Contract Manager The candidate will manage the full life cycle of Pharmacy Benefit Management (PBM) contracts from RFP through client contract execution. Oversee the contract approval process, ensuring compliance, version control, and support the negotiation and execution of standard and...
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: Sr Investigator Job Responsibilities: The Sr Investigator is tasked with the independent identification, investigation, and development of complex cases against individuals or entities perpetrating healthcare fraud. The primary aim is to recover corporate and client funds that have been paid on...
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...
Title: Assistant General Counsel - Commercial Transactions Job Responsibilities: The Assistant General Counsel - Commercial Transactions is a leadership position responsible for providing exceptional legal advice to one of the company's growing sectors, particularly in the pharmaceutical distribution, manufacturing, precision medicine, and...
General Counsel - Commercial Transactions Job Title Assistant General Counsel - Commercial Transactions Job Responsibilities The Assistant General Counsel for Commercial Transactions is tasked with providing exceptional legal advice to one of the company's expanding sectors, particularly in pharmaceutical distribution, manufacturing, precision...
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...
the firm's operations and client satisfaction. The primary duties include drafting comprehensive legal documents from start to finish, supporting attorney(s) in managing estate planning, Medicaid applications, and probate matters,... and upholding the firm's culture of excellence in client experience. Spe...
filing of probate documents, Medicaid applications, and estate planning... materials. - Manage case files, ensuring all documents are accurately filed and maintained in compliance with legal standards. - Contact clients to gather necessary information for case management. - Maintain communication with clients regarding...
potential sources of loss to minimize risk within the organization. The role involves developing and implementing controls and cost-effective approaches to minimize risk specifically in Medicaid operations. Key responsibilities include: -... Assessing and communicating contractual obligations regarding business risks with va...
Title: Experienced Paralegal – Litigation / Healthcare Job Responsibilities: - Obtain, review, and analyze documents, including medical records, financial records, tax and employment records, or any other relevant information. - Create medical record chronologies to assist in case preparation. - Prepare for trial by...
focusing on asset protection and Medicaid cases. Key responsibilities include:... - Advising clients on various elder law matters, including asset protection planning and Medicaid crisis planning from start... to finish. - Handling estate planning, guardianship, powers of attorney, and post-dea...
Title: Senior Risk Management Professional Job Responsibilities: The Senior Risk Management Professional is responsible for identifying and analyzing potential sources of loss to minimize risk. The role involves developing and implementing controls and cost-effective approaches to minimize risk within the Payment Integrity...
Title: Assistant General Counsel - Legal Services Job Responsibilities: The Assistant General Counsel - Legal Services provides legal advice and services through the office of General Counsel at the organization for the benefit of the organization and its subsidiaries and related companies....
Title: Investigator Senior - Pharmacy Job Responsibilities: The Investigator Senior - Pharmacy is responsible for independently identifying, 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...
Job Title: Medicaid and Probate Paralegal Job Responsibilities: The... Medicaid and Probate Paralegal at... of public benefits, including Medicaid and VA planning. The... role involves handling probate matters for deceased clients and managing some guardianship cases. Key responsibilities include: - Communicating effectively with...
Job Title: Medicaid Paralegal Job Responsibilities: - Work in... the Medicaid planning department of the... clients in navigating the Medicaid application process for seniors... Although prior experience in Medicaid planning is not required,... the paralegal should utilize any prior law experience to...
Job Title: Medicaid Paralegal Job Responsibilities: - Work within... the Medicaid planning department of the... clients in navigating the Medicaid application process for seniors... as needed. - Utilize empathetic communication skills to interact with clients and their families. - Quickly learn Medicaid rules a...
Title: Counsel, Healthcare Transactions & Regulatory Data Job Responsibilities: - Advise on legal and regulatory issues related to corporate transactions such as acquisitions, dispositions, operator transitions, and facility closures, with a specific focus on healthcare considerations. - Lead or support the preparation and...
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...
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...
Title: Asst/Assoc/Full Professor, College of Medicine, Primary Care Physician, Midtown Job Responsibilities: - Diagnose diseases or study medical conditions using a variety of techniques such as gross pathology, histology, cytology, cytopathology, clinical chemistry, immunology, flow cytometry, and molecular biology. - Write detailed reports...
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...
Estate Planning Attorney The candidate should have 5+ years of practice experience. Estate planning is experience is required. Medicaid Planning is a plus.... License to practice in Ohio, (KY and IN a plus) is required....
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...
industry. We not only have the best **Members Only** positions, but we also have the most. Probate Paralegal The candidate should have 3-years of experience in probate, estate and elder law, including Medicaid and Estate Planning, Real... Estate, drafting deeds...
industry. We not only have the best **Members Only** positions, but we also have the most. Probate Paralegal The candidate should have 3-years of experience in probate, estate and elder law, including Medicaid and Estate Planning, Real... Estate, drafting deeds...
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...
law firm in Columbus, OH, is seeking an experienced Associate Attorney capable of independently managing a diverse caseload. Ideally, the ideal candidate will bring substantial experience and a portable book of business to contribute to our firm's growth and ...