Title: Grievance & Appeals Nurse (RN) Job Responsibilities: The primary responsibility of the Grievance & Appeals Nurse is to investigate and process medical necessity appeals requests from members and providers. This role supports legal, management, and executive leadership by managing State Fair...
Title: Lead Counsel, Practice Management Job Responsibilities: - Serve as a principal legal advisor for CORE Ventures and The US Oncology Network, providing sophisticated, solutions-oriented guidance on a broad range of legal, regulatory, and business matters affecting oncology practice management. - Lead and...
Title: Assistant General Counsel - Pharmaceutical Distribution Job Responsibilities: The Assistant General Counsel for Pharmaceutical Distribution will provide exceptional legal advice and guidance to the Pharmaceutical Distribution and Specialty Pharmaceutical Distribution segment business clients. Key responsibilities include: - Demonstrating strong business acumen and...
Title: Assistant General Counsel - Pharmaceutical Distribution Job Responsibilities: The Assistant General Counsel for Pharmaceutical Distribution is tasked with providing exceptional legal advice and guidance to the Pharmaceutical Distribution and Specialty Pharmaceutical Distribution business clients. Key responsibilities include: - Demonstrating strong business acumen...
The following jobs are no longer active but were real openings previously posted by employers.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.
Legal Counsel Responsibilities: Will provide guidance and advice to the Centers for Medicare & Medicaid Services (CMS) Unified Program Integrity Contractor (UPIC) Mid-West program. Will work directly with the AdvanceMed UPIC MW Program Director and staff providing insight for detecting, preventing and investigating Medicare fraud, waste and abuse, while also assisting the AdvanceMed team in their response and activities related to hearings and appeals. Responsible for... 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Note: This job is no longer active.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 Duties: Provide legal counsel on healthcare and corporate legal matters to Corporation and its affiliates as an in-house lawyer and member of the Office of the General Counsel. Work with business units, senior leadership, and outside legal counsel, and will participate in one of four teams of attorneys and paralegals, reporting to one of the current team leads. Provide legal consultation and assistance to the corporation as assigned by the General... 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 Duties: Provide legal counsel on healthcare and corporate legal matters to and its affiliates as an in-house lawyer and member of the Office of the General Counsel. Work with business units, senior leadership, and outside legal counsel, and will participate in one of four teams of attorneys and paralegals, reporting to one of the current team leads. Provide legal consultation and assistance to the corporation as assigned by the General Counsel 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
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
Attorney The candidate will consult and handle all corporate legal processes (. intellectual property, mergers & acquisitions, financial/securities offerings, compliance issues, transactions, agreements, lawsuits, patents). Draft and negotiate vendor contracts and large variety of other agreements including professional service and leased employee agreements, software license agreements, employment contracts, and confidentiality or non-disclosure agreements. 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
Vice President and Senior Counsel 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
Care Expansion Consultants (State level) The candidate develops and executes strategies for a function or discipline that span a large business unit or multiple markets/sites. Directs others to resolve business problems that affect multiple functions or disciplines. Responsible for achieving growth goals. Develops, maintains, and executes Complex Care market expansion strategies for region. Serves as technical expert for Complex Care Products to state governments, 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
and Assistant General Counsel The candidate reports to the Senior Vice President and General Counsel and provides legal services to the system hospitals, clinical staffs, outpatient care sites, senior system leadership and the Corporate Officers. Should have a . degree from a nationally recognized law school with standing in the upper quartile. License to practice law in the state of Ohio or a candidate for reciprocity within the first year of employment is required. M... 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