(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...
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 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: 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: 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 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: 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: 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: 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: 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 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: Assistant General Counsel - Specialty Alliance Job Responsibilities: The Assistant General Counsel – Specialty Alliance is responsible for providing comprehensive legal support to the Vice President, Associate General Counsel, Pharmaceutical & Specialty Solutions. The role involves managing a wide variety...
Title: Assistant General Counsel - Specialty Alliance Job Responsibilities: The Assistant General Counsel for Specialty Alliance is tasked with providing comprehensive legal support to the Vice President, Associate General Counsel, Pharmaceutical & Specialty Solutions. The role involves managing a wide array of...
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,...
Title: Personal Injury Legal Assistant Job Responsibilities: Lien & Settlement Management: - Verify and confirm medical providers and medical billing amounts. - Review and analyze legal documents, medical bills, and records to identify lien-related obligations and requirements. - Conduct comprehensive checks to determine if there...
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, Anti-Kickback,...
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...
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 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: 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,...
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...
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...
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,...
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: 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...
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: Commercial Real Estate Associate Attorney Job Responsibilities: - Engage in high-level commercial real estate transactions, including acquisitions, dispositions, leasing, and financing. - Collaborate on complex healthcare M&A deals. - Work closely with experienced attorneys and multidisciplinary teams to provide legal support and strategic...
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: 340B or Reimbursement and Compliance Attorney Job Responsibilities: The primary responsibility of the 340B or Reimbursement and Compliance Attorney at the law firm is to support and grow the firm's leading 340B practice. The attorney will work in a dynamic, client-facing...
Title: Health Information Technology Attorney Job Responsibilities: The Health Information Technology Attorney will play a crucial role in the Health Operations Practice Group at the law firm. The attorney will be responsible for: - Drafting, reviewing, and negotiating various technology contracts, including SaaS...
Posting Mar 08, 2021 Associate General Counsel – Operations & Experience – Remote H1: Join Our Team as an Associate General Counsel in Operations & Experience – Remote! H2: Impact the Lives of...
Title: Litigation Paralegal Job Responsibilities: - Research background of claims to gather necessary information for litigation. - Monitor the status of claims and update the litigation database accordingly. - Gather information needed to defend or pursue litigation matters. - Respond to subpoenas, garnishments, subrogation, property...
personal injury case. - Maintain accurate lien logs and updates within the case management system. 2. Lien Negotiation & Reduction: - Communicate with hospitals, medical providers, health insurers, government agencies (such as Medicare, Medicaid, TRICARE), and subrogation... vendors to negotiate li...
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...