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JOB SUMMARYUnder the direction of the Director of Licensing and Regulatory Services, provides legal support to in-house counsel, home health, hospice, home care, and senior living operations as part of a dynamic in-house legal department.
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The Audit and Reimbursement III will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services.
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Serves as the legal program(s) subject matter expert on immigration law and works collaboratively with other Managing Attorneys across all RAICES legal programs; participates in a Managing Attorney cohort, which convenes regularly to discuss legal department-wide issues and assists in finding proposed solutions and implementing them within their legal program(s) with approval from Legal Directors.
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The Lead Director applies compliance, regulatory, business, analytical and communications skills to support, manage and develop operational solutions to advance Medicare compliant risk adjustment activities for the CVS Accountable Care Organization with national oversight.
$100,000 - $231,500 a yearFull-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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This is highly complex, specialized legal response and records management work performed for the Pierce County Sheriff’s Department. Legal Records Specialist. Pierce County Sheriff’s Department is a “full-service agency” that provides law enforcement, and corrections services to all areas of unincorporated Pierce County, and the contract cities of Edgewood and University Place.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Knowledge of Medicare Important Message, Medicare Secondary Payor, Tricare Third Party Liability; Auto Accident and Work Comp, Medicare/Outpatient Observation Notice. ED Unit Clerk (SCO only): Responsible for handling outgoing/incoming Emergency Department calls including outgoing calls for consultations and ancillary services.
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The Legal Operations Manager recommends and implements process improvements, technology innovation and adoption, and operational changes to increase Legal Department productivity.
$90,000 - $105,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Law Clerk I Employment Type: Full Time, Mid-Level Department: Legal CGS is seeking a Law Clerk to join our team supporting the legal mission of a large federal agency. Qualifications: Requires Juris Doctor (JD) degree, or currently attending an ABaccredited law school, having completed at least one year of study or, an equivalent level of legal training or experience or an equivalent level of education may be substituted.
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Avantor's Legal Department is seeking a Senior Counsel, Litigation and Investigations (Commercial) to support client groups within Avantor's enterprise, reporting to Senior Vice President, Deputy General Counsel, Global Litigation and Compliance.
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The Legal Specialist performs a combination of functions shown below based on the needs of the Legal department and the company, and will assist the Staff Attorney, the Assistant General Counsel, the VP/General Counsel, and other key stakeholders.
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As an intern with our Legal department, you will be exposed to a wide range of projects that would be typical for a generalist in-house counsel, including commercial/contracts, corporate secretarial, litigation/claims, and more.
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The Nurse Planner works autonomously to develop any and/or all of the following: Life Care Plans, Medical Cost Projections, Limited Medical Cost Projections, Medicare Set-Aside Allocations, Legal Nurse Reviews, Complex Nurse Reviews, Bill Reviews and other reports as needed within their scope of licensing and certifications.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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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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Job Description :Audit & Reimbursement III - Medicare Cost Report AuditLocations: This is a virtual position; the ideal candidate will live within 50 miles of an Elevance Health PulsePoint location.
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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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medicare legal department jobs Title: compliance specialist Company: Metroplus Health Plan
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