Medicare Jobs in O Fallon

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United States
Full-time Experience : 7-7 yrs required

Title: Executive Counsel for Medicare Products Job Responsibilities: - Provide legal... specifically for the company's Medicare Advantage, Part D, and... counsel for the company's Medicare brand. - Advise business and... regulations, and guidance impacting Medicare, ensuring compliance and strategic... alignment. - Research, analyze, and...

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Full-time 1 views Experience : Min 5 yrs required

Title: Health Care Attorney Job Responsibilities: The Health Care Attorney will be responsible for working on a diverse range of corporate transactions and regulatory matters pertinent to health care organizations. This includes but is not limited to: - Engaging in corporate transactions and...

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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 3 views Experience : Min 3 yrs required

& Medical Malpractice Associate Attorney Job Title Healthcare & Medical Malpractice Associate Attorney Job Responsibilities The attorney will join the Healthcare & Medical Malpractice Practice at a law firm, where the primary responsibilities include representing healthcare providers such as hospitals, physicians, nurses, and other...

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Full-time 2 views Experience : Min 3 yrs required

Title: Attorney Job Responsibilities: - Engage directly with business clients to address daily legal issues. - Handle entity formation, purchase and sale of businesses, and drafting and negotiating vendor and employment contracts. - Manage real estate and equipment lease agreements. - Make legally sound decisions...

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Full-time 2 views Experience : 6-6 yrs required

Title: Legal Counsel Senior – Technology and International Operations Job Responsibilities: The Legal Counsel Senior is pivotal within the Technology and Carelon Global Solutions (CGS) Legal team. This role involves providing comprehensive legal advice on technology matters across the enterprise. Key responsibilities...

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Posted On Jul 08, 26
Full-time Experience : 2-5 yrs required

Title: Legal Secretary Job Responsibilities: - Perform secretarial duties and general office work to ensure the efficient operation of the department. - Coordinate tasks with the priorities of the Associate General Counsel/Director, Risk Management, and Risk Manager of Alternate Sites and Physician Practices. -...

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

Title: Enterprise Engagement Lead Analyst Job Responsibilities: - Support Enterprise Privacy & Security Risk Management (EPSRM) and other teams by translating complex regulatory, legislative, and contractual requirements into actionable, risk-informed analysis and advisory-ready outputs. - Serve as a critical execution layer...

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

Title: Enterprise Engagement Lead Analyst Job Responsibilities: - Support Enterprise Privacy & Security Risk Management (EPSRM) and other 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...

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Posted On Jul 20, 26
Full-time 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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Posted On Jul 28, 26
Full-time 1 views Experience : 3-5 yrs required

Title: Enterprise Engagement Lead Analyst Job Responsibilities: The Enterprise Engagement Lead Analyst plays a pivotal role in supporting the Enterprise Privacy & Security Risk Management (EPSRM) and various teams across the company. This position is crucial in translating complex regulatory, legislative, and...

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

Title: Enterprise Engagement Lead Analyst Job Responsibilities: - Support the Enterprise Privacy & Security Risk Management (EPSRM) and other teams by translating complex regulatory, legislative, and contractual requirements into actionable, risk-informed analysis and advisory-ready outputs. - Serve as a critical...

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

particular focus on hospital/inpatient reimbursement, DRG coding, and payment integrity. Brings a proven track record of expert testimony, deep subject matter expertise in Medicare Severity Diagnosis-Related Groups (MS-DRGs)... and inpatient billing practices, and the ability to lead complex engagements whil...

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

Forensics Healthcare The candidate plays a critical 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. Serves as a testifying expert in healthcare litigation matters, including depositions,...

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Full-time Experience : Max 2 yrs required

Position Title: Medicare and Lien Resolution Assistant... Floater Job Responsibilities: A Medicare and Lien Resolution Assistant... to ensure the success of the Medicare & Lien Resolution team.... This role is crucial in assisting clients with the lien resolution process. Skills & Abilities: - Abilit...

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

Job Title: Medicare and Lien Resolution Assistant... Floater Job Responsibilities: A Medicare and Lien Resolution Assistant... duties to support the Medicare & Lien Resolution team.... The primary responsibilities include: - Preparing, mailing, and faxing legal correspondence to clients. - Copying, scanning, and saving documents...

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

Title: Associate General Counsel Job Responsibilities: - Serve as a lead resource for commercial health plan regulatory matters, including Ambetter Health and Solutions. - Advise business and compliance partners on federal and state healthcare laws, regulations, guidance, and market requirements...

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Posted On Jul 27, 26
Full-time 9 views Experience : 1-8 yrs required

OverviewA law firm seeks a junior to mid-level healthcare associate to join its national healthcare practice in St. Louis, MO. The ideal candidate will have a strong academic background, law firm experience, and excellent research, writing, and communication skills. A...

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