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: Principal Compliance Investigator Job Responsibilities: - Lead and manage complex, sensitive, and high-impact internal investigations within the organization. - Serve as a strategic advisor and subject matter expert on investigative best practices, regulatory compliance, and risk mitigation. - Consult with management, in-house counsel,...
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: Health Care Litigation Associate Job Responsibilities: - Prepare and argue motions in court. - Take depositions and handle complex discovery and electronically stored information (ESI). - Prepare cases for trial, including developing case strategies and managing litigation timelines. - Engage in significant client contact,...
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: Legal Counsel, Carelon Contracting Job Responsibilities: - Negotiate and manage client contracts with entities such as health plan clients, state agencies, employer groups, and other clients associated with the Carelon Services businesses. This includes areas like behavioral health, medical benefits utilization...
Title: Compliance Analyst - ICHRA Job Responsibilities: - Assist the Director of E&C (ICHRA) in building and implementing the Individual Coverage Health Reimbursement Arrangement (ICHRA) compliance program. - Serve as an enterprise-wide resource and liaison for ICHRA, providing subject matter expertise and compliance...
Title: Senior Fraud and Waste Professional Job Responsibilities: The Senior Fraud and Waste Professional is responsible for conducting investigations into allegations of fraudulent and abusive practices within the healthcare industry. This role involves dealing with moderately complex to complex issues that require...
Title: Fraud and Waste Investigator Job Responsibilities: The Fraud and Waste Investigator is a pivotal role within the company's Special Investigations Unit, focusing on combating fraud, waste, and abuse in the healthcare industry. The primary responsibilities include conducting thorough investigations into allegations...
Electronic Stored Information (ESI). - Prepare cases for trial, ensuring thorough understanding and presentation of the case. - Engage in health care regulatory matters, including compliance with HIPAA. - Manage state and federal... agency audits and investigations. - Handle payor disputes and administrative proceedings....
Title: Senior Corporate Counsel - Benefits Job Responsibilities: - Advise the Benefits and other internal teams on the design, administration, and compliance of the company’s . employee benefit plans. This includes managing the 401(k) plan, health and welfare plans, fringe benefit programs,...
Title: Health Care Litigation Associate Job Responsibilities: - Handle all aspects of complex health care litigation and compliance for regional and national clients of all sizes. - Prepare and argue motions effectively in court. - Conduct depositions and manage complex discovery and Electronic Stored...
Firm Staff brings you up to date and high quality legal staff openings in law firms and in-house legal departments of business organizations. In addition, we help solo attorneys hire experienced personnel from the legal industry. We not only have...
Firm Staff brings you up to date and high quality legal staff openings in law firms and in-house legal departments of business organizations. In addition, we help solo attorneys hire experienced personnel from the legal industry. We not only have...
Firm Staff brings you up to date and high quality legal staff openings in law firms and in-house legal departments of business organizations. In addition, we help solo attorneys hire experienced personnel from the legal industry. We not only have...