- Molina Healthcare (Buffalo, NY)
- …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
- 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
- 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
- Cardinal Health (St. Paul, MN)
- … - Specialty Alliance will provide legal support to the Vice President, Associate General Counsel , Pharmaceutical & Specialty Solutions, by managing a wide ... of legal issues. **_Responsibilities_** + At the direction of the Vice President, Associate General Counsel , Pharmaceutical & Specialty Solutions, act as a… 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
- Molina Healthcare (Meridian, ID)
- …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...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… 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
- Point32Health (Canton, MA)
- … claims , administrative hearings and arbitration; works with outside counsel , as appropriate. + Negotiates and drafts contracts, including leases, provider ... health and well-being organization dedicated to delivering high-quality, affordable healthcare . Serving nearly 2 million members, Point32Health builds on the… more
- Ankura (New York, NY)
- …Practice Overview: The Healthcare & Life Sciences practice focuses on assisting healthcare and life science clients and their counsel in addressing the ... issues facing a broad range of clients in the healthcare industry including but not limited to provider, payer,...providers, home health agencies, hospice centers and their legal counsel to provide effective solutions for their most complex… more
- OhioHealth (Columbus, 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
- 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
- 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 ... South County Health is an independent, non-profit healthcare system offering a comprehensive range of advanced...and other staff to promote patient safety and minimize claims exposure. + Provide on-call support and timely consultation… more
- IQVIA (Wayne, PA)
- …in Durham, North Carolina and will report to IQVIA's Vice President, Associate General Counsel and Chief Compliance Officer. **RESPONSIBILITIES** The ... Resources, Legal, Finance, Quality and Internal Audit, conduct and provide counsel regarding employment-related investigations, ensuring that claims are… more
- Ankura (VA)
- …technical, and operational experience with the financial, economic, analytical expertise that healthcare clients and their legal counsel rely upon to ... healthcare disputes and investigations engagements including those related claims processing and payment, provider contracts, market pricing, benefits… more
- Learning Care Group (Novi, MI)
- …Legal billing. + Report new employment-related matters to the insurance carrier, open claims in the claim -management system and update information as needed. + ... provide high-level administrative support for the Chief Technology Officer (CTO), General Counsel /CCO and Legal department as well as select Senior Leaders as… more
- Hoffman Construction Company (Lake Oswego, OR)
- …to the General Counsel and support In-House Associate General Counsel with contract-related needs and some claim handing of Hoffman Construction and ... sustainable projects across advanced technology, mission critical, life sciences, healthcare , higher education, and commercial markets. Since 1922, we've grown… more
- Covenant Health Inc. (Crossville, TN)
- …to, managing claims against the facility, interfacing with defense legal counsel , administering the risk management program on a day-to-day basis, managing and ... and a Becker's "Top 150 Places to Work in Healthcare ." Fully accredited by the Joint Commission, Cumberland Medical...collects information necessary to prepare for the defense of claims . + Interacts with legal counsel and… more
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