LAW ASSOCIATE - Join our National Health Law Practice at Law Firm Minimum 3-5 years of experience in health law, representing healthcare providers Expertise in state and federal regulatory aspects of health law, including HIPAA, Stark, and anti-kickback laws Strong...
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Examiner IV The candidate will deliver superior customer service and satisfaction through effective interactions with insureds, agents and legal counsel. Will contribute to a collaborative environment by consistently demonstrating teamwork, high motivation, positive behavior and effort to achieve goals and...
Senior Investigator, Insurance Fraud The candidate will be... cases against perpetrators of fraud in order to recover... corporate and client funds paid on fraudulent claims, utilizing Health and Human Services-Office of Inspector General (HHS-OIG), FBI and other law enforcement resources,...
Legal Counsel Duties: To provide legal advice and counsel to company officers, managers and employees in the pharmacy benefit management business. Under the general direction of the General Counsel or Associate General Counsel, will provide direction and legal counsel...
Legal Counsel Duties: To provide legal advice and counsel to company officers, managers and employees in the pharmacy benefit management business. Under the general direction of the General Counsel or Associate General Counsel, this individual provides direction and legal...
Legal Counsel Duties: To provide legal advice and counsel to company officers, managers and employees in the pharmacy benefit management business. Under the general direction of the General Counsel or Associate General Counsel, will provide direction and legal counsel...
Legal Counsel, Pharmacy Benefit Management The candidate will be responsible for analyzing and interpreting federal and state laws and regulations relating to the company’s diverse pharmacy management business. Researching, reviewing/analyzing, and interpreting federal and state laws and regulations for applicability...
Legal Counsel II The candidate will be responsible for: Contracting, including pharmacy benefit management service agreements, medical pharmacy service agreements, producer and other agreements relating to the company’s general and specialty pharmacy benefits management business lines. Development of responses to...
Legal Counsel, PBM - Remote The candidate will be responsible for: Contracting, including pharmacy benefit management service agreements, medical pharmacy service agreements, producer and other agreements relating to the company’s general and specialty pharmacy benefits management business lines. Development of...
DE Oversight and Part D Compliance The candidate will provide oversight to Delegated Entities (DE) that support Senior business and providing compliance support and oversight for Part D business. Will develop strategy for managing compliance and oversight for DEs. Support...
Legal Counsel - Regulatory Duties: Managed health care is a highly regulated industry and the laws and regulations affecting company's operations are complex and change rapidly. Will be responsible for analyzing and interpreting federal and state laws and regulations relating...