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As part of Clinical Compliance and Risk Management (CCRM) Team, represent Development Operations and collaborate with Quality Assurance on compliance-related activities, processes and functions.
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Locates community resources and connects patient with resources to assist in their living situationAssists in determining financial concerns including insurance and assists in application for social security benefits (such as SSD, SSI or any other applicable social security benefits) as well as application for Medicaid/Medicare if appropriate.
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DescriptionThe Associate General Counsel (Senior Director of Legal) leads the credit union’s Enterprise Governance and Legal Affairs department which is responsible for corporate policy management, the review of all legal process served, and providing general legal support to all business units.
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The Trade Compliance Manager is responsible for developing, managing, and overseeing the business level Trade Compliance Program in accordance with global trade regulations and the corporate policies and procedures.
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This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
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We are looking for a Compliance Analyst to join the Legal and Compliance team. Collaborate with your Legal and Compliance team mates and other Parafin colleagues to maintain program oversight.
$130,000 - $145,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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We are seeking a junior to mid-level attorney to join the growing Legal department. The Counsel will report directly to the Chief Legal Officer and work closely with the Chief Compliance Officer, Senior Management and other cross-functional leaders.
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A well established bank is looking to add on a Senior Compliance Specialist. Overseeing Bank Secrecy Act (BSA), Anti-Money Laundering (AML), and Office of Foreign Assets Control (OFAC) compliance activities, including monitoring, investigation, and reporting of suspicious activities.
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Advanced in Medicare/Medicaid regulations, health care terminology, and various software packages and applications such as Medicare Cost Report software (HFS Software) Proficient in Medicare/Medicaid regulations, health care terminology, and various software packages and applications such as Medicare Cost Report software (HFS Software.
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Legal Secretarial experience is preferred, but in some cases experience as a file clerk, receptionist, or project assistant will suffice. If you have experience at a Law Firm as a Receptionist, File Clerk, Administrative Assistants, Legal Support Assistant, or other legal support staff this job is for you.
$19 an hourExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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The Legal Analyst will be the point person on all export compliance discussions. A minimum of three years' experience as a Paralegal, Legal Assistant, or in Legal Operations is required.
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Keywords: in-house counsel, in-house attorney, legal jobs, corporate counsel, general counsel, lawyer jobs. If you are a legal professional seeking an exciting opportunity in an in-house counsel position, explore this role further by visiting JDHuntr.com.
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Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services self-funded employee health benefit plan.
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Experience analyzing complex business operations, verifying compliance with fuel tax laws or activities in the petroleum industry. Experience in conducting investigations, analyzing basic business operations, verifying compliance with specific laws or activities in the petroleum industry.
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Manage compliance training program in the areas of Antitrust, Anti-Corruption, and Anti-Money Laundering, among others, to educate employees on legal and ethical standards and to ensure a comprehensive understanding.
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medicare compliance legal department jobs Title: compliance specialist Company: Metroplus Health Plan
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