- Molina Healthcare (San Antonio, TX)
- …and external review. The position may also work with other internal departments, including Compliance , Corporate Legal Counsel , and Medical Officers in order ... patterns through utilization review. + Prepares appropriate FWA referrals to regulatory agencies and law enforcement. + Documents appropriately all case related… more
- Highmark Health (Austin, TX)
- …in a timely manner. Collaborate with Revenue Cycle for care reviews. Collaborate with legal counsel to mitigate risk. Collaborate with Quality to provide trends ... compliance with CMS, Pa DOH, OCR and TJC regulatory requirements. This role also includes facilitating the Patient...Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in… more
- Capital One (Plano, TX)
- …drive deal closing calls that include internal and external deal team members and counsel . + Ensure legal documentation accurately reflects the intentions of the ... decisions. + Remain current on all pending and proposed regulatory changes affecting compliance . + Ensure Know...and use judgment to involve the manager and internal counsel when required. + Complete post-closing steps to ensure… more
- Prime Therapeutics (Austin, TX)
- …and projects + Ensure all contractual obligations are in adherence with company policies, regulatory compliance and legal requirements and engage with ... correspondences between Prime and Pharmacy Providers escalating to Prime Legal Counsel as required + Other duties...unique to their job, and comply with all applicable legal , regulatory , and contractual requirements and internal… more
- CVS Health (Irving, TX)
- …to review as components of the exercise. Answer questions posed by participants' legal counsel in the course of RFP negotiations and ensure problematic ... (both IT and Non-IT), Information Technology Security Team, Risk Management, Privacy Legal Team, Compliance , Internal Audit, Tax, various Finance areas ie… more
- Robert Half Technology (Austin, TX)
- …or SOC 2 standards, with working knowledge of current data protection laws, regulatory compliance , and third-party risk management practices. + 5+ years of ... summarizing technical findings for non-technical audiences, including C-suite executives or legal counsel . Certifications: At least one relevant certification… more
- US Foods (Buda, TX)
- …associations, and consultants to manage labor negotiations, resolve disputes, ensure regulatory compliance , and incorporate best practices into the company's ... managing arbitration and grievance processes, and overseeing company responses to regulatory matters. The position requires a proactive, collaborative leader with… more
- Scotiabank (Dallas, TX)
- …of day-to-day business controls to meet obligations with respect to operational risk, regulatory compliance risk, AML/ATF risk and conduct risk, including but ... not limited to responsibilities under the Operational Risk Management Framework, Regulatory Compliance Risk Management Framework, AML/ATF Global Handbook and the… more
- L3Harris (Greenville, TX)
- …knowledge of legal requirements related to day-to-day management of employees, reducing legal risks and ensuring regulatory compliance . + Labor Relations ... + Handle grievances and arbitration cases in collaboration with legal counsel . + Provide guidance and support...management on labor relations issues and strategies. + Ensure compliance with labor laws and regulations. + HR Metrics… more
- CVS Health (Irving, TX)
- …to review as components of the exercise. + Answer questions posed by participants' legal counsel in the course of RFP negotiations and ensure problematic ... and enforcing both internally and externally CVS policy as well as regulatory requirements, meeting and exceeding business goals, supporting supplier diversity among… more