- Signature Healthcare (Louisville, KY)
- …but may not be limited to: managing administrative (survey) and other legal claims against company; interfacing with outside legal counsel ; administering the ... Signature HealthCARE is a family-based healthcare company...work with the compliance and clinical teams, and external counsel as needed. Policy Development: Develop Company policies and… more
- Travelers Insurance Company (Hartford, CT)
- …surety bonds to or on behalf of businesses of all sizes. The BSI Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of ... claims and claim litigation to achieve superior...Travelers' PNP Programs Team provides coverage for Community Associations, Healthcare Institutions and Providers, Managed Care Organizations, Life and… more
- Signature Healthcare (Louisville, KY)
- Signature HealthCARE is a family-based healthcare company that offers integrated services in 7 states across the continuum of care: skilled nursing, ... Work for three years in a row and Modern Healthcare 's "Best Places to Work!" Overview Looking for an...limited to matters involving general liability and personal injury claims . + Assist with the investigation of existing and… more
- RWJBarnabas Health (West Orange, NJ)
- Associate Counsel , Personal Injury Protection (PIP) and No-Fault CollectionsReq #:47808 Category:Leadership Status:Full-Time Shift:Day Facility:RWJBarnabas ... 95 Old Short Hills Road, West Orange, NJ 07052 Associate Counsel Personal Injury Protection (PIP) and...management, litigation support, and recovery efforts related to PIP claims . A strong understanding of healthcare billing… more
- Fairview Health Services (Minneapolis, MN)
- **Job Overview** The Senior Associate General Counsel role will provide legal counsel to the operations area at Fairview Health Services under the general ... Legal Officer and reporting to the Vice President, Senior Associate General Counsel . This role will...claims , charges, and litigation in partnership with outside counsel , as needed. + Leading complex, cross-functional projects supporting… more
- Ascendis Pharma (Princeton, NJ)
- …as sound judgment to advise the business on complex legal issues and processes. The Associate General Counsel - US Commercial and Medical is an integral member ... while collaborating and integrating with Compliance, Regulatory, and other functions. The Associate General Counsel - US Commercial and Medical must be… more
- Ascendis Pharma (Princeton, NJ)
- …the efforts to commercialize our pipeline and in-line products in the US. The Associate General Counsel must be able to work independently, successfully, and ... their skills. This position reports to the US General Counsel and Chief Compliance Officer. As a key member...and company policies, including Anti-kickback Statute and other US healthcare compliance laws and regulations. + Analyze market access… more
- University of Rochester (Rochester, NY)
- …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 900015 Office of Counsel - URMC & SH Work Shift: UR - Day (United States of America) ... **Responsibilities:** Supporting the goals and expectations established for the Office of Counsel , the Senior Counsel identifies, analyzes and provides legal… more
- embecta (Parsippany, NJ)
- …pharma or healthcare industries. + Thorough knowledge of the False Claims Act, Stark Law, Anti-Kickback Statute, and anti-bribery and corruption laws. + ... of our diverse and global employees. The Senior Legal Counsel , North America Commercial & Privacy will provide comprehensive...commercial legal experience in the medical device, pharma or healthcare industry supporting the US and/or Canada, a deep… more
- Dorsey & Whitney LLP (Phoenix, AZ)
- Healthcare Litigation Associate (#951) - Phoenix Dorsey & Whitney LLP is seeking a Healthcare Litigation associate with three years of experience to join ... our Phoenix office. The associate should have experience with substantive healthcare ...In addition, the group has handled numerous individual benefit claim disputes, including assignee- claims by providers against… more
- Premier Health (Dayton, OH)
- …of claims . This involves, but is not limited to claim investigation, creating/maintaining current electronic and paper files, determining exposure of various ... parties and making recommendations for disposition of the claims and corresponding with claimants and defense counsel . In certain circumstances the position is… more
- USAA (San Antonio, TX)
- …Investigator I (Mid-Level)** to review, analyze, and investigate life, health, and annuity claims to ensure claim validity and to protect the association from ... or a military spouse/domestic partner + 5 or more years healthcare /insurance claim investigations experience or law enforcement investigations experience.… more
- Molina Healthcare (NE)
- …with various internal customers (eg, Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation ... may also work with other internal departments, including Compliance, Corporate Legal Counsel , and Medical Officers in order to achieve and maintain appropriate… more
- Wayfair (Boston, MA)
- …is not a virtual / remote position. We are seeking a Senior Benefits Associate to support the administration, compliance, and cost management of our North American ... analyzing key cost drivers, and implementing strategic interventions to optimize healthcare spend. The ideal candidate is an analytical, detail-oriented professional… more
- Covenant Health (Bangor, ME)
- …President Risk Management & System Privacy Officer regarding the settlement and litigation of claims . + Work closely with defense counsel and staff in all ... reports by the TPA. Monitor case activity of defense counsel on professional liability and general liability claims.... + Knowledge of insurance and loss control. + Associate in Risk Management (ARM) and Professional Healthcare… more
- Carrington (Jefferson City, MO)
- …management system, including but not limited to, analyzing complaints, investigating claims , retaining outside counsel where appropriate and providing outside ... **What you'll do:** + Assist in reviewing pleadings prepared by outside counsel , including but not limited to, summons, complaints, affidavits, answers, motions,… more
- CVS Health (Opelika, AL)
- …+ labeling of prescriptions + Resolve Third Party rejections and complete any manual claim forms + Perform all register transactions, in adherence of CVS policy and ... Pick-Up Log, validate customer address, Make the Offer to Counsel and direct customer to Pharmacist or Intern (if...Pharmacist or Intern (if applicable) + Communicate with all healthcare professionals when permissible and according to state law… more
- HCA Healthcare (Manchester, NH)
- …HCA Healthcare policy. EDUCATIONHigh School diploma or equivalent required. Associate Degree or higher preferred. EXPERIENCEAt least one (1) year previous ... Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with...the risk manager to review and evaluate an applicant's claims history and National Practitioner Data Bank or other… more
- University of Michigan (Ann Arbor, MI)
- …review, and produce medical records needed for Hospital and Professional Billing claims when requested by payers, auditors, or governmental agencies. Prepare medical ... records to internal departments like the Office of General Counsel , the Office of Patient Relations and Clinical Risk,...to Epic ECL (EpicCare Link) Provider Portal for catastrophic claims and other audits as defined and approved. +… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …for managers and team members to resolve workplace conflicts. Provides advice and counsel to managers and team members in the areas of performance management and ... for accreditation and participates in file reviews. + Respond to unemployment claims and provide support to managers for unemployment hearings and appeals. +… more