products for high risk states. Independently perform regulatory and operational research related to EOC and benefit development. Conduct risk assessments, including impact to member contract documentation and downstream output, and monitor pending... legislation and regulations affecting the company's commercial product...
Title: Business Intake Liaison Job Responsibilities: The Business Intake Liaison at the law firm is tasked with managing the intake process for new work involving clients and/or matters. Key responsibilities include: - Taking ownership of attorney requests for business to be opened in...
The following jobs are no longer active but were real openings previously posted by employers.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.
Attorney Manager The candidate will have two general activities for the Approver (CMDC) role on the Data Quality Team of the Global Documentation Group (GDP): Review and approve Paralegal and Due Diligence activities by Paralegal Data Analysts; Review and approve Clause Matching and Data Capture (CMDC) activities by Paralegal Data Analysts. Paralegal and Due Diligence functions are existing functions for which the client is seeking to improve efficiency in and maximize... 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Note: This job is no longer active.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
Regulatory Compliance Analyst Duties: Supports the company’s efforts to ensure compliance with state and federal laws and regulations, with emphasis on those developed pursuant to the Affordable Care Act, including compliance oversight of activities performed on behalf of the company by downstream and delegated entities. Maintains... knowledge of applicable current and proposed laws, regulations, and sub-regulatory guidance (., CMS, IRS, DOL, States). Prepares summaries... 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
Litigation Support Analyst The candidate will be responsible for designing, implementing, and overseeing end-user support for a large organizational component employing a broad spectrum of applications and hardware. Will also be responsible for designing, directing, and evaluating the effectiveness of the entire program. Oversees all aspects of user and system documentation, training, communications, budgeting and staffing. Seeks improvements to products, technologies... 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
Litigation Support Analyst The candidate will be responsible for designing, implementing, and overseeing end-user support for a large organizational component employing a broad spectrum of applications and hardware. Will also be responsible for designing, directing, and evaluating the effectiveness of the entire program. Oversees all aspects of user and system documentation, training, communications, budgeting and staffing. Seeks improvements to products, technologies... 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
Regulatory Compliance Analyst, Senior Duties: Supports the company’s efforts to ensure compliance with state and federal laws and regulations, with emphasis on those developed pursuant to the Affordable Care Act, including compliance oversight of activities performed on behalf of the company by downstream and delegated entities. Maintains... knowledge of applicable current and proposed laws, regulations, and sub-regulatory guidance (., CMS, IRS, DOL, States). Leads prepa... 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
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
Regulatory Compliance Analyst The candidate supports the company’s efforts to ensure compliance with state and federal laws and regulations including compliance oversight of activities performed on behalf of the company by downstream and delegated entities. Maintains... knowledge of applicable current and proposed laws, regulations, and sub-regulatory guidance (., CMS, IRS, DOL, States). Prepares summaries of newly enacted or revised statutes, regulations and guidance 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