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United States
Full-time 1 views Experience : Min 5 yrs required

Department's activities, which encompass a wide range of responsibilities such as contracts, compliance, surveys, audits, investigations, reporting, plan development and renewal, credentialing, Fraud, Waste & Abuse Special... Investigations, provider network and relations, and regulatory updates and compliance matters. Key respon...

Full-time 4 views Experience : Min 5 yrs required

Title: Senior Commercial and Product Counsel Job Responsibilities: - **Commercial Transactions & Strategy**: Negotiate high-stakes technology, SaaS, payor, and strategic partnership agreements. Audit existing commercial relationships to improve terms and align with evolving data strategies. Build the "Legal Engine" by creating contracting...

Posted On Sep 23, 26
Full-time 2 views Experience : Min 8 yrs required

Title: Investigator Lead - Pharmacy Job Responsibilities: The Investigator Lead - Pharmacy is tasked with providing leadership and guidance to the Special Investigations Unit (SIU) team. The primary responsibilities include investigating, collecting, researching, and analyzing billing data to identify fraudulent, abusive, or...

Full-time 2 views Experience : 1-3 yrs required

(OCME) is responsible for supporting the Integrity and Standards Office (ISO), which is the agency’s independent investigative and accountability body. The role involves identifying and investigating fraud, waste, abuse, misconduct, and... other integrity-related concerns within the agency's operations. The...

Posted On Sep 29, 26
Full-time 1 views Experience : Min 5 yrs required

and optimization of SIU capabilities to support the detection, prevention, and investigation of fraud, waste, and abuse (FWA).... The role involves driving the effective utilization of internal and external data assets, advanced analytic tools, predictive monitoring methodologies, and emerging technol...

Full-time 3 views Experience : 2-3 yrs required

Title Corporate Counsel Job Responsibilities - Act as a key member of the corporate legal function at the company. - Collaborate with a cross-functional team on Exchange Act filings and public disclosure documents, including preparation of earnings releases, 10-Ks /...

Full-time 5 views Experience : Min 10 yrs required

Title: Senior Director, Assistant General Counsel – Market Access Legal Job Responsibilities: - Provide proactive, efficient, strategic, and collaborative legal support to the company's Market Access Commercial Business Unit. - Advise a wide range of internal Market Access and other clients, including Market...

Full-time Experience : Min 5 yrs required

Title: Senior Counsel, At Home Solutions Job Responsibilities: - Serve as a day-to-day commercial legal partner for one or more At-Home Solutions businesses, offering practical, risk-tailored, business-oriented advice on commercial and operational matters. - Draft, review, and negotiate agreements across various domains such...

Full-time 8 views Experience : Min 5 yrs required

Title: Senior Counsel, Legal - Labor & Employment (MSO & Physician) Job Responsibilities: - Demonstrate comprehensive knowledge of Labor & Employment (L&E) laws, regulations, and principles. - Provide legal counsel on L&E matters affecting Management Services Organizations (MSOs), physician practices, medical groups, and...

Full-time Experience : Min 10 yrs required

Title: Senior Associate General Counsel Job Responsibilities: Health Law & Medical Staff Responsibilities: - Provide extensive legal counsel on New York State and federal health law matters, including hospital licensure, certificate of need, and Department of Health regulatory compliance. - Support medical staff leadership,...

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