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Senior Fraud and Waste Investigator Duties The candidate coordinates investigations with law enforcement authorities Assembles evidence and documentation to support successful adjudication where appropriate Conducts on-site audits of provider records ensuring ..
... to ensure products are maintained in compliance. Will supports product development, ... analyze state laws, regulations and insurance department guidelines and provide compliance ... filings and regulatory reports to..
... of company and its carriers in all assigned cases including preparation ... and appeals on litigated and in pro per claims. Responsible for ... petitions, motions, correspondence, and briefs..
... policies, procedures, and standards are in compliance with requirements set forth ... compliance with requirements set forth in the Contract. Analyze business requirements, ... units and external business partners..
... situations or data requires an in-depth evaluation of variable factors. This ... The Counsel position provides counsel in a combination of disciplines. Begins ... without direction. Exercises considerable latitude..
... situations or data requires an in-depth evaluation of variable factors. Responsibilities ... Responsibilities The Counsel is an attorney who provides counsel on various ... various clinical services/operations related matters...
... and working across the enterprise in furtherance of Humana's integrated care ... 7 years of legal experience in the health care industry, including ... primary care organization Active membership..
... situations or data requires an in-depth evaluation of variable factors. Responsibilities ... Legal generalist or provides counsel in a combination of disciplines. Begins ... without direction. Exercises considerable latitude..
... the firm’s Chief Investment Office in connection with its $519 billion ... investments. Representation of the company in the review of private placement ... amendments. Representation of the company..
... Assistant General Counsel, Home Solutions in Portland Maine Description The Assistant ... and working across the enterprise in in furtherance of Humana's strategy. Key ... as guidance on issues..
Senior Compliance Professional- Medicare Sales and Marketing Duties: Develop and implement compliance policies and procedures. Research compliance issues and recommend changes that assure compliance with contractual obligations and state and federal ..
Fraud and Waste Investigator Duties: The candidate collaborates in investigations with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring ..
Associate Counsel Duties: The candidate drafts, negotiates, and advises on a wide range of contracts including master service agreements with AIS clients, agreements with AIS vendors, business associate agreements, non-disclosure agreements, ..
... Senior Counsel - Home Health in Portland Maine Description The Senior ... Health position is for an attorney who will provide strategic advice ... provide guidance on issues arising..
Senior Fraud and Waste Investigator Duties: The candidate coordinates investigations with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring ..
... The Senior Counsel is an attorney who will provide counsel on ... integration of mergers and acquisitions in areas including IT, privacy and ... security, and clinical operations compliance...
Leave Law Attorney Duties: Monitors, tracks, and prepares written legislative updates on employer leave law proposals on federal, state, and municipal levels. Drafts and/or reviews existing employer leave law policies for ..