Title: Investigator Senior - Pharmacy Job Responsibilities: The Investigator Senior - Pharmacy is tasked with independently identifying, investigating, and developing complex healthcare cases against individuals or entities committing healthcare fraud. The role focuses on recovering corporate and client funds paid on fraudulent...
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...
Title: Associate Chief Counsel Job Responsibilities: - Lead a team of attorneys responsible for pharmacy network operations within the pharmacy benefit manager (PBM) business. - Oversee a team of attorneys supporting rebate, formulary development, and value-based solutions business units...
The following jobs are no longer active but were real openings previously posted by employers.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.
Paralegal Duties: Assists attorneys in providing legal services and advice to all company functions on a defined array of legal issues. Assists attorneys in providing legal services to clients on a defined array of less complex function-specific issues relating to the company’s business; more specifically defined in addendum, if applicable. Under supervision of attorneys and according to established Legal Department guidelines, prepares, reviews and, if applicable,... 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Note: This job is no longer active.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
Attorney The candidate provides legal services. Manages relationships with outside counsel. Conducts legal research. Advises management on various legal topics. Negotiates transactions and drafts a wide variety of contracts and other legal documents, as well as implements legal and regulatory policy and practice. Should have a . degree with 2+ years of experience. Should preferably have 1-3 years of legal experience as a practicing attorney with specialized experien... 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
Attorney The candidate provides legal services. Manages relationships with outside counsel. Conducts legal research. Advises management on various legal topics. Negotiates transactions and drafts a wide variety of contracts and other legal documents, as well as implements legal and regulatory policy and practice. Juris Doctor-Required. 2+ Year(s) of law experience 1-3 years legal experience as a practicing attorney with specialized experience serving he... 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 - 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
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
Legal Counsel The candidate provides guidance for regulatory compliance matters impacting business operations. This role serves as Pharmacy Counsel for company, specifically providing legal advice as it relates to the practice of pharmacy, nursing, and drug distribution federally and in all 50 states. This role negotiates and drafts regulatory responses to Boards of Pharmacy and regulators. Will also provide guidance to the licensing and compliance departments related... 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
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