- Dorsey & Whitney LLP (Phoenix, AZ)
- …States. This position will involve significant responsibility over pending cases, investigations experience, compliance advising in various areas including ... Government Solutions & Investigations Associate (#949) - Phoenix Dorsey & Whitney...the following types of tasks for complex litigation and investigation matters: - discovery - oral advocacy - brief… more
- Highmark Health (Lincoln, NE)
- …vendors to recover confirmed facility and professional provider over-payments. + Investigation Support: Assist with investigations : Assist in the interviews ... job is responsible for assisting in the processing and investigation of non-complex health care claims to determine the...will also conduct or assist with provider and subscriber investigations to verify the validity of services and charges;… more
- Mosaic (Wallingford, CT)
- …**Must reside in the state of Connecticut** A Career With Purpose: Join Us as an Investigations Coordinator Do you have a knack for getting to the heart of a matter ... a real-world difference? At Mosaic, we're looking for an Investigations Coordinator to join our team and help us...leadership and regulatory agencies. Your work will ensure our compliance with federal and state regulations and help protect… more
- UNC Health Care (Morrisville, NC)
- …required. **Professional Experience Requirements:** * Three (3) years of experience in healthcare compliance or relevant legal experience or education. * If ... Associate's degree, seven (7) years of experience in healthcare compliance . * If high school diploma, eleven (11) years of experience in healthcare … more
- University of Utah Health (Salt Lake City, UT)
- …organizational goals, balancing people-centered support with policy and legal compliance , including licensure requirements and healthcare regulations. **Case ... case management systems (eg, PeopleSoft, ServiceNow, etc.). + Experience navigating healthcare regulatory compliance . **Working Conditions and Physical Demands**… more
- RTX Corporation (Mckinney, TX)
- …and/or other transactional agreements + 5 years or more experience leading compliance investigations , maintaining legal privilege and briefing leadership and ... We have an exciting opportunity for a Senior Counsel, supporting Global Trade Investigations & Disclosures who will provide legal advice and approvals, as well as… more
- Lilly (Indianapolis, IN)
- …to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to ... and volunteerism. The **Sr. Director - Counsel - Litigation and Government Investigations ** role is for an experienced, creative and strategic litigation attorney… more
- Geisinger (Danville, PA)
- …for the strategic direction, planning, oversight, and operation of the Special Investigations ("SI") and Program Integrity ("PI") teams. Develops and directs the ... prevention, detection and investigation of anti-fraud, waste and abuse (FWA)program processes and oversight and coordination of all program integrity activities.… more
- Highmark Health (Pittsburgh, PA)
- …field **EXPERIENCE** **Required** + 7 years of in the Health Insurance industry and/or Healthcare Fraud investigations + 3 years in leading projects of varying ... recoveries/ savings. Will be called upon as a subject matter expert for investigations providing guidance and mentoring to investigative team. Must be able to… more
- Covenant Health Inc. (Knoxville, TN)
- …and Security (CHPS), Certified Compliance Professional (CCP), Certified in Healthcare Compliance (CHC), Registered Health Information Technician (RHIT) or ... Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) , outpatient and… more