Legal Jobs - Page 66

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Clinical Auditor

Centene Corporation - Harrisburg, PA

Position Purpose: Responsible for the auditing of corporate, health plan, and specialty company staff related to clinical systems entry and/or processes Develop and maintain the audit process and tools related to: authorizations, appeals, quality events, and case management in CCMS; interrater reliability related to InterQual; and data entry into the credentialing subsystem Develop and maintain...

Litigation Secretary needed for week of 5/23-5/27 only!

Kelly Services - Phoenix, AZ

Labor and employment law office in Phoenix seeking Litigation Secretary to assist in busy office for next week only. Must have previous legal admin experience and knowledge of E-File and Net Doc Highlights For quick consideration apply here and call our office at 480-998-0571. Thank you! Why Kelly®? At Kelly Services®, we wor...

Contracts Manager

Kelly Services - Raritan, NJ

CONTRACTS MANAGER II An American multinational medical devices, pharmaceutical and consumer packaged goods manufacturer has an immediate need for a Contracts Manager with significant experience in negotiating, drafting, revising, and implementing contracts. This is a 7 month CONTRACT position, and it is located in Raritan, NJ.

RCO Compliance Director (AHA)

Centene Corporation - Mobile1, AL

Position Purpose: Oversee the Compliance department. Conduct compliance audits, write corrective action plans and work with contract and department managers to ensure timely completion and compliance with local, state and regulatory requirements. Represent the key leadership position for compliance at the health plan, oversee communication, coordinate of pol...

VP, Compliance

Centene Corporation - Harrisburg, PA

Ensure business unit and Centene Corporate are in compliance with state and federal program regulations, insurance regulations, regulatory requirements for business entities and state contract requirements Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures. Develop policies, procedures, and processes to comply with state law, federal la...

Security Officer I - Part Time

Sentry Insurance Careers - Stevens Point, WI

OVERVIEWWHAT YOU'LL DOWHAT IT TAKESWHAT YOU'LL RECEIVE Sentry's excellent benefits package is designed to meet today's most important needs. Benefits for full-time Sentry Insurance employees include: Competitive Compensation Group Medical, Dental, Vision and Life 401 (K) plan with a dolla...

Manager, Grievance & Appeals

Centene Corporation - Harrisburg, PA

Ensure that the Grievance and Appeals department processes all appeals and grievances in accordance with referred time frames and other contractual legal requirements Monitor appeals and grievances and provide senior management with monthly reporting on trends Ensure that all members and provider grievances are processed and investigated according to contract requirements Work with various exte...

HEDIS Coordinator

Centene Corporation - Harrisburg, PA

Coordinate, complete, and update management on clinical quality metrics and HEDIS processes and results Establish and maintain an action plan to improve HEDIS scores Implement process to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities Collaborate with providers and internal departments on rate investigation and validation act...

Director, Member and Provider Services

Centene Corporation - Harrisburg, PA

Direct the day-to-day activities of the Member & Provider Services department and ensure compliance with policies and procedures and government regulations. Assist in the formulation and development of strategies and oversee the implementation of all major operational projects. Establish the strategic Member and Provider vision and objectives. Develop and implement performance standards for Mem...

LSAT INSTRUCTOR - Jacksonville, FL

KTP Graduate - Jacksonville, FL

Kaplan is seeking dynamic and engaging presenters, with a proven ability to motivate others, as part-time LSAT Instructors. In this leadership role, you will provide exceptional instruction, student mentorship, and subject matter expertise on all sections of the exam. To qualify, you must have a LSAT score (either on the official test or a Kaplan practice test) at or above the 90th percentile o...

RCO Compliance Director (AHA)

Centene Corporation - Tuscaloosa1, AL

Position Purpose: Oversee the Compliance department. Conduct compliance audits, write corrective action plans and work with contract and department managers to ensure timely completion and compliance with local, state and regulatory requirements. Represent the key leadership position for compliance at the health plan, oversee communication, coordinate of pol...

RCO Compliance Director (AHA)

Centene Corporation - Florence1, AL

Position Purpose: Oversee the Compliance department. Conduct compliance audits, write corrective action plans and work with contract and department managers to ensure timely completion and compliance with local, state and regulatory requirements. Represent the key leadership position for compliance at the health plan, oversee communication, coordinate of pol...

RCO Compliance Director (AHA)

Centene Corporation - Montgomery1, AL

Position Purpose: Oversee the Compliance department. Conduct compliance audits, write corrective action plans and work with contract and department managers to ensure timely completion and compliance with local, state and regulatory requirements. Represent the key leadership position for compliance at the health plan, oversee communication, coordinate of pol...

Civil Litigation Paralegal- Personal Injury a Plus!

Kelly Services - New York, NY

Civil Litigation Paralegal- Personal Injury a Plus! - . Our client is looking for someone with previous NY civil litigation experience, preferably doing personal injury defense litigation. The person will draft discovery demands and responses for 2-3 attorneys. Possible temp-to-hire.  The person will draft discovery demands and responses...

Compliance Specialist

Kelly Services - Nashville, TN

Compliance Specialist  Location: Nashville, TN Duration: 3 months (May-Aug.) Responsibilities. Monitors state and federal regulations and legislation and the preparation of compliance positions with respect to development of policy forms and guidelines for underwriting, f...