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United States
Posted On Aug 25, 26
Full-time 1 views Experience : Min 8 yrs required
Practice Area:
Health Care - Compliance, Transactions, HIPAA Health Care - General
Job Tags:
abuse Collective Bargaining criminal Disability Benefits equity fraud Insurance Medicaid
Practice Area:
Health Care - Compliance, Transactions, HIPAA Health Care - General
Job Tags:
abuse Collective Bargaining criminal Disability Benefits equity fraud Insurance Medicaid

Title: Investigator Lead Job Responsibilities: The Investigator Lead is tasked with providing leadership and guidance to the Special Investigations Unit (SIU) team. This involves investigating, collecting, researching, and analyzing billing data to detect fraudulent, abusive, or wasteful activities and practices. The role...

Archived Job Listings: Real Employers, Hidden Opportunities

The following jobs are no longer active but were real openings previously posted by employers. These listings provide valuable insight into employer hiring trends and frequently lead to job offers. In many cases, employers are still hiring or open to strong candidates even if no new job is posted. Applying to these listings often makes you the only applicant, increasing your chances of being hired.

  • ✅ LawCrossing has monitored employer hiring for 25+ years
  • ✅ Archived jobs include the original post date for transparency
  • ✅ Over 50% of LawCrossing job seekers find success this way

Counsel - Compliance The candidate reduces risk associated with non-compliance with laws and regulations. Researches legal issues; and makes recommendations for changes to existing company policies and procedures to maintain compliance with all state and federal laws. Reports to Compliance Counsel and supports that function as a secondary contact within General Counsel's office for all licensing and regulatory issues. Ensures corporate compliance with various feder... read more

Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here

Staff VP Payment Models, Analytics and Reporting... Duties: Responsible for leading the development of payment models to support migration... from volume to value based contracting. Position has end-to-end financial and analytical accountability for the company’s value-based payment models (., shared savings/shared... risk, bundle payment, pay for performance). As... the healthcare industry continues to transform, moving away from traditional fee-for-service reimbursement, this rol... read more

Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here

VP Program Integrity/Investigations The candidate will be responsible for providing leadership to the Commercial Special Investigations Unit, Provider Audit and Data Mining teams. Primary duties include development and implementation of program strategies, goals, deliverables, and overall program execution. Develops and administers a strategy that continually reduces the inappropriate provider payments and optimizes opportunities to drive fraud, waste and abuse savings... read more

Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here

VP Provider Economics Candidate will have end to end financial and analytic accountability for provider contracting and network development activities related the Medicare and Medicaid lines of business at firm. Will manage unit cost budgets, inclusive of prospective and retrospective unit cost oversight. Oversee reimbursement development, provider contract modeling, network design and unit cost trend analysis for the Medicare and Medicaid lines of business. Oversee de... read more

Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here

and Waste Investigator, Laboratory Healthcare The candidate coordinates investigation with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Understands department, segment, and organizational strategy and operating objectives, including their linkages to relat... read more

Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here

Legal Analyst The candidate will coordinate the Appeals outreach/communications and reconsideration review process with CMS and conduct reviews of appeals requests. The Temporary Legal Analyst will also conduct legal coding and analysis of FOIA and litigation requests for releasibility. The Temporary Legal Analyst will research and analyze the impact of legislative and regulatory trends and develop program evaluation concepts that will best meet the needs of read more

Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here

Compliance Counsel Duties: Compliance Counsel functions under the direction and supervision of the Managing Counsel, Compliance and Litigation, with a specific concentration on legal and regulatory risk and other duties as assigned. Ensures compliance with various federal and state laws and oversees the implementation and effective operation of a comprehensive corporate compliance program. Drafts procedural documents and policies to effectuate a comprehensive compl... read more

Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here

Reconsideration Official Duties: Interact regularly with key stakeholders to understand business processes and key requirements. Communicate effectively with external clients and internal teams to deliver products as required. Interpret regulations, review data and draft recommendations, and make final determinations based on deep understanding of Medicare Advantage programs. Provide recommended approaches and feedback to the read more

Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here

General Counsel - Commercial Technology The candidate will provide guidance on complex Commercial Technology Matters that promote and support the company's Growth and/or Trust priorities. Provide legal advice and support on complex technology procurement matters which are essential to the successful execution of the company's Collective Strategy. Advise on, draft, and negotiate various technology agreements with leading technology providers, including complex cross... read more

Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here

Points: - Title: Senior Investigator (Investigator Sr) - Job Family: FRD > Investigation - Type: Full time - Date Posted: Apr 17, 2024 - Anticipated End Date: May 01, 2024 - Location: Hybrid model (remote and office) - Salary: Competitive and market-competitive total rewards package - Experience: Minimum of 5 years in healthcare insurance and healthcare insurance investigation, law enforcement - Education: BA/BS required, preferred professional certification... read more

Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here

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