Title: Senior Associate Counsel Job Responsibilities: - Provide comprehensive legal and strategic guidance on the procurement, deployment, and governance of information technology systems (ISD) and artificial intelligence within a hospital setting. - Advise hospital leadership and procurement teams on the legal implications of...
individuals or entities perpetrating healthcare fraud. The primary aim... is to recover corporate and client funds that have been paid on fraudulent claims. Key responsibilities include: - Conducting claim reviews for appropriate coding, data mining, entity review, and law enforcement referral. -...
Title: Nurse Appeals (Grievance & Appeals) Job Responsibilities: The Nurse Appeals role involves several critical responsibilities aimed at ensuring that medical necessity appeals are investigated and processed effectively. The key duties include: - Supporting legal, management, and executive leadership by managing State Fair...
Title: Nurse Appeals (Grievance & Appeals) Job Responsibilities: The Nurse Appeals role involves a range of responsibilities focused on managing and processing medical necessity appeals from members and providers. Key duties include: - Supporting legal, management, and executive leadership by managing State Fair...
Title: Nurse Appeals (Grievance & Appeals) Job Responsibilities: The Nurse Appeals role involves investigating and processing medical necessity appeal requests from members and providers. Key responsibilities include: - Supporting legal, management, and executive leadership by managing State Fair Hearing and External Medical Review...
Title: Nurse Appeals (Grievance & Appeals) Job Responsibilities: The Nurse Appeals is tasked with investigating and processing medical necessity appeals requests from both members and providers. This role supports legal, management, and executive leadership by managing State Fair Hearing and External Medical...
Title: Nurse Appeals (Grievance & Appeals) Job Responsibilities: - Investigate and process medical necessity appeal requests from members and providers. - Support legal, management, and executive leadership by managing State Fair Hearing and External Medical Review requests. - Act as a resource for both...
Title: Sr Investigator Job Responsibilities: The Sr Investigator at the company is tasked with the independent identification, investigation, and development of complex cases against perpetrators of healthcare fraud. The primary responsibilities... include: - Conducting claim reviews for appropriate coding, data mining, entity review,...
Title: Oil & Gas Title Attorney (Appalachia) Job Responsibilities: - Conduct title examinations to determine ownership related to oil and gas properties. - Identify and analyze relevant documents such as deeds, leases, and contracts to establish ownership rights. - Draft title opinions highlighting any...
Title: Director, Assistant General Counsel - Customer Policies and Forms Job Responsibilities: The Director, Assistant General Counsel - Customer Policies and Forms is a senior leadership position responsible for providing strategic legal guidance for Personal Auto and other insurance lines. The...
Title: Senior Corporate Counsel - Benefits Job Responsibilities: - Provide legal guidance and strategic support for the company's . employee benefit plans and programs, ensuring compliance with applicable laws and regulations. - Advise Benefits and other internal teams on the design, administration, and...
Title: Executive Counsel, Litigation Job Responsibilities: - Lead a team of litigation attorneys in providing strategic direction across a broad portfolio of disputes, including complex commercial litigation, product liability, corporate & securities litigation, and cross-border arbitration. - Develop and implement litigation strategies across...
business issues to leaders, stakeholders, and colleagues. - Shape strategic and tactical actions within regulatory boundaries to maximize value... for customers while maintaining compliance in a highly scrutinized regulatory environment. - Offer program-lawyer support... for business segments critical to . and Al...
Job Title: Counsel, Healthcare Transactions & Regulatory Data Job... Advise on legal and regulatory issues related to corporate... a specific focus on healthcare considerations. - Lead or support... the preparation and submission of licensure, Change of Ownership (CHOW), and other necessary filings...
Join **Members Only**'s Health Care Practice Group as a Partner or Associate H2: Immediate Opportunities in Multiple Ohio Locations **Members Only**, a national law firm with over 750 attorneys, is seeking experienced Partners and Associates for their...
investigating, and developing complex healthcare cases against perpetrators of... healthcare fraud to recover corporate... and client funds paid on fraudulent claims. Key responsibilities include: - Conducting claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and using proprietary...
Job Title: Senior Regulatory Counsel Job Responsibilities: - Lead representation... of the company in proceedings before public utilities commissions in areas where the company operates. - Build and maintain strong relationships with utility commissions, legislators, and industry counterparts. - Ensure compliance with state-specific rules...
Title: Associate Professor / Professor, Vice Chair of Research, Department of Emergency Medicine Job Overview: The Department of Emergency Medicine at a reputed firm is seeking an accomplished and visionary leader for the position of Vice Chair of Research. This role will...
- Litigation Job Title: Litigation Paralegal Job Responsibilities: As a Litigation Paralegal at the law firm, you will be responsible for providing comprehensive support in complex litigation cases. Key responsibilities include: Litigation Support & Case Management: - Manage all phases of litigation, including drafting pleadings,...
Title: Associate General Counsel Department: Health System Shared Services Office of Legal Affairs Job Responsibilities: The Associate General Counsel will be responsible for providing legal advice and services to the Wexner Medical Center on a broad spectrum of complex...
Mid- to Senior Level Healthcare Associate Attorney with at... of demonstrated experience in healthcare transactional matters. The ideal... strong background in counseling healthcare providers on regulatory issues,... including fraud and abuse, state licensure, corporate practice of medicine, and Medicare and...