- Humana (Frankfort, KY)
- …strategy. Humana's Law Department is seeking a Counsel who will support its Medicare Advantage and Medicaid lines of business by: Providing legal advice and ... counsel to corporate and market teams on managed care...behalf of a health plan or provider/vendor organization + Medicare and/or Medicaid provider contracting … more
- CVS Health (Woonsocket, RI)
- …CVS Health as a leader in our dynamic legal team? As a Senior Legal Counsel - Healthcare Contracting you will provide strategic legal advice to internal business ... You possess a basic knowledge of healthcare laws and regulations, including HIPAA, Medicare , Medicaid , the False Claims Act, and the Federal Anti-Kickback… more
- CVS Health (Woonsocket, RI)
- …it all with heart, each and every day. **Position Summary** As a Senior Legal Counsel - Pharmaceutical Contracting , you will provide strategic legal advice and ... Qualifications** + Healthcare experience + Healthcare laws and regulations including HIPAA, Medicare , Medicaid , False Claims Act, Federal Anti-Kickback Statute +… more
- Methodist Health System (Dallas, TX)
- …including, but not limited to, state specific health care laws and regulations, Medicare / Medicaid rules, fraud and abuse including Stark and anti-kickback laws ... and state laws relating to healthcare, including but not limited to Medicare / Medicaid reimbursement, HIPAA, AKS, self-referral prohibitions, and fraud and abuse.… more
- Humana (Dover, DE)
- …law at a law firm or in-house health care organization + Experience in Medicare , Medicaid , or similar regulatory work + Strong legal research, analytical, and ... caring community and help us put health first** The Counsel provides a full range of legal advice and...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Corewell Health (Grand Rapids, MI)
- …limited to compliance, health insurance and HMO laws/regulations, Medicare , Medicaid , Affordable Care Act, ethics, contracting , medical policies, strategic ... Priority Health is seeking a Senior Vice President, General Counsel for one of the most effective, community focused...meet the needs of Priority Health. The SVP, General Counsel will be a key member of the senior… more
- Atlantic Health System (Morristown, NJ)
- …regulatory issues, including fraud and abuse issues, HIPAA compliance, EMTALA, Medicare and Medicaid compliance, licensure issues, pay-to-play issues, corporate ... Under the supervision of the Assistant General Counsel (ACG), review prepare and negotiate a full...and corporate work experience, including prior experience with hospitals, Medicare and Medicaid , and federal and state… more
- Amazon (San Francisco, CA)
- …and technology companies (including with respect to Commercial, Medicare and Medicaid programs) - Provide strategic counsel on healthcare regulatory and ... - Experience in pharmacy law and regulations - Knowledge of Medicare / Medicaid requirements - Background in payer contracting - Healthcare technology… more
- Amgen (IL)
- …guidance and advisory opinions + DOJ settlements with pharmaceutical industry + Medicare / Medicaid reimbursement and contracting **What you can expect ... Join us and transform the lives of patients while transforming your career. ** Counsel - Global Commercial Operations** **What you will do** Let's do this. Let's… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves ... and report the financial performance for all Commercial and Medicare Contracts with Mount Sinai. The Senior Contracting...of patient service revenue, including overseeing those who may counsel patients on how best to meet their financial… more
- Prime Healthcare (Ontario, CA)
- …Waste and Abuse laws and regulations, along with the Medicare / Medicaid Conditions of Participation, physician/physician group contracting , Medical Staff/peer ... for California Applicants:https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The Assistant General Counsel - Hospital Operations must be a… more
- PeaceHealth (Vancouver, WA)
- …rules and regulations applicable to PeaceHealth, including but not limited to HIPAA, Medicare , Medicaid , Stark law, Anti-Kickback law, and False Claims Act. + ... **Description** **PeaceHealth is seeking Legal Counsel in Vancouver, Washington ** This hybrid role...and regulatory topics with a special emphasis on physician contracting , medical staff matters, and physician group and other… more
- Methodist Health System (Dallas, TX)
- …matters to employees and management, including the business office, coding, physician contracting , fraud & abuse laws, Medicare / Medicaid regulatory ... :** 8X5 Day (United States of America) **Job Description :** **Assistant General Counsel - Compliance and Privacy** **POSITION OVERVIEW.** Under the direction of the… more
- AbbVie (Mettawa, IL)
- …drive profitability + Support all channels of payer contracting including Commercial, Medicare Part D, Medicaid and other Government channels + Develop new ... best-in-class within the biopharmaceutical industry. We serve as a strategic in-house counsel , ensuring that all decisions leverage the key insights that we develop.… more
- Stanford Health Care (Palo Alto, CA)
- …Medicaid APG Grouper, HCPCS and CPT-4 coding schemas. + Knowledge of Medicare , Medicaid and other third-party billing coverage and compliance issues. + ... School of Medicine leadership, Clinical Operations leadership, Managed Care Contracting , Quality, Controller's Office, Technology and Digital Solutions, Finance,… more
- Molina Healthcare (NM)
- …Degree in Nursing **PREFERRED EXPERIENCE** : + Experience in government programs (ie, Medicare , Medicaid , & SCHIP). + Experience in long-term care. **STATE ... may also work with other internal departments, including Compliance, Corporate Legal Counsel , and Medical Affairs, in order to achieve and maintain appropriate… more
- Molina Healthcare (NE)
- …procedures with emphasis on fraud investigations. + Knowledge of Managed Care and the Medicaid and Medicare programs as well as Marketplace. + Understanding of ... may also work with other internal departments, including Compliance, Corporate Legal Counsel , and Medical Officers in order to achieve and maintain appropriate… more