service, as well as internal support across the organization. - Ensures fulfillment of contract specifications and ad-hoc client requests to build client satisfaction, under supervision. - Provides regulatory and compliance legal research... to clients under the supervision of the Di...
(D-SNP) Program requirements. - Provide regulatory interpretation and perform compliance... reporting. - Lead special projects and develop compliance auditing and monitoring strategies for D-SNPs. - Respond to external requests for information for Duals and SMAC regulatory filings. - Manage Duals and... Medicare-specific compliance...
develop complex cases of healthcare fraud to recover corporate... reviews for appropriate coding, engage in data mining, entity review, and law enforcement referrals. - Utilize proprietary data and claim systems for reviewing facility, professional, and pharmacy claims. - Develop enterprise-wide healthcare invest...
Title Associate General Counsel, Advertising & Promotion / Clinical Development Job Responsibilities Promotional Review: - Advise on FDA regulations, guidance, and enforcement trends related to advertising and promotional materials for prescription drugs, medical devices, and biologics. - Serve as a legal reviewer on promotional review...
Title Managing Director, Endpoint Technology and Workplace Experience Job Responsibilities The Managing Director, Endpoint Technology and Workplace Experience is a strategic leadership position responsible for delivering a modern, secure, and seamless digital workplace experience within a global law firm. Key...
Title: Managing Director, Endpoint Technology and Workplace Experience Job Responsibilities: - Lead a team responsible for implementing and integrating endpoint technologies within the law firm, ensuring a seamless digital workplace experience. - Define and execute a global endpoint computing strategy, focusing on device...
Title: Legal Counsel, Carelon Contracting Job Responsibilities: The Legal Counsel for Carelon Contracting is tasked with providing comprehensive legal advice and recommendations that align with the overall objectives and needs of clients. This role primarily focuses on large-scale or high financial level...
Title: Assistant Attorney General II Job Responsibilities: - Provides legal advice, counsel, and assistance to various entities. - Represents the State's interest in both civil and criminal matters, ensuring that all legal proceedings align with state interests. - Prepares necessary legal documents, including but...
Title: Assistant City Attorney III (City Attorneys' Office – Government Services - Non-Civil Service) Job Responsibilities: The Assistant City Attorney III is a senior-level attorney position within the Government Services section of the Dallas City Attorney’s Office. The role involves engaging in...
Assistant General Counsel Job Responsibilities: - Draft, review, edit, and negotiate a wide range of commercial agreements including Master Service Agreements (MSAs), supplier agreements, distribution agreements, Non-Disclosure Agreements (NDAs), and marketing agreements. - Advise on contract risk allocation, covering areas such as indemnities,...
Assistant General Counsel Department: Legal Work Location: El Paso, TX, or Plano, TX Hybrid (work 3 days onsite) Hybrid Schedule: Company associates enjoy the advantages and flexibility of a hybrid working model, which allows for a minimum of 3 in-office days (Tuesday to...
Title: Procurement Contracts - Lead Director Job Responsibilities: - Develop and establish contract negotiation playbooks, clause libraries, policies, and processes to support and advance specific categories independently. - Provide training and education to members of the Procurement Contracts organization to better support contract...
and update client data accurately into the company’s database and case management systems. - Review submitted documents for completeness and compliance with company standards and regulatory guidelines. - Coordinate with internal... departments such as legal, finance, and customer service to facilitate s...
position on legislation and regulatory affairs. This position requires... a comprehensive understanding of how the organization's capabilities interrelate across segments and enterprise-wide. The Associate Vice President, State Affairs is a crucial member of the state government affairs leadership team, responsible...
Tier 1 enterprise risk at the company. - Champion the integration of Privacy by Design principles into audit planning, execution, and reporting processes. - Actively participate in business unit risk assessments and stakeholder meetings to identify emerging regulatory and compliance exposures, contr......
Title: Senior Counsel Job Responsibilities: - Serve as a primary legal advisor to various business leaders across departments such as sales, operations, HR, compliance, billing and reimbursement, procurement, privacy, laboratory and pathology services, and executive leadership. - Draft, negotiate, and manage complex commercial...
Title: Senior Counsel Job Responsibilities: - Serve as a primary legal advisor to business leaders across various departments including sales, operations, HR, compliance, billing and reimbursement, procurement, privacy, laboratory and pathology services, and executive leadership. - Draft, negotiate, and manage complex commercial agreements...
Job Title: Counsel, Healthcare Transactions & Regulatory Data Job... Responsibilities: The Counsel, Healthcare Transactions & Regulatory Data... responsible for overseeing the healthcare components of transactions and... analytics program specific to healthcare regulatory compliance and performance... advising on legal and regulatory issues related to corporate......
Title: Assistant General Counsel - Pharmaceutical Distribution Job Responsibilities: - Provide exceptional legal advice and guidance to the Pharmaceutical Distribution and Specialty Pharmaceutical Distribution segment business clients. - Demonstrate strong business acumen and ability to draft and negotiate contracts. - Manage a fast-paced and...
Title: Assistant General Counsel - Pharmaceutical Distribution Job Responsibilities: The Assistant General Counsel for Pharmaceutical Distribution is tasked with delivering exceptional legal advice and guidance to the Pharmaceutical Distribution and Specialty Pharmaceutical Distribution segment business clients. Key responsibilities include: - Demonstrating strong business...
Title: Legal Counsel, **Members Only** Contracting Job Responsibilities: - Negotiate and manage client contracts with various clients including health plan clients, state agencies, and employer groups. - Collaborate with business partners and legal colleagues to improve contract management workflows and policies. - Become the resident...
Title Senior Legal Counsel I Job Responsibilities - Provide legal advice and counsel to corporate officers, managers, and employees of the Company and its subsidiaries, affiliates, and joint ventures for its various lines of business under the general direction of...
Title: Senior Legal Counsel I Job Responsibilities: - Provides legal advice and counsel to corporate officers, managers, and employees of the Company and its subsidiaries, affiliates, and joint ventures. This is done under the general direction of the Legal Department leadership....
workplace investigations, agency and regulatory actions, charges, mediations, and... dispute resolution. - Report to the Chief Litigation Counsel and play a critical role in building the legal, human resources, employee relations, and governance foundation for a successfu...
Title: Sr. Director, Compliance & Ethics - PRISM & Multi-Specialty MSOs Job Responsibilities: - Assist the Vice President in developing strategic direction and delivering compliance program support for **Members Only**’s Oncology & Multispecialty (“O&M”) businesses, including PRISM Vision Group and other management services...
the global compliance program to effectively mitigate compliance risks associated with the sale of diabetes products to healthcare professionals (HCP) interactions and... directly to patients. - Provide strategic oversight and direction for major elements of the global compliance program, such...
a risk-based global corporate compliance and ethics program. This role involves ensuring that operations, products, and business practices align with applicable laws, regulations, and ethical standards related to the sale of diabetes products to healthcare professionals and directly to... p...
the global compliance program to effectively mitigate compliance risks associated with the sale of diabetes products to healthcare professional (HCP) interactions and... directly to patients. - Manage elements of the compliance program, such as policy, training, and/or auditing and monitoring prog...
Title: Director of Enterprise Risk and Internal Audit Job Responsibilities: The Director of Enterprise Risk and Internal Audit at the law firm is a senior leadership position tasked with designing, implementing, and overseeing the firm's enterprise risk management framework and...
litigation reporting, and legal spend management. Key responsibilities include: Claims Tracking & Reporting: - Track, monitor, and maintain records of pre-suit claims, litigation, disputes, and regulatory matters. - Ensure timely reporting... of claims by operators to insurers, internal stakeholders, and external counsel. - Ma...
Job Title: In-House Counsel, Healthcare and Regulatory Job Responsibilities: - Advises... on healthcare law and regulatory issues... arising within clinical practices, health system facilities, and affiliations with external partners. This includes, but is not limited to, laws and regulations such as STARK,...
connection with representing state regulatory authorities and other agencies... includes litigation primarily related to environmental, consumer protection, oil & gas, healthcare, insurance, banking, and student... loans. - Provide legal advice, counsel, and assistance to client state agencies; communicate and coordinate effec...
Title: Nurse Appeals – Litigation & Legal Support Job Responsibilities: The Nurse Appeals – Litigation & Legal Support is responsible for handling and resolving medical necessity appeals requested by members and providers. The role involves several key duties, including: - Supporting legal, management,...
Title: Nurse Appeals – Litigation & Legal Support Job Responsibilities: The Nurse Appeals – Litigation & Legal Support is tasked with the investigation and processing of medical necessity appeals requests from members and providers. Key responsibilities include: - Supporting legal, management, and executive...
doctor licensing, and certain regulatory compliance functions. - Work... with internal teams, insurance brokers, and carriers on various matters, including claim filings, insurance policy renewals, and changes. - Obtain and renew dental licenses for doctors in various jurisdictions. Education and...
Knowledge Management Manager - Healthcare Job Responsibilities: The Knowledge Management Manager... (Healthcare) is responsible for supporting... the development of the knowledge strategy and overall knowledge infrastructure for the Health & Life Sciences Practice Group. This role is essential for enhancing the efficiency...
Knowledge Management Manager - Healthcare Job Responsibilities: The Knowledge Management Manager... (Healthcare) plays a pivotal role... Key responsibilities include: - Organization and Dissemination of Knowledge: - Perform advanced legal research across various healthcare frameworks to enhance and... expand existing knowledge content. - Collaborate...
connection with representing state regulatory authorities and other agencies... of litigation includes environmental, consumer protection, oil & gas, healthcare, insurance, banking, and student... loans. - Provide legal advice, counsel, and assistance to client state agencies; communicate and coordinate with client agencie...
Title: Assistant Attorney General V Job Responsibilities: - Drafts pleadings, motions, discovery, and other legal documents to represent state regulatory authorities and other agencies... in bankruptcy court, covering areas such as environmental, consumer protection, oil & gas, healthcare, insurance, banking, and student......
connection with representing state regulatory authorities and other agencies... litigation areas such as environmental, consumer protection, oil & gas, healthcare, insurance, banking, and student... loans. - Provide legal advice, counsel, and assistance to client state agencies; communicate and coordinate with clie...
connection with representing state regulatory authorities and other agencies... includes litigation primarily involving environmental, consumer protection, oil & gas, healthcare, insurance, banking, and student... loans. - Provide legal advice, counsel, and assistance to client state agencies; communicate and coordinate with c...
to ensure timely and efficient deal closures. - Draft and review complex commercial agreements, including SaaS, MSAs, BAAs, HMAs, considering all relevant legal and regulatory aspects for contracting health... care software and services. - Drive improvements in the contracting process by defini...
issues in a complex healthcare environment. - Offer healthcare regulatory... advice concerning Anti-Kickback Statute... (AKS), Stark Law, False Claims Act (FCA), Centers for Medicare & Medicaid Services (CMS), and state rules and regulations related to arrangements with physician practices. - Collaborate w...
Oncology Network, providing sophisticated, solutions-oriented guidance on a broad range of legal, regulatory, and business matters affecting... oncology practice management. - Lead and oversee the negotiation, drafting, and review of complex commercial transactions, including strategic partnerships, physician practice arrangements, technology agre...
Title: Corporate (Health Care Regulatory) Associate Job Responsibilities: The Corporate Associate... will support the growing Health Care Transactions Practice Group at the law firm. The group provides legal advice and manages agreements for a wide range of transactions, which vary in size...
clients within the health care industry. This includes: - Assisting clients with business transactions related to health care. - Advising on health care reform and regulatory issues. - Ensuring compliance with... health care laws and regulations. - Handling licensing matters for health care orga...
and grow the firm's leading 340B practice. The attorney will work in a dynamic, client-facing environment, advising covered entities and healthcare providers. Key duties include: -... Advising on compliance strategies, regulatory developments, audits, and enforcement... trends in the 340B drug...
Claims Consulting Director - Healthcare Job Responsibilities: - Oversee complex investigations... of claims, liability, and damages, determining claim strategy including whether to settle or litigate. - Develop and direct the execution of litigation management strategies. - Counsel management on legal risks, claim and litigation...
Claims Consulting Director - Healthcare Job Responsibilities: - Oversee complex investigations... of claims, liability, and damages, determining claim strategy, including decisions on settlement or litigation. - Develop and direct the execution of litigation management strategies. - Counsel management on legal risks, claim and litigation...
Claims Consulting Director - Healthcare Job Responsibilities: The Complex Claims Consulting... role primarily focuses on healthcare professional liability and involves... managing high exposure claims across all healthcare segments. Key responsibilities include: -... Overseeing complex investigations of claims, assessing liability and damages, and determining...