Title: Investigator Lead - Pharmacy Job Responsibilities: The Investigator Lead is responsible for guiding the Special Investigations Unit (SIU) team in investigating and analyzing billing data to detect fraudulent, abusive, or wasteful activities within the healthcare industry. Key responsibilities include: - Assisting the...
Title: Investigator Lead - Pharmacy Job Responsibilities: The Investigator Lead for the pharmacy sector is entrusted with the leadership and guidance of the Special Investigations Unit (SIU) team. This role involves investigating, collecting, researching, and analyzing billing data to detect fraudulent, abusive,...
Title: Investigator Lead - Pharmacy Job Responsibilities: The Investigator Lead is tasked with providing leadership and guidance to the Special Investigations Unit (SIU) team, focusing on the investigation, collection, research, and analysis of billing data to identify fraudulent, abusive, or wasteful activities...
Title: Investigator Senior Job Responsibilities: The Investigator Senior is tasked with the independent identification, investigation, and development of complex cases against individuals or groups involved in healthcare fraud to recover funds paid on fraudulent claims. Key responsibilities include: - Conducting claim reviews for...
Title: Investigator Senior Job Responsibilities: The Investigator Senior is tasked with the independent identification, investigation, and development of complex cases against healthcare fraud perpetrators. This role involves recovering corporate and client funds paid on fraudulent claims, particularly with a focus on Medicare/Medicaid...
Title: Investigator Senior Job Responsibilities: The Investigator Senior role at the company involves the independent identification, investigation, and development of complex cases aimed at addressing healthcare fraud and recovering corporate and client funds paid on fraudulent claims. The candidate is expected to...
Title: Investigator Senior Job Responsibilities: The Investigator Senior is tasked with identifying, investigating, and developing complex cases against perpetrators of healthcare fraud to recover corporate and client funds paid on fraudulent claims. This role requires a robust background in Medicare/Medicaid, with a...
Senior Job Title: Investigator Senior Job Responsibilities: The Investigator Senior position at the company involves the independent identification, investigation, and development of complex cases targeting perpetrators of healthcare fraud. This role is crucial for recovering corporate and client funds that have been paid on...
Title: Investigator Senior Job Responsibilities: The Investigator Senior role involves the independent identification, investigation, and development of complex cases against perpetrators of healthcare fraud, aiming to recover corporate and client funds paid on fraudulent claims. Key responsibilities include: - Conducting claim reviews for...
Title: Senior Associate, Legal Services Job Responsibilities: - Develop a working knowledge of various types of incident reports and claims handled by the Legal Services Department. - Accept full responsibility for assigned incidents or claims, accurately entering incident data into the incident management...
Title Legal Specialist II Job Responsibilities The Legal Specialist II is tasked with providing comprehensive legal support services across multiple states, enterprise-wide functions, and handling complex litigation. The role involves engaging in complex legal assignments and projects utilizing a specialized area...
Title: Legal Specialist II Job Responsibilities: The Legal Specialist II is tasked with providing comprehensive legal support services across multiple states, enterprise-wide functions, and/or complex litigation through intricate legal assignments and projects. This role demands expertise in a recognized area of specialization...
Title: Legal Specialist II Job Responsibilities: The Legal Specialist II is tasked with providing comprehensive legal support services across multiple states, enterprise-wide functions, and handling complex litigation. The role involves engaging in complex legal assignments and projects, leveraging specialized knowledge specific to...
Title: Legal Specialist II Job Responsibilities: The Legal Specialist II is tasked with delivering legal support services across multiple states, enterprise-wide functions, and/or intricate litigation matters through complex legal assignments and projects. These tasks leverage a specialized area of expertise and knowledge...
Title: Investigator Senior Job Responsibilities: The role of Investigator Senior involves the independent identification, investigation, and development of complex cases against perpetrators of healthcare fraud to recover corporate and client funds paid on fraudulent claims. Key responsibilities include: - Conducting claim reviews for...
Credit security clearance, confirmed via a background credit check, is required for this position. Salary Information: The salary for this position ranges from $80,000 to $100,000 depending on experience and location. Experience Information: The ideal candidate...
Credit security clearance, confirmed via a background credit check, is required for this position. The qualifications listed above are intended to represent the minimum education, experience, skills, and abilities required to perform the job. They are not intended...
Credit security clearance, confirmed via a background credit check, is required for this position. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to...
Conditions: Working conditions may vary depending on assignment Physical Abilities: Bending, reaching, walking, standing, and driving Salary Information: Competitive salary based on experience and qualifications Job Title: Senior Manager, Managed Care Regulatory Filings Experience:...
statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances....
Administrative Assistant, General Counsel Office - Full-Time Day Shift **MEMBERS ONLY**SIGN UP NOW***. is seeking an experienced and detail-oriented Administrative Assistant to join our Legal Department. The successful candidate will provide comprehensive administrative support to the legal team, helping ensure the efficient...
- Investigator Senior position available in various locations (MO, NC, TX) - Full-time position with hybrid model (remote and office) - End date for application: May 15, 2025 (29 days left to apply) - Job requisition ID: JR147268 -...
Position Title: Investigator Senior Job Description: Investigator Senior position at **MEMBERS ONLY**SIGN UP NOW***.'s Carelon Payment Integrity line of business. The ideal candidate must live within 50 miles of MO, NC, and TX PulsePoint locations and will work in...
- Investigator Senior position available at **MEMBERS ONLY**SIGN UP NOW***., a member of the **MEMBERS ONLY**SIGN UP NOW***. family of companies - Full-time, non-management exempt position with a hybrid work model (remote and office) - Must live within 50 miles of MO, NC, or TX...
Title: Investigator Senior Job Type: Full Time Salary: Competitive salary based on experience and qualifications Experience: Minimum of 5 years in healthcare insurance and investigation Investigator Senior is a full-time position within Carelon Payment Integrity, a member of the...
is a community of believers who have come together to support one another in times of medical need. Why Work at **MEMBERS ONLY**SIGN UP NOW***. Our mission is to glorify God, show Christian love, and experience God’s presence as...
- Investigator Senior position - Full-time, hybrid work model (remote and office) - Location: MO, NC, TX - End Date: May 15, 2025 (29 days left to apply) - Job requisition ID: JR147268 - Anticipated End Date: 2025-05-15 -...
Legal Advisor - Administrative Appeals: Remote Job with **MEMBERS ONLY**SIGN UP NOW***. H1: Join **MEMBERS ONLY**SIGN UP NOW***. as a Clinical Legal Advisor for Administrative Appeals H2: Remote Job with Competitive Salary and Benefits Job Title: Clinical Legal Advisor - Administrative Appeals Company: **MEMBERS ONLY**SIGN UP NOW***....
General Counsel - Health Plans and Networks Salary Information: - Competitive salary based on experience and qualifications - Option to participate in Management Incentive Program - Comprehensive benefits package including health, financial, and security benefits Job Title: -...
Legal Nurse Consultant (Hybrid) - Salary:... is seeking a Legal Nurse Consultant to join their... Medical Claims team in Itasca, IL. This position offers a flexible hybrid work arrangement, with one or two days in the office and the rest...
friendly job title: Legal Nurse Consultant (Hybrid) H1 heading:... Team as a Legal Nurse Consultant H2 heading: Work-Life... Pay Type: Salary Position Overview: - Registered Nurse/Attorney who provides detailed analysis... of medical records and other pertinent medical information...
Products Compliance Associate The candidate will help get beer, wine, and other regulated product licenses in markets across the nation. Will play an integral part in the company’s national liquor license and compliance program, by working closely with legal counsel...
Products Compliance Associate The candidate will help get beer, wine, and other regulated product licenses in markets across the nation. Will play an integral part in the company’s national liquor license and compliance program, by working closely with legal counsel...
Products Compliance Associate The candidate will help get beer, wine, and other regulated product licenses in markets across the nation. Will play an integral part in the company’s national liquor license and compliance program, by working closely with legal counsel...
Products Compliance Associate The candidate will help get beer, wine, and other regulated product licenses in markets across the nation. Will play an integral part in the company’s national liquor license and compliance program, by working closely with legal counsel...
Products Compliance Associate The candidate will help get beer, wine, and other regulated product licenses in markets across the nation. Will play an integral part in the company’s national liquor license and compliance program, by working closely with legal counsel...
of experience as a paralegal, preferably in healthcare or... medical-related cases. Experience with medical review panels and independent medical examinations. Experience working with attorneys and legal counsel. Notary Public certification preferred. Knowledge...
SEO Friendly Job Title: Paralegal at **MEMBERS ONLY**SIGN UP NOW***.,... LLC in St. Louis, MO H1 Heading: Join Our Team as a Paralegal at **MEMBERS ONLY**SIGN UP NOW***.,... LLC H2 Headings: Bold Headlines: - Full-Time Paralegal Position at Cedarhurst Senior......
Legal Specialist - Community Pharmacy & Healthcare: - Apply for a Sr. Legal Specialist position at McKesson, a Fortune 10 company in the healthcare industry - Work remotely in a hybrid role, with opportunities for growth and making a real...
McKesson, a Fortune 10 company in the healthcare industry, is seeking a Sr. Legal Specialist to support their Community Pharmacy and Healthcare Solutions business unit. This is a hybrid role, with the option to work remotely or onsite in...
AM) The Sr. Paralegal and Executive Assistant position... opportunity for a skilled paralegal with executive assistant experience... to join a growing company in the healthcare industry. This position offers a competitive salary range of $77,545 - $95,148 per year,...
Manager - Ensuring Legal and Regulatory Compliance for **MEMBERS ONLY**SIGN UP NOW***. Job Title: - Compliance Manager H1: - **MEMBERS ONLY**SIGN UP NOW***. Hiring Compliance Manager to Ensure Legal and Regulatory Compliance H2: - Join a Leading Provider of Targeted Drug...
job title: Investigator Senior - Healthcare Fraud H1: Investigator Senior - Healthcare Fraud at **MEMBERS ONLY**SIGN UP NOW***. H2: Join Our Team and Make an Impact! Bold headline: Investigate and Recover Corporate and Client Funds as a Senior Investigator at **MEMBERS ONLY**SIGN UP NOW***....
Investigator Senior is a position within the **MEMBERS ONLY**SIGN UP NOW***. family of companies, specifically at CarelonRx (formerly IngenioRx). This role involves identifying and investigating complex cases of healthcare fraud in order to recover corporate and client funds. The ideal candidate...
- Investigator Senior position within **MEMBERS ONLY**SIGN UP NOW***., a member of the CarelonRx family of companies - Location: hybrid model (remote and office), candidate should live within 50 miles of an **MEMBERS ONLY**SIGN UP NOW***. PulsePoint location - Responsible for identifying, investigating,...
- Job Title: Investigator Senior - Salary: Not specified - Location: Hybrid model (remote and office), must live within 50 miles of **MEMBERS ONLY**SIGN UP NOW***. PulsePoint locations - Company: **MEMBERS ONLY**SIGN UP NOW***. (formerly CarelonRx) - Job Reference: JR145046 - Date Posted:...
Gainwell is seeking a Casualty Case Management Specialist to join their team. This position involves processing all casualty or estate functions for state Medicaid beneficiaries and deceased Medicaid beneficiaries. The role requires complex analytical skills, as well as professional...
#Paralegal #Healthcare #Law #Corporate ... seeking a full-time Senior Paralegal with at least 10... candidate will have a Paralegal Degree or Bachelor's Degree... and be a registered paralegal or have equivalent certification.... The Senior Paralegal will provide administrative management... support...
friendly job title: Casualty Case Management Specialist - Remote US H1: Join Our Team as a Casualty Case Management Specialist H2: Responsibilities of a Casualty Case Management Specialist - Processing all casualty or estate functions involving state...
Senior - Job Description Location: Hybrid (Remote and Office), Alternate locations may be considered Company: **MEMBERS ONLY**SIGN UP NOW***. (Formerly Carelon Insights) Salary Range: $77,028 - $132,048 (Based on location, experience, and skills) Job Reference: JR144130 Anticipated...