Title: Senior Compliance Analyst, Duals (D-SNP) Products Job Responsibilities: The Senior Compliance Analyst for Duals (D-SNP) Products is responsible for ensuring compliance with the Duals (D-SNP) Program requirements, partnering with leadership to maintain the company's adherence to these standards. Key responsibilities include: -...
Title: Senior Compliance Analyst, Duals (D-SNP) Products Job Responsibilities: - Collaborate with leadership to ensure compliance with Duals (D-SNP) Program requirements. - Provide regulatory interpretation and manage compliance reporting. - Lead special projects and develop compliance auditing and monitoring strategies for D-SNPs. - Respond to...
The following jobs are no longer active but were real openings previously posted by employers.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.
Nurse Consultant - Nurse Reviewer The candidate will provide consultative services. Will work with liability claims and staff legal files. Evaluate medical treatment to ensure quality, effective and cost-effective care. Supply Technical resource to claims. Review medical records to analyze treatments verses standards of care/ medical necessity. Confirm acceptable standards of medical care by utilizing clinical expertise, professional judgment, supported by established... 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Note: This job is no longer active.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
Professional Case Review Nurse The candidate will be responsible for: working with liability claims and staff legal files; evaluating medical treatment to ensure quality, effective and cost-effective care; supplying technical resource to claims; reviewing medical records to analyze treatments verses standards of care/ medical necessity; confirming acceptable standards of medical care by utilizing clinical expertise, professional judgment, supported by established cri... 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
Set Aside Analyst Responsibilities: Will complete cases that are assigned for MSA Scopes of Service including MSA Evaluations, MSA Allocations, and MSA Submissions. Process assigned MSA scopes of services in accordance with company time standards and to the expected degree of quality. Manage ongoing client relationships according to company service standards (setting client expectations, maintain standard of professionalism, delivery of work product within standard... 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
Record Review Analyst The candidate will perform medical record review for the Company’s medical records review business unit. Will be responsible for reviewing plaintiff’s claims submissions and determining if the plaintiff’s claim meets the medical criteria established by the settlement process agreement and/or GRG’s Medical Panel and nursing staff. Provide medical record review support for various settlement programs as assigned and trained. Apply pre-ap... 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
Nurse Consultant (Virtual) Duties: Working with Liability claims and Staff Legal files. Evaluating medical treatment to ensure quality, effective and cost-effective care. Supply Technical Knowledge resource to claims. Review medical records to analyze treatments verses standards of care/ medical necessity. Confirm acceptable standards of medical care by utilizing clinical expertise, professional judgment, supported by established criteria documented in accepted peer... 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
Record Review Analyst The candidate performs moderately complex tasks by reviewing evidence submitted from Class Members pursuant to a class action settlement agreement. Such evidence may include legal and medical documentation. Independently reviews orientation modules and takes personal responsibility for learning the materials and use of materials as a resource during the review process. Understands the basics and complexities of the GRG settlement administration... 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
Assistant Vice President - Healthcare Claim The candidate leads a diverse team of Claim Managers and Directors each of whom manage a team of Claim Professionals handling claims involving the following categories of providers: Aging Services, Dentists, Nurses/Allied Healthcare Providers and Physicians.... Implements strategic objectives with substantial impact on short-term success for claim (management) practices. Leads, directs and has full management accountability for staff... 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
Lead - Insurance and Healthcare The candidate will manage the utilization review and third-party administrator licensure activities for specific states. Will monitor state and federal laws that may affect business. Evaluate, interpret, and summarize state regulatory guidelines and changes to guidelines. Work in conjunction with the Regulatory Manager and work with legal SME s ., data privacy, health regulatory for interpretation of applicable laws. Track applic... 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
Medical Director - The candidate will join at a critical time in the history of company and of primary care. Will be responsible for leading provider teams in the local market. Will partner with the Regional Vice President to achieve operational and clinical excellence and world class performance in hospital admissions, quality, patient satisfaction, clinician satisfaction, and medical cost. To offer context for the practice and to remain close to our patients, the Se... 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
/ Compliance Specialist The candidate will coordinate with various internal departments and committees to develop processes and document, manage, and monitor policies and procedures to ensure operational and procedural compliance with state and federal regulations. Will work closely with legal departments and translate legal requirements/regulations and facilitate risk assessments to highlight compliance process vulnerabilities. Recommend and build new policies 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