Title: Research Attorney Job Responsibilities: - Responsible for providing legal research that supports a sampling database, including external client requests for research related to that service, as well as internal support across the organization. - Ensures fulfillment of contract specifications...
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: Associate – Health & Life Sciences (Transactional) – Austin Job Responsibilities: The Associate in the Health & Life Sciences Group at the law firm will join the Texas healthcare transactions team. The primary responsibilities include working with clients in the health...
Title: Private Equity M&A Associate Job Responsibilities: - Advise financial sponsors, portfolio companies, founders, and investors on complex transactions across a variety of industries. - Provide specific counsel to clients in the health care services sector, including areas such as post-acute care, professional...
Title: Senior Compliance Analyst, Duals (D-SNP) Products Job Responsibilities: - Partner with leadership to ensure company's compliance with Duals (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...
medical and billing records - Review and summarize medical and billing records for litigation purposes - Ensure records are accurate, complete, and HIPAA-compliant - Verify affidavits and supporting... documentation - Prepare and electronically file legal documents - Calendar and manage strict litigation and trial deadli...
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. - Manage the internal...
Title: Medical Records Clerk Job Responsibilities: - Maintain and organize client medical records, ensuring all documentation is complete and accurate. - Process incoming medical records requests in compliance with privacy regulations. - Update and manage electronic health record (EHR) systems, ensuring data integrity and...
Title: Internal Audit Manager, Privacy Risk Management Job Responsibilities: - Lead the development and execution of audits for privacy risk management, which is considered a Tier 1 enterprise risk at the company. - Champion the integration of Privacy by Design principles into audit...
efficient manner. - Accurately organize and maintain client medical records in a secure and confidential manner. - Ensure compliance with relevant HIPAA laws and regulations governing... the confidentiality and release of medical records. - Manage the filing, scanning, sorting, and uploading of docume...
Title: Personal Injury Case Manager Job Responsibilities: The Personal Injury Case Manager will be responsible for managing all aspects of personal injury cases from inception to closure. Key duties include: - Setting up personal injury clients with appropriate clinics for treatment. - Gathering and...
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...
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...
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...
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: Associate General Counsel Job Responsibilities: - Provide counsel and advice on legal matters involving **Members Only**. - Interpret governmental regulations and statutes. - Offer legal oversight to the development, implementation, and enforcement of **Members Only** policies and procedures. - Participate in providing legal advice...
Title: Counsel, Healthcare Transactions & Regulatory Data Job Responsibilities: The Counsel, Healthcare Transactions & Regulatory Data is responsible for overseeing the healthcare components of transactions and managing the data and analytics program specific to healthcare regulatory compliance and performance across the company's...
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....
Title: Advocate for Injured Employees (Ombudsman IV) - Dallas Job Responsibilities: The role of Advocate for Injured Employees, also referred to as Ombudsman IV, involves assisting and educating injured employees in Texas regarding their workers' compensation claims. Key responsibilities include: - Assisting injured...
Title: Discovery Dispute/DWQ Legal Assistant Job Responsibilities: The Discovery Dispute/DWQ Legal Assistant is responsible for assisting clients with responding to a large volume of non-party written discovery requests, primarily DWQs (deposition by written questions), and subpoenas for document production. The role requires...
Title: Sr Ethics and Compliance Program Manager - Diabetes Job Responsibilities: - Serve as a critical member of the compliance team and support the development and implementation of the global compliance program to effectively mitigate compliance risks associated with the sale of...
Title: Ethics and Compliance Director - Diabetes Job Responsibilities: The Ethics and Compliance Director for the Diabetes division at the company is tasked with designing and building a risk-based global corporate compliance and ethics program. This role involves ensuring that operations,...
Title: Ethics and Compliance Program Manager - Diabetes Job Responsibilities: - Serve as a critical member of the compliance team and support the development and implementation of the global compliance program to effectively mitigate compliance risks associated with the sale of diabetes...
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...
Title: Bilingual (English/Spanish) Customer Service Representative Job Responsibilities: The Customer Service Representative at the law firm is critical in managing client interactions and facilitating communications between clients, medical providers, and internal teams, primarily within the Personal Injury department. This role includes...
Title: Cyber Security Engineer Job Responsibilities: The Cyber Security Engineer is tasked with designing, implementing, and maintaining security measures to protect organizational data, systems, and networks against cyber threats. Key responsibilities include: - Developing and implementing security protocols, policies, and architecture to safeguard...
Title Paralegal Job Responsibilities - Responsible for day-to-day risk management, 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...
system facilities, and affiliations with external partners. This includes, but is not limited to, laws and regulations such as STARK, Anti-Kickback, EMTALA, HIPAA and other privacy laws,... billing and reimbursement compliance, accountable care organizations, acquisitions, government funding, managed care contra...
Title: Assistant Legal Counsel Job Responsibilities: The Assistant Legal Counsel will provide comprehensive legal and strategic support for the commercial operations of the company's US selling divisions. This involves working closely with sales personnel on a wide range of commercial sales matters,...
Title: Associate Legal Counsel Job Responsibilities: The Associate Legal Counsel for the Acute Care business unit within the global medical division is tasked with a wide range of legal and compliance responsibilities. The primary duties include: - Providing a solutions-oriented approach to complex...
Title: Assistant Legal Counsel, Flex Financial Job Responsibilities: As an Assistant Legal Counsel for the Flex Financial division, you will play a pivotal role as a legal partner, providing strategic advice and business-focused legal guidance. You will support **Members Only**'s Flex Financial division,...
Title: Assistant Attorney General IV Job Responsibilities: - Draft pleadings, motions, discovery, and other legal documents in connection with representing state regulatory authorities and other agencies in bankruptcy court. This includes litigation primarily related to environmental, consumer protection, oil & gas, healthcare,...
**Members Only** is seeking two (2) Attorney III-IV (Contract and Procurement Attorney) within the Office of General Counsel – General Law Department of the agency. Performing legal work involving examining and preparing legal documents, interpreting laws and regulations, rendering legal...
Title: Bilingual (English/Spanish) Customer Service Representative Job Responsibilities: The Customer Service Representative at the law firm is critical for handling client interactions and coordinating communications among clients, medical providers, and internal teams, particularly within the Personal Injury department. Key responsibilities include:...
Title: Systems Administrator Job Responsibilities: The Systems Administrator at the law firm will be responsible for managing and maintaining infrastructure and platform technologies to support the production environment. This role requires ensuring that service level objectives, business-level functionality, and security requirements are...
Title: Senior Paralegal Job Responsibilities: The Senior Paralegal will be responsible for supporting the Department of Justice’s mission, particularly in high-profile cases related to the Health Care Fraud Unit. The role involves litigation support and assisting federal prosecutors in the investigation...
Title: Senior Commercial Counsel Job Responsibilities: - Lead and oversee all legal negotiations for commercial transactions, working closely with sales and account management teams to ensure timely and efficient deal closures. - Draft and review complex commercial agreements, including SaaS, MSAs, BAAs, HMAs,...
Title: Experienced Health Care Attorney Job Responsibilities: The primary responsibilities for the Experienced Health Care Attorney involve providing legal services and guidance to clients within the health care industry. This includes: - Assisting clients with business transactions related to health care. - Advising on...
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...
Sr. Counsel Job Responsibilities: - Provide legal counsel to the hospital and its affiliated entities. - Deliver legal counsel and guidance, including written legal opinions and memoranda, to the hospital’s management and staff, under the direction of the Associate General Counsel. - Research, investigate,...
Title Corporate Associate (Healthcare M&A) Job Responsibilities The Corporate Associate in the Healthcare M&A sector will serve as a core member of the law firm's Healthcare Industry Team, working directly with partners and associates to advise dynamic and innovative healthcare...
Title: Corporate Associate (Healthcare M&A) Job Responsibilities: As a Corporate Associate within the Healthcare M&A team at the law firm, the candidate will play a pivotal role in advising dynamic and innovative healthcare clients across various phases of their corporate lifecycle. The...
Title: Sr. Counsel, Practice Management Job Responsibilities: - Provide routine day-to-day legal support for practice management businesses, addressing a wide range of legal issues in a complex healthcare environment. - Offer healthcare regulatory advice concerning Anti-Kickback Statute (AKS), Stark Law, False Claims Act...
Title: Lead Counsel, Practice Management Job Responsibilities: - Serve as a principal legal advisor for CORE Ventures and The US Oncology Network, providing sophisticated, solutions-oriented guidance on a broad range of legal, regulatory, and business matters affecting oncology practice management. - Lead and...
OverviewA law firm seeks a mid-level Associate to join its Private Equity Mergers & Acquisitions Practice in Dallas, TX. The ideal candidate will have extensive experience in private equity and M&A, with a focus on advising financial sponsors and investors...