- Molina Healthcare (Meridian, ID)
- …hours will be 7am-3:30pm PST M-F** **Job Summary** Responsible for conducting various healthcare Healthcare claim audits including, but not limited to; ... prior authorizations, fee schedules, and other business requirements critical to claim accuracy. Maintain audit records, and provide counsel regarding… more
- AbbVie (Mettawa, IL)
- …and Tik Tok (https://www.tiktok.com/@abbvie) . Job Description The role of Sr. Associate General Counsel , Global Commercial Legal is responsible for developing ... influence and legal depth at the intersection of strategy and execution. As a Sr. Associate General Counsel , you will serve as a trusted advisor to senior… more
- Mass Markets (NM)
- …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... RESPONSIBILITIES Key Responsibilities: + Provide legal support as needed by the General Counsel + Draft, review, and revise contracts and advise on contracts and… more
- Providence (Irvine, CA)
- …Health as our Corporate Counsel and become a key player in shaping healthcare delivery across our dynamic organization. **The Role** As the Corporate Counsel ... with key healthcare regulations, including Stark Law, Anti-Kickback Statute, False Claims Act, Medicare and Medicaid billing rules, HIPAA and EMTALA. + Draft and… more
- University of Rochester (Brighton, 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) ... the goals and expectations established for the Office of Counsel , the Senior Counsel identifies, analyzes and...Anti-Kickback Statute, the Physician + Self-Referral Law, the False Claims Act, Civil Monetary Penalties, and + Medicare and… more
- Molina Healthcare (Macon, GA)
- …issues with claims and inquiries. Handles escalated inquiries, complex provider claims payments, records, and provides counsel to providers. Helps to mentor ... and coach Provider Claims Adjudicators. **Job Qualifications** **REQUIRED EDUCATION:** Associate 's Degree or equivalent combination of education and experience;… more
- ChenMed (Miami, FL)
- …terms for agreements. + Work with internal clients as well as external counsel , as required, on policy, contract and agreement matters. + Participate and provide ... support in the review and investigation of any claims , actions, or lawsuits filed against the Company, by...and evaluating resolution opportunities. + Assist and manage outside counsel as directed by the General Counsel … more
- Banfield Pet Hospital (Vancouver, WA)
- …FOR PETS-and supporting a thriving future for the veterinary professionals who make pet healthcare possible. This role requires Associate to work out of a MVH ... years of experience in pet care-Mars Veterinary Health is a globally-connected pet healthcare network that's united by purpose, powered by data, and driven by… more
- Philips (Cambridge, MA)
- …firm or in-house counsel advising on the sale and promotion of healthcare technology solutions in the US, including drafting and negotiation of sales, service, ... strategic legal guidance on regulatory and compliance matters impacting healthcare technology transactions, including the Anti-Kickback Statute and Safe Harbors,… more
- OhioHealth (Mansfield, OH)
- …in collaboration with the Risk Manager, Systems Director, and/or the General Counsel , for claims within the self-insured retention, is given authority ... Summary:** Given that the organization self-insures for professional liability claims , it is essential that the Sr Consultant Risk...settlements with claimants; is assigned to assist the General Counsel and external trial counsel in managing… more
- Emory Healthcare/Emory University (Atlanta, GA)
- **Overview** **Be inspired** **.** **Be rewarded. Belong. At Emory Healthcare .** At Emory Healthcare we fuel your professional journey with better benefits, ... The Compliance & Privacy Partner reports to the Chief Compliance Officer of Emory Healthcare (CCO EHC) and is responsible for supporting the daily operations of the… more
- Molina Healthcare (Louisville, KY)
- …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
- Dorsey & Whitney LLP (Seattle, WA)
- Construction & Design Associate (#885) - Seattle Dorsey & Whitney LLP is seeking an associate with two to three years of construction law/litigation or ... and engineers with pre-project planning and risk assessment, contract drafting, claim management and preservation, and litigating disputes. Qualified candidates will… more
- Veterans Affairs, Veterans Health Administration (Huntsville, AL)
- …Responsibilities The Birmingham VA Health Care System is recruiting for a Deputy Associate Chief of Staff (ACOS) Chief Psychiatrist in Mental Health Service Line ... patient management/clinical support/administrative program which provides services and technical counsel necessary to meet clinical, procedural, legal and administrative… more
- OhioHealth (Columbus, OH)
- … claims and incidents and the review and oversight of practitioner claim trends from the organization's claims /incidence database. In partnering with System ... include interaction with in-house lawyers and outside malpractice defense counsel on incidents and claims as requested....and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal… more
- Community Health Systems (Tucson, AZ)
- …performance evaluations related to risk and safety outcomes. **Qualifications** + Associate degree required; Bachelor's degree in Nursing, Healthcare ... pressure. **Licenses & Certifications** + **Preferred:** CPHRM (Certified Professional in Healthcare Risk Management) and/or ARM ( Associate in Risk Management).… 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
- CVS Health (Boca Raton, FL)
- …+ 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
- South County Hospital (Wakefield, RI)
- …staff and legal counsel . + Serve as liaison with insurance carriers, claims representatives, and legal counsel . + Manage service of subpoenas, ensuring ... new employees, and other staff to promote patient safety and minimize claims exposure. + Provide on-call support and timely consultation on risk-related issues… more
- Publix (Lakeland, FL)
- …and refine internal litigation processes and policies for attorney-represented and litigated claims . + Provide strategic legal counsel to senior leadership and ... retail operations in eight states. This is a corporate counsel role, ideal for someone who has worked within...pay (pro-rated in the first year) each year if associate remains employed through issue date of the bonus… more
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