with 340B covered entities and others. - Provide strategic legal counsel on regulatory, operational, and...
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The salary for this position is commensurate with experience. ## Counsel - Pharmacy Network **Company** is looking for a Counsel - Pharmacy Network to provide legal advice on a variety of topics related to pharmacy networks. The qualified candidate must be able to develop a detailed and strategic understanding of the PBM business model and the various state and federal laws impacting pharmacy networks and network management. This position is available 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Note: This job is no longer active.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
Counsel The candidate be responsible for reviewing regulations, RFPs and other documents affecting Fraud, Waste and Abuse (FWA) activities. Identify regulatory risk for the Special Investigations function and appropriately respond as needed. Serve as a resource to various departments, including the Special Investigations Unit by assessing and translating complex legislation, rules and regulations into understandable information and facilitating analysis of compliance 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Note: This job is no longer active.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
of Compliance and Security The candidate will provide duties include: Ensure the maintenance, management, improvement and effective implementation of the Company’s compliance, legal, and security policies and procedures. Oversee the Company’s HIPAA compliance program including breach investigation and reporting consistent with applicable federal and state law ensuring all breach notification and documentation are appropriately processed and delivered in legally desi... 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
Fraud Investigator The candidate will perform ongoing FWA risk assessments, leveraging data analytics to identify trends, patterns, outliers relative to peers and clinical standards, etc. Will evaluate FWA risks and prioritizing for further review, based upon member health/safety and protection of plan assets. Monitor hotlines, internal referrals, external fraud alerts (., CMS, BCBSA), external healthcare anti-fraud workgroups, and other resources for potential FWA... 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 Duties: Will conduct reviews to identify potential fraud, waste, and abuse (FWA) and claim over payments. Assigned cases and projects are generally of moderate complexity and performed with limited oversight. Assist in performing ongoing FWA risk assessments, leveraging data analytics to identify trends, patterns, outliers relative to peers and clinical standards, etc. In conjunction with the Manager and/or Senior Investigator, evaluate FWA risks and prior... 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, Senior Duties: Conducts reviews to identify potential fraud, waste, and abuse (FWA) and claim overpayments. Assigned cases and projects are generally complex and may be performed independently or involve leading a team of investigators / analysts. Perform ongoing FWA risk assessments, leveraging data analytics to identify trends, patterns, outliers relative to peers and clinical standards, etc. Evaluate FWA risks and prioritizing for further review, bas... 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
SIU/Over Payment Recovery Duties: Provides leadership and oversight of Special Investigations Unit, with responsibility for preventing and detecting fraud, waste and abuse (FWA) in healthcare billing practices, and claim over payment recovery auditing. Establish and maintain a sustainable high-performance work environment, including: strategic three-year plans and twelve month operating plans with challenging goals and objectives; clear metrics reporting against go... 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
- Special Investigations The candidate will be responsible for staffing and managing associates in multiples locations to ensure that adequate resources exist to investigate fraud and abuse. Will assist the VP in setting priorities, goals and objectives for the fraud and abuse department. Collaborate with the legal and business departments to determine the best course of action against a perpetrator of fraud or abuse. Establish process for establishing cases and ass... 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
Friendly Job Title: Senior Counsel - Employment Law H1 Heading: Join 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
Friendly Job Title: Paralegal - Conduct Management and Internal Investigations H1: Join **Members Only** is seeking a Paralegal to join the Conduct Risk Management and Internal Investigations team - This position will focus on managing the internal investigations portfolio of matters - Candidates must ha... 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