Title: Pharmacy Investigator Senior Job Responsibilities: - Independently identify, investigate, and develop complex cases against perpetrators of healthcare fraud to recover corporate and client funds paid on fraudulent claims. - Conduct claim reviews for appropriate coding, data mining, entity review, law enforcement referral,...
Title: Vice President & Associate General Counsel, Clinical Operations Job Responsibilities: The Vice President & Associate General Counsel for Clinical Operations is a pivotal role within the company's Law Department, primarily tasked with advising the company's care delivery lines, specifically...
Title: Executive Concierge Analyst I Job Responsibilities: The Executive Concierge Analyst I, also known as the Grievance and Appeals Analyst I, plays a crucial role in responding to inquiries from regulatory agencies and executive leadership. The position involves providing support to legal,...
Title: Legal Counsel, **Members Only** Contracting Job Responsibilities: The Legal Counsel, **Members Only** Contracting, is tasked with providing legal advice and recommendations for initiatives and projects developed in response to clients' overall objectives and needs. The role focuses on large-scale and/or high financial level...
The following jobs are no longer active but were real openings previously posted by employers.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.
President The candidate reports to Executive Vice President, General Counsel and Corporate Secretary. Leads one of 4 key legal functional areas: healthcare, governance, contracts, and litigation and claims. Leads management of litigation and claims for the company. Management of litigation will include budgeting and cost containment measures, case management plans, and other world class litigation management strategies. Prepares and reviews correspondence and communicat... 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Note: This job is no longer active.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
Case Worker I The candidate will process all casualty or estate functions involving several state Medicaid beneficiaries or deceased Medicaid beneficiaries to include intake, maintenance, claims review and selection, management, settlement and related functions to the case. Will effectively work, maintain and manage a variety of cases with current and accurate notes. May have some training responsibilities for other case workers limited to projects and specific t... 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
Case Worker I The candidate will process all casualty or estate functions involving several state Medicaid beneficiaries or deceased Medicaid beneficiaries to include intake, maintenance, claims review and selection, management, settlement and related functions to the case. Will effectively work, maintain and manage a variety of cases with current and accurate notes. May have some training responsibilities for other case workers limited to projects and specific t... 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
Case Worker I The candidate will process all casualty or estate functions involving several state Medicaid beneficiaries or deceased Medicaid beneficiaries to include intake, maintenance, claims review and selection, management, settlement and related functions to the case. Will effectively work, maintain and manage a variety of cases with current and accurate notes. May have some training responsibilities for other case workers limited to projects and specific t... 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
/ Estates Attorney The candidate communicates company legal position to clients and attorneys related to casualty and estate recovery cases. Analyzes and stays current on health care subrogation laws, regulations, and policies. Serves as primary liaison with subrogation clients. Works with company-wide resources to ensure key client deliverables and revenue goals are met. Develops and manages budget and revenue expectations for a specific market (. state or gr... 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
Director, Operations Risk Management Duties: Supervises State Directors of Risk Management. Develops strategy for execution of reduction of professional liability losses. Coordinates conferences as needed with field operations to review risk management trends including professional liability claims, event trends, ADR results and operations risk. Reports to Division management Risk Management activities. Updates Actuaries on Risk Management trends that may impact Kindr... 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
President and Chief Counsel, Nursing Center Division Duties: Advises on operations, regulatory compliance, Medicare and Medicaid reimbursement, risk management, audit and government survey and certification issues including drafting credible allegations of compliance, requests for informal dispute resolution, resident admission/transfer/discharge issues and resident trust fund issues. Manages internal and external investigations including allegations of improper billi... 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 Corporate Counsel will provide dedicated support to company’s contract process for agreements with long term care facilities, including drafting and negotiating new agreements; managing internal contract database; and interacting with internal and external stakeholders. Duties also include providing dedicated support to company’s contract process for agreements with long term care facilities, including drafting and negotiating new agreements; managi... 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 Investigator Duties: Work on the medical review component of fraud investigations and provide clinical expertise. Work with other members of the RAIU to develop cases and provide support on active cases to include medical record reviews and other investigational steps as needed. Assist with case development by providing clinical expertise when performing medical record reviews. Identify fraud schemes and trends within the assigned line of business or special... 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
President and Chief Counsel, Nursing Center Division Duties: Provides general legal counsel and advice to management and operations personnel of the Nursing Center Division, a billion annual revenue division in a billion for-profit health care provider company. advises and coordinates with management personnel, field operators, governmental regulatory and law enforcement agencies and outside counsel. Position supervises one dedicated paralegal. Reports to th... 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