• Regulatory In House Counsel

    Robert Half Legal (Rancho Cucamonga, CA)
    Description In House Counsel Opportunity for Large Healthcare Organization! You will be joining a large legal team and become a Managed Care expert ( MediCare ... and serves the community, Board, and leadership team. This Counsel is onsite 3 days per week (Tuesday-Thursday). The...and recommend effective courses of action. The company handles Medicare , Medical, & Covered California. + Stay ahead of… more
    Robert Half Legal (07/20/24)
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  • Sr. Legal Counsel - Product…

    CVS Health (Hartford, CT)
    …care more personal, convenient and affordable. **Position Summary** As Senior Legal Counsel , you will provide strategic legal advice to internal business partners ... with business partners and other attorneys on a wide variety of regulatory matters, including client contracts, pharmacy operations, and legal and regulatory more
    CVS Health (08/31/24)
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  • Sr. Director, Senior Associate General…

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …is seeking an experienced litigator to join its fast-paced and collegial in- house legal department. The attorney will oversee the fraud investigations unit and ... associations. The attorney will also oversee compliance for the Medicare and Federal Employee programs related to FWA and...fraud investigation work. + Oversee and act as legal counsel to the FIP Unit providing advice and guidance… more
    Blue Cross Blue Shield of Massachusetts (08/27/24)
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  • Counsel (Reimbursement & Coding)

    Humana (Hartford, CT)
    …at a law firm or in- house health care organization + Experience in Medicare or similar regulatory work + Strong legal research, analytical, and writing ... caring community and help us put health first** The Counsel provides a full range of legal advice and...the company **Preferred Qualifications** + Demonstrated knowledge of Original Medicare and Medicare Advantage + Demonstrated knowledge… more
    Humana (09/18/24)
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  • Assistant General Counsel , Market Access

    Daiichi Sankyo Inc. (Basking Ridge, NJ)
    …but not limited to, areas of GPO/PBM and trade/distribution agreements, Medicare , Medicaid, product pricing, and government price reporting. Coordination with, and ... appropriate supervision of, outside counsel as is required. Provides appropriate counsel ...Lead drafting and negotiating contracts for commercial, Medicaid and Medicare coverage, as well as other government contracts, trade/distribution… more
    Daiichi Sankyo Inc. (08/17/24)
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  • Senior Legal Counsel | Hybrid

    AmeriHealth Caritas (Newtown Square, PA)
    …Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** This position is an in- house counsel position that will assist in advancing the ... **Senior Legal Counsel | Hybrid** Location: Newtown Square, PA Primary...of business. The ideal candidate will have Medicaid and/or Medicare managed care subject matter expertise and an ability… more
    AmeriHealth Caritas (09/13/24)
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  • Assistant General Counsel - Hospital…

    Prime Healthcare (Ontario, CA)
    …Responsibilities The Assistant General Counsel - Hospital Operations must ... corporate and local levels across the health system. This attorney will provide daily counsel on a range of operational issues. This attorney will prepare a wide… more
    Prime Healthcare (09/06/24)
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  • Senior Counsel

    MetLife (New York, NY)
    …Health's General Counsel , the attorney will provide strategic advice on regulatory and transactional matters for Versant Health, a national managed vision care ... may meet its business needs while complying with applicable Medicare Advantage, Medicaid Managed Care, and state health insurance...law firm and preferably with a strong record of in- house success. * Experience advising managed care companies that… more
    MetLife (07/19/24)
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  • Sr Risk Manager

    Covenant Health Inc. (Knoxville, TN)
    …refusals of treatment, and consent issues; initiates court orders as appropriate via in- house and outside legal counsel . + Maintains awareness of legislative ... limited to, managing claims against the facility, interfacing with defense legal counsel , administering the risk management program on a day-to-day basis, managing… more
    Covenant Health Inc. (08/16/24)
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  • Director, Federal Affairs

    Humana (Washington, DC)
    …representatives and their staff, as well as to officials and staff in regulatory and other agencies. The Director, Federal Affairs requires an in-depth understanding ... in office The Director, Government Affairs involves direct engagement with Senate, House , and/or Administration officials and staff on a variety of issue areas… more
    Humana (07/25/24)
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