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In House Legal Job Listings

YOUR WINDOW TO A WORLD OF OPPORTUNITIES
 
Welcome to the job listings section of General Counsel Consulting. We are constantly updating our jobs seven days a week. As a firm dedicated to in-house search and placement, our ability to forge strong relationships with top-rated companies around the world allows us to offer our candidates a breadth of opportunities we believe is unrivaled.
 
We are pleased that your assessment of options has led you to General Counsel Consulting, and we invite you to browse our website to learn more about our firm and the career opportunities we offer. If you would like to be considered for an in-house attorney position, feel free to submit your resume.
 
If you are an employer looking to hire an in-house counsel, please click here to contact us and submit your opening.
 
 

Kentucky - Medicaid Compliance Advisor

Louisville KY Medicaid Compliance Advisor
The candidate will analyze data, provide research services, and provide advice to minimize compliance risk exposure to the company. Will be part of a team who will develop and maintain key relationships both internally with company operational leaders as well as externally with the State Medicaid Officer, CMS and other regulators. Review and analyze market documents and data to identify what can be used to evidence meeting regulatory standards. Define regulatory and contract requirements to be interpreted, monitored and audited by appropriate Departments. Coordinate and manage a standard set of information relating to regulatory standards. Perform assessments, develop action plans, and provide guidance to operations groups. Build relationships with responsible market contacts and external regulators. Serve as a translator between business leaders and State Medicaid Departments, assisting with the interpretation of the intention of the guidelines. Manage day to day interaction with outside regulators. Coordinate on-site audits, working with the regulators during their visits. Post site audits and negotiate findings to mitigate potential fines and sanctions. Provide oversight and monitor corrective action plan development. Meet established expectations and takes responsibility for achieving results; encourage others to do the same. Consistently model and inspire high levels of integrity, lives up to commitments, and takes responsibility for the impact of one's actions. Effectively leverage resources to create exceptional outcomes, embraces change, and constructively resolves barriers and constraints. Understand oneself, effectively manages emotions, listens and communicates with respect, and builds trusting relationships.

The candidate should have a Bachelor's degree or equivalent relevant experience. A J.D. degree is desired. Must have 2-5 years of experience in Health Plan Compliance. Advanced experience working in a Compliance related field is needed. Should have experience working with regulatory agencies, including state departments of health insurance and CMS. Must be knowledgeable in process improvement and metrics development. Should be knowledgeable in regulations governing health care industries.
Legal 2 - 5 Full-time 2013-03-15

Kentucky - Legal Counsel

Louisville KY Legal Counsel
The candidate will provide legal advice and support for medicare advantage, medicare prescription drug program, and pharmacy business. Will negotiate and draft a variety of agreements in support of Medicare managed care, in compliance with CMS regulations, anti-kickback laws, false claims act, and other health care fraud and abuse laws. Counsel on regulatory compliance, business transactions, government relations, and corporate compliance. Manage client relationships.

The candidate should have a J.D. degree and excellent academic credentials from a ABA accredited law school. Active membership in a State Bar association is required. Must have 3-5 years of experience in health law, regulatory, and transactional experience with experience in Medicare at a law firm or in-house health care organization.
Legal 3 - 5 Full-time 2012-09-21
Locations (hold down ctrl to chose multiple): Primary Area of Practice:
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Senior Fraud And Waste Investigator
In-House,Humana Inc.
Location : Louisville, KY, United States

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 r... + read more

dec 02, 2022


Counsel, Environmental Division
In-House,Great American Insurance Company
Location : Lexington, KY, United States

Counsel, Environmental Division The candidate provides advice and guidance to underwriters on a diverse range of legal issues.Conducts the review and assessment of various contracts and agreements that affect offered coverages. Drafts endorsements ... + read more

nov 23, 2022


1
 
Kentucky - Medicaid Compliance Advisor
Refer job# IPT025881
 
Medicaid Compliance Advisor
The candidate will analyze data, provide research services, and provide advice to minimize compliance risk exposure to the company. Will be part of a team who will develop and maintain key relationships both internally with company operational leaders as well as externally with the State Medicaid Officer, CMS and other regulators. Review and analyze market documents and data to identify what can be used to evidence meeting regulatory standards. Define regulatory and contract requirements to be interpreted, monitored and audited by appropriate Departments. Coordinate and manage a standard set of information relating to regulatory standards. Perform assessments, develop action plans, and provide guidance to operations groups. Build relationships with responsible market contacts and external regulators. Serve as a translator between business leaders and State Medicaid Departments, assisting with the interpretation of the intention of the guidelines. Manage day to day interaction with outside regulators. Coordinate on-site audits, working with the regulators during their visits. Post site audits and negotiate findings to mitigate potential fines and sanctions. Provide oversight and monitor corrective action plan development. Meet established expectations and takes responsibility for achieving results; encourage others to do the same. Consistently model and inspire high levels of integrity, lives up to commitments, and takes responsibility for the impact of one's actions. Effectively leverage resources to create exceptional outcomes, embraces change, and constructively resolves barriers and constraints. Understand oneself, effectively manages emotions, listens and communicates with respect, and builds trusting relationships.

The candidate should have a Bachelor's degree or equivalent relevant experience. A J.D. degree is desired. Must have 2-5 years of experience in Health Plan Compliance. Advanced experience working in a Compliance related field is needed. Should have experience working with regulatory agencies, including state departments of health insurance and CMS. Must be knowledgeable in process improvement and metrics development. Should be knowledgeable in regulations governing health care industries.
 
EMAIL TO COLLEAGUE  PERMALINK
 
Kentucky - Legal Counsel
Refer job# 3NB423689
 
Legal Counsel
The candidate will provide legal advice and support for medicare advantage, medicare prescription drug program, and pharmacy business. Will negotiate and draft a variety of agreements in support of Medicare managed care, in compliance with CMS regulations, anti-kickback laws, false claims act, and other health care fraud and abuse laws. Counsel on regulatory compliance, business transactions, government relations, and corporate compliance. Manage client relationships.

The candidate should have a J.D. degree and excellent academic credentials from a ABA accredited law school. Active membership in a State Bar association is required. Must have 3-5 years of experience in health law, regulatory, and transactional experience with experience in Medicare at a law firm or in-house health care organization.
 
EMAIL TO COLLEAGUE  PERMALINK
 
 

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