- Methodist Health System (Dallas, TX)
- …including, but not limited to, state specific health care laws and regulations, Medicare / Medicaid rules, fraud and abuse including Stark and anti-kickback laws ... and state laws relating to healthcare, including but not limited to Medicare / Medicaid reimbursement, HIPAA, AKS, self-referral prohibitions, and fraud and abuse.… more
- Atlantic Health System (Morristown, NJ)
- …regulatory issues, including fraud and abuse issues, HIPAA compliance, EMTALA, Medicare and Medicaid compliance, licensure issues, pay-to-play issues, corporate ... Under the supervision of the Assistant General Counsel (ACG), review prepare and negotiate a full...and corporate work experience, including prior experience with hospitals, Medicare and Medicaid , and federal and state… more
- Amazon (San Francisco, CA)
- …and technology companies (including with respect to Commercial, Medicare and Medicaid programs) - Provide strategic counsel on healthcare regulatory and ... - Experience in pharmacy law and regulations - Knowledge of Medicare / Medicaid requirements - Background in payer contracting - Healthcare technology… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves ... and report the financial performance for all Commercial and Medicare Contracts with Mount Sinai. The Senior Contracting...of patient service revenue, including overseeing those who may counsel patients on how best to meet their financial… more
- Amgen (IL)
- …guidance and advisory opinions + DOJ settlements with pharmaceutical industry + Medicare / Medicaid reimbursement and contracting **What you can expect ... Join us and transform the lives of patients while transforming your career. ** Counsel - Global Commercial Operations** **What you will do** Let's do this. Let's… more
- Prime Healthcare (Ontario, CA)
- …Waste and Abuse laws and regulations, along with the Medicare / Medicaid Conditions of Participation, physician/physician group contracting , Medical Staff/peer ... for California Applicants:https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The Assistant General Counsel - Hospital Operations must be a… more
- PeaceHealth (Vancouver, WA)
- …rules and regulations applicable to PeaceHealth, including but not limited to HIPAA, Medicare , Medicaid , Stark law, Anti-Kickback law, and False Claims Act. + ... **Description** **PeaceHealth is seeking Legal Counsel in Vancouver, Washington ** This hybrid role...and regulatory topics with a special emphasis on physician contracting , medical staff matters, and physician group and other… more
- Methodist Health System (Dallas, TX)
- …matters to employees and management, including the business office, coding, physician contracting , fraud & abuse laws, Medicare / Medicaid regulatory ... :** 8X5 Day (United States of America) **Job Description :** **Assistant General Counsel - Compliance and Privacy** **POSITION OVERVIEW.** Under the direction of the… more
- CVS Health (Woonsocket, RI)
- …to insurance department market conduct exams and enforcement actions and in Medicare / Medicaid pharmacy network contracting . You will identify business ... heart, each and every day. **Position Summary** As Legal Counsel -Caremark you will provide legal and regulatory review, analysis...you will provide legal and regulatory review, analysis and counsel to internal business partners with respect to PBM… more
- AbbVie (Mettawa, IL)
- …drive profitability + Support all channels of payer contracting including Commercial, Medicare Part D, Medicaid and other Government channels + Develop new ... best-in-class within the biopharmaceutical industry. We serve as a strategic in-house counsel , ensuring that all decisions leverage the key insights that we develop.… more
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