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senior Claim Counsel PCL D O and Transactional Liability Duties Follow operational policies to analyze investigate and resolve BSI claims of varying levels of severity with limited supervision from claims management ..
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 ..
Senior Counsel, Litigation The candidate will provide legal services, representation, and advice to school clients on litigation and litigation-related matters. Responsibilities also include identifying, managing and meeting client needs, managing outside ..
Senior Claim Counsel PCL D&O and Transactional Liability Duties: Follow operational policies to analyze, investigate, and resolve BSI claims of varying levels of severity with limited supervision from claims management. Prepare ..
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 ..
Job Information Humana Assistant General Counsel, Home Solutions in Honolulu Hawaii Description The Assistant General Counsel provides a full range of legal advice and services. The Assistant General Counsel provides strategic ..
NABA Senior Compliance Professional Duties: The candidate will provide guidance for the development and implementation of Humana’s Oklahoma Medicaid Compliance Program. Serve as the primary point of contact for all Managed ..
Senior Compliance Professional Duties: The candidate will analyze business requirements, provide research and regulatory interpretation, and advise internal business units and external business partners in delivering results in a manner that ..
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 ..