Title: Senior Manager, Ethics & Compliance Job Responsibilities: - Manage and implement strategies to ensure successful maintenance and implementation of compliance programs that meet regulatory requirements for assigned products across the entire company. - Ensure all Medicare and Medicaid products and services are...
Title: Vice President, Corporate Compliance Investigation Job Responsibilities: - Oversee the management of the Compliance Investigation Unit (CIU), the Ethics Point hotline, and risk assessments of the company's investigative processes. - Provide direction for managing and evaluating internal inquiries and allegations, as well...
Title: Senior Director, Sales Investigations Job Responsibilities: - Serve as a strategic leader overseeing all enterprise-wide sales investigations, with a primary focus on Medicare sales. - Lead a high-performing investigation team responsible for examining allegations of non-compliant or fraudulent sales practices involving agents...
Title: Assistant Attorney General - Public Protection Section Organization: **Members Only** Location: St. Louis, MO, USA Salary: Commensurate with experience Employment Type: Full Time Introduction: The **Members Only** is seeking a highly qualified attorney to...
Title: Assistant Attorney General/Unit Leader Job Responsibilities: The Assistant Attorney General/Unit Leader will serve in the Public Protection Section, specifically within the Special Victims Unit. The key responsibilities of this role include: - Supervising attorneys on cases related to the Special Victims Unit...
Title: Assistant Attorney General/Unit Leader Job Responsibilities: The Assistant Attorney General/Unit Leader in the Public Protection Section's Sexually Violent Predator (SVP) Commitment Unit has a range of responsibilities including: - Representing the State of Missouri in civil commitment proceedings for individuals...
Title: Assistant Attorney General Job Responsibilities: The Assistant Attorney General position is within the Public Protection Section of the **Members Only**, located in St. Louis. This role involves engaging in a broad spectrum of criminal prosecutions at both the investigation and trial levels...
Title: Compliance Assistant – Consumer Correspondence Job Responsibilities: The compliance assistant plays a critical role in managing and processing inbound correspondence received via mail, email, or fax. The primary responsibilities include: - Reviewing and summarizing incoming documents, ensuring they are coded correctly in...
Job Title: Assistant Attorney General - Labor Section - St. Louis Organization: **Members Only** Department: Labor Section Location: St. Louis, MO, USA Type: Full Time Overview: The **Members Only** is seeking...
Title: Assistant Attorney General/Unit Leader Job Responsibilities: - Manage a personal caseload from inception to disposition. - Oversee and manage a team of attorneys within the Consumer Protection Section. - Assist with complex investigations and litigation related to consumer protection. - Mentor and provide guidance...
crimes, including counterfeiting, cyber fraud, and other threats to... the financial infrastructure of the United States. Providing physical protection for the President, Vice President, their families, visiting foreign dignitaries, and other protectees, ensuring their safety in every environment. Designing, planning,...
highest leaders, including the President, Vice President, and other designated individuals. Conducting complex criminal investigations into financial crimes, including counterfeiting, cyber fraud, and other threats to... the financial infrastructure of the United States. Providing physical protection for the President, Vic...
Claims Consultant - NFP (Community Association D&O Liability) The candidate manages and resolves D&O Community Association claims by evaluating coverage, assessing liability and damages, setting timely reserves, negotiating and settling claims, and directing litigation. Works under general direction, and within...
complex healthcare cases against individuals or entities committing healthcare fraud. The role focuses on... recovering corporate and client funds paid on fraudulent claims. Key responsibilities include: - Reviewing claims for appropriate coding, conducting data mining, entity reviews, and making law enforcem...
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...
laundering (AML), and sanctions compliance. Lead diverse teams on complex financial crimes advisory engagements, including AML, sanctions, and fraud-related assessments, gap analyses, and... remediation efforts; proven track record in delivering high-quality financial crimes deliverables, and leading teams in a fast-pa...
including AML, sanctions, and fraud-related assessments, gap analyses, and... remediation efforts. Contribute impactfully to the execution of client solutions that address regulatory requirements, enhance operational efficiency, and mitigate financial crime risks. Drive the development of high-quality work products, seeking opportunities...
Title: Health Care Attorney Job Responsibilities: The Health Care Attorney will have the opportunity to engage in a broad spectrum of corporate transactions and regulatory matters. The primary responsibilities include working with health care organizations such as health care systems, hospitals, health...
and reporting, data analysis, and assisting leadership with overall strategy. Focus on recording and analysing financial transactions, paying and receiving invoices, maintaining financial statement ledger accounts, and preparing analysis and reconciliations of bills to detect fraud. Help the team provi......
Title: Senior Manager, Ethics & Compliance Job Responsibilities: - Manage and implement strategies to ensure the successful maintenance and implementation of compliance programs that meet regulatory requirements for assigned products across the entire company. - Ensure all Medicare and Medicaid products and services...
Title: Vice President, Corporate Compliance Investigation Job Responsibilities: The Vice President of Corporate Compliance Investigation is a pivotal role within the executive leadership of the company, tasked with overseeing the compliance investigation processes and ensuring adherence to legal and ethical standards. The...
Title: Senior Director, Sales Investigations Job Responsibilities: - Serve as a strategic leader overseeing all enterprise-wide sales investigations, focusing primarily on Medicare sales. - Lead a high-performing investigation team responsible for examining allegations of non-compliant or fraudulent sales practices involving agents and agencies. -...
and reporting, data analysis, and assisting leadership with overall strategy. Focus on recording and analysing financial transactions, paying and receiving invoices, maintaining financial statement ledger accounts, and preparing analysis and reconciliations of bills to detect fraud. Help the team provi......
the opportunity to engage in diverse corporate transactions and regulatory matters for various health care organizations, including hospitals, insurance companies, and physician corporate transactions for health care on regulatory matters, including fraud and abuse, Stark, and... hospita...