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Full-time 7 views Experience : Min 5 yrs required

arrangements. - Advise on reimbursement policies and regulatory requirements for Medicare, Medicaid,... and commercial payers, including risk adjustment compliance. - Provide guidance on disputes and litigation related to payer payment and contractual issues. - Advise on clinically integrated network issues and antitrust compliance. E...

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Full-time 1 views Experience : Min 5 yrs required

Title: Associate General Counsel III, Provider Contracting Job Responsibilities: The Associate General Counsel III at the company is responsible for providing comprehensive legal advice and services, particularly in the realm of provider network contracting. Key responsibilities include drafting provider contract templates and...

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Posted On Jul 01, 26
Full-time 2 views Experience : Min 7 yrs required

Manager, Privacy & Security Regulatory Engagement Job Responsibilities: This... and other teams by translating complex regulatory, legislative, and contractual requirements... into actionable, risk-informed analysis and advisory-ready outputs. The responsibilities are centered around ensuring that privacy, security, AI, and operational res...

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Posted On Aug 18, 26
Full-time 1 views Experience : 10-15 yrs required

Director, Forensics Healthcare Duties: The candidate plays... leadership role in high-stakes healthcare litigation, arbitration, and payer/provider... disputes, with a particular focus on hospital/inpatient reimbursement, DRG coding, and payment integrity. Brings a proven track record of expert testimony, deep subject matter...

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Posted On Aug 20, 26
Full-time 2 views Experience : 10-15 yrs required

Director, Forensics Healthcare The candidate plays a... leadership role in high-stakes healthcare litigation, arbitration, and payer/provider... a testifying expert in healthcare litigation matters, including depositions,... trial testimony, arbitration proceedings, and other dispute forums. Develops and defends expert opinions related to...

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Posted On Sep 16, 26
Full-time 3 views Experience : Min 10 yrs required

on medical device legal regulatory issues affecting customer use... focus on software as a medical device, artificial intelligence and machine learning, real-world data, and precision medicine. - Provide advice on the appropriate regulatory standards for product qualification... and classification analysis. - Ad...

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Full-time 3 views Experience : 10-15 yrs required

commodity derivatives, swap dealer and banking regulations, and related risks in a fast-paced environment. - Support non-derivative traded products, including physically-settled commodity spot and forward transactions, leasing arrangements, financing, purchase, and sale agreements. This includes handling regulatory, documentation, and project-...

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Full-time 1 views Experience : Min 5 yrs required

Title: Counsel, Commercial Transactions Job Responsibilities: The Counsel, Commercial Transactions position is responsible for providing comprehensive legal support and guidance for . and global contracting activities within Company, particularly focusing on buy-side procurement contracts, technology transactions, and vendor management matters. The role...

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Posted On Jul 16, 26
Full-time Experience : Min 5 yrs required

teams by translating complex regulatory, legislative, and contractual requirements... into actionable, risk-informed analysis and advisory-ready outputs. - Serve as a critical execution layer within the Privacy & Security Enterprise Engagement model, working as part of a team of Lead Analysts....

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Posted On Jul 16, 26
Full-time 1 views Experience : 5-10 yrs required

teams by translating complex regulatory, legislative, and contractual requirements... into actionable, risk-informed analysis and advisory-ready outputs. - Serve as a critical execution layer within the Privacy & Security Enterprise Engagement model, working as part of a team of Lead Analysts supporting...

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Posted On Jul 28, 26
Full-time 2 views Experience : 3-5 yrs required

Security Risk Management (EPSRM) and various teams across the company. This position is crucial in translating complex regulatory, legislative, and contractual requirements... into actionable, risk-informed analysis and advisory-ready outputs. The role functions within the Privacy & Security Enterprise Engagement...

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Posted On Jul 28, 26
Full-time 1 views Experience : Min 5 yrs required

teams by translating complex regulatory, legislative, and contractual requirements... into actionable, risk-informed analysis and advisory-ready outputs. - Serve as a critical execution layer within the Privacy & Security Enterprise Engagement model. Work as part of a team of Lead Analysts...

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Posted On Sep 01, 26
Full-time 6 views Experience : Min 7 yrs required

managing complex, sensitive, and high-impact internal investigations within the organization. The role serves as a strategic advisor and subject matter expert on investigative best practices, regulatory compliance, and risk mitigation.... Key responsibilities include: - Consulting with management, in-house counsel, and/or the...

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Posted On Sep 01, 26
Full-time 4 views Experience : Min 4 yrs required

Title: Senior Manager, Medical Loss Ratio Job Responsibilities: The Senior Manager, Medical Loss Ratio is responsible for managing the compliance and reporting program for the Medical Loss Ratio (MLR) across assigned lines of business. This role ensures accurate calculation, governance, controls, and...

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Posted On Jul 01, 26
Full-time 2 views Experience : Min 7 yrs required

to ensure privacy, security, artificial intelligence (AI), and business continuity requirements are clearly understood, implemented, and monitored. - Interpret and translate regulatory, contractual, and legal requirements... into operational controls and guide stakeholders on compliance expectations. - Validate and manage compliance evidence,...

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Posted On Jul 01, 26
Full-time 1 views Experience : Min 7 yrs required

Services to ensure privacy, security, artificial intelligence (AI), and business continuity requirements are clearly understood, implemented, and monitored. - Interpret and translate regulatory, contractual, and legal requirements... into operational controls, guiding stakeholders on compliance expectations. - Validate and manage compliance evidence, d...

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Posted On Jul 01, 26
Full-time 1 views Experience : Min 7 yrs required

Title: Privacy & Security Enterprise Engagement Officer Job Responsibilities: - Partner with Health Plans or Shared Services to translate privacy, security, artificial intelligence (AI), business continuity, and related requirements from client contracts, laws, and regulations into actionable enterprise controls. - Build trusted relationships...

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Posted On Jul 20, 26
Full-time 1 views Experience : 5-10 yrs required

remediation and reporting activities to ensure the successful resolution of identified non-compliance with Medicaid, Medicare, Marketplace, and Commercial regulatory requirements, contractual obligations, and... company policies and procedures. - Support the internal and external corrective action plan lifecycle and related reporting. -...

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Full-time 3 views Experience : 1-5 yrs required

for commercial health plan regulatory matters, including Ambetter Health... on federal and state healthcare laws, regulations, guidance, and... impact commercial product lines and programs. - Research, analyze, and interpret complex healthcare regulatory requirements, including but... not... limited to issues related...

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