- Molina Healthcare (NE)
- …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
- Lawrence General Hospital (Lawrence, MA)
- POSITION SUMMARY The Chief Compliance Officer and Associate General Counsel provides strategic leadership of the organization's compliance program while serving ... on hospital operations and regulatory matters. Reporting directly to the General Counsel , with organizational accountability to the CEO and Board for Corporate… more
- Providence (Irvine, CA)
- …Health as our Corporate Counsel and become a key player in shaping healthcare delivery across our dynamic organization. **The Role** As the Corporate Counsel ... with key healthcare regulations, including Stark Law, Anti-Kickback Statute, False Claims Act, Medicare and Medicaid billing rules, HIPAA and EMTALA. + Draft and… more
- Cardinal Health (Harrisburg, PA)
- …judgment in the interpretation and application of relevant laws including, Antitrust; healthcare laws and regulations, (eg, Anti-Kickback, False Claims Act, and ... the organization's assets, operations and image. This function provides legal counsel related to commercial, corporate securities, intellectual property, labor and… more
- Molina Healthcare (Cleveland, OH)
- …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
- Medtronic (Seattle, WA)
- …other stakeholders to close deals effectively and compliantly. + Advise on federal healthcare laws, antikickback, antitrust, False Claims Act, HIPAA, state data ... can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down… more
- Ankura (Chicago, IL)
- …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
- Penn Medicine (Philadelphia, PA)
- …including but not limited to, self-pay collection rates, bad debt, charge lag, claim edits, and enrollment edits. The Associate Director Revenue Cycle Management ... shape our future each day. Are you living your life's work? **Position: Associate Director Rev Cycle Management** **Entity: Clinical Practices of the University of… more
- Ankura (Los Angeles, CA)
- …expertise with financial, economic, analytic skills. Our clients and their legal counsel rely upon us to successfully resolve complex matters. Ankura's health care ... enabling us to help our clients and their legal counsel assess and quantify the potential impact of a...needs and develop project work plans accordingly + Understands Healthcare Compliance concepts, issues, and how to research and… more
- Molina Healthcare (Nampa, ID)
- …with various internal customers (eg, Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation ... may also work with other internal departments, including Compliance, Corporate Legal Counsel , and Medical Officers in order to achieve and maintain appropriate… more