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Whether drafting and arguing critical motions, or presenting arguments before the Supreme Court, our client is equipped to handle the highest stakes appeals in forums across the country. You will provide clients with the agile counsel necessary to tackle substantial, multi-layered challenges across a wide array of constitutional, statutory, and regulatory issues affecting antitrust, intellectual property, bankruptcy, employment matters, tax disputes and more.
$225,000 - $295,000Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Familiarity with Medicare and Medicaid managed care practices and policies, CHIP and SCHIP.Knowledge of regulatory/accreditation requirements (NCQA, DMHC, DHCS, CMS, Medi-Cal Plan Partners, Special Needs Plan (SNP.
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The ideal candidate will possess 5-6 years of relevant legal experience in government contracts law and demonstrate a strong understanding of regulatory compliance, contract negotiations, and dispute resolution within the government contracting arena.
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To begin implementing this authority, DOJ FIRS is responsible for establishing a targeted new regulatory program, modeled in key ways on sanctions and export controls, that will implement these prohibitions and restrictions through categorical regulations.
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The Senior Associate Legal Counsel will report to the Deputy General Counsel, Environment & Climate, Litigation, and Commercial Transactions and will be responsible for providing legal support and guidance on climate, environmental, and associated regulatory matters for Washington Gas. The successful candidate will have a deep understanding of environmental law and emerging climate matters as well as experience in civil, regulatory, or administrative proceedings and appeals.
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Will be given to applicants with experience as a judicial clerk for the U.S. Court of Appeals for the Federal Circuit or the Court of Federal Claims and to those with academic training in government contracts law.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Demonstrated excellence in performing and supervising legal research and drafting legal documents (including court filings such as complaints, dispositive motions, and appeals, and/or regulatory filings such as comments and petitions for rulemaking), in a professional, timely, and self-directed manner.
$225,000 - $235,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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In-depth knowledge of all aspects of managed care medical management, including UM/CM, Grievance and Appeals, medical policy, clinical claims review (professional and facility), and delegated vendor oversight.
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Practice areas for the successful candidate will include a mixture of compliance counseling, contract review and negotiation, audit resolution support on cost-reimbursement federal agreements, administrative appeals, and judicial litigation.
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The Director role provides strategic leadership, direction and day-to-day management to the Planning Appeals directorate with respect to State Administration Tribunal (SAT) applications and associated matters including the management of all aspects of the operational performance of the program area to ensure administration of statutory functions is undertaken in compliance with the relevant legislation or regulatory framework.
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Conducts mandatory, regulatory and UM specific policy and performance improvement training. Experience in completing InterQual or MCG reviews. Provides performance metrics and feedback to Director of Utilization Management weekly and maintains monthly staff performance dashboards.
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Reporting to the Revenue Cycle Manager, the Coding Compliance Specialist is responsible for using their skills as a certified coder to examine claim rejections and denials for action and remedies to include provider inquiries, claim edits or corrections, and following through the claims appeals process in accordance with all organizational policies and standards, as well as applicable regulatory requirements.
Full-timeRemoteExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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5+ years of experience with environmental (Clean Air Act, Clean Water Act, Superfund, waste management), climate (including greenhouse gases and carbon), and regulatory matters. Provide legal counsel on environmental, climate, and associated regulatory and issues affecting the company's operations.
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Very strong knowledge of benefit plan administration and ability to monitor compliance related to ERISA, HIPAA, COBRA, FMLA, ACA, IRS rules and other state and federal government regulatory requirements.
$79,000 - $99,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Ensures that appeals and grievances are resolved timely to meet regulatory timeframes. Utilizes leadership skills and serves as a subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and non clinical team members in expediting the resolution of outstanding issues.
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appeals regulatory jobs in Hyattsville, MD
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