Data Science Would Have Revealed Fraud Perpetrated by the Major Health Insurance Carriers

This is another nail in the coffin for BUCA: how to put these criminals out of business for good

Sentia has solved this problem:

Read on Substack: open.substack.com/pub/sentiahealth/p/data-science-would-have-revealed?r=473krc&utm_campaign=post&utm_medium=web&showWelcomeOnShare=true

Or

Watch on YouTube: 

youtu.be/1lB9DdzaJY0

Potentially at an all time low - personally, professionally and emotionally. I have to believe that life’s inflection points happen for a reason. There’s a bigger lesson for me around this corner...

I took a temporary job as an attorney advisor at the SBA this past fall b/c it offered a regular paycheck, and my solo practice was suffering b/c of the pandemic. I like the work. I like working from home. Anyone have any insight into the possibility of this temp job becoming permanent. Did the SBA hire you permanently when your temp position ended? How did that happen?

Anyone know anything about trying to work in house in certain industries? I’d like to move into media (publishing, entertainment, etc.) because I don’t want to stay in law forever but am having a hard time connecting to the right people

To everyone struggling today, I recently started doing gratitude lists and it has helped put things into perspective. Not to be THAT person, but finding a way to reflect can work wonders on the soul.

Anyone studying toward the CIPM have any tips or study resources? Particularly those with a legal background working in privacy and regulatory compliance (non-IT cybersec). Would be delighted to connect. TIA ⭐

Anyone work/worked for NFP? I have a second interview tomorrow for an account manager role. Just wondering if anyone has any pros or cons I should know about. Thanks!

Opened a Roth IRA account last year and put away a portion of $ each month to eventually reach $6000. This year thinking of plopping all $6000 there in Jan. What method do you all follow?

Hey Zsers

Can somebody tell me the appraisal cycle in ZS ? Is it once a year or twice ?

Hello les fish,
Des idées de salaires de manager (fixe, bonus, total comp) à Paris en MBB ? J'ai en tête un package autour de 180-200 ça vous semble comment ?

How to look about for opportunities for Acca candidate who has 3y experience in external audit ? Looking for suggestions ! Thanks

Hello, I am currently having 6 years of experience in US Taxation in Partnership(1065) Federal. Currently I am in the position of Assistant manager, I have cracked the interview of a few Big 4 companies.
Whats the Fixed CTC should I ask for?

Need some advice. Currently 32 YO with $23.7k in student loans, $60k in retirement, and $54k in cash. Want to pay off loans by end of year, max out 401k, and save for a house. Does it make sense to use $10k from pension to pay down loans and the rest from cash? How much should I have in my 401k by this point?

Hi fishes! Currently working as manager in leading insurance company. YOE-2. Edu- btech in CS from DU and MBA in marketing and analytics from GLIM Chennai. Tools and technology: sql, R, python, qliksense, tableau, stats, ML, big data tools. CTC:14L. Expected 22L. I want to move towards BA manager role. Loc- bangalore. Any referrals or suggestions?

Day 7 - 40 push ups challenge ✅ weekends should be 3 days. Have a good week start 💪

Is it good to join TCS or should I wait for couple of more years, cause of there re-hire policy.
I have 4.4yrs of experience and in TCS my technical rounds are clear but i am still waiting for HR round which is taking lot of time to schedule.
If i should join TCS then what package should i negotiate?
I am holding an offer of 15.2LPA from OPTUM

I finished a Health Law LL.M. last May and haven't done anything with it thus far. I'm in insurance defense primarily (Liability, UM, UIM) and just got the LL.M. because I still had GI Bill to use or lose.

Any suggestions on how I can create/build a book of business as outside counsel using the degree? Thanks in advance.

This fishbowl isn't really active, is it 🙄

What have you done to build up your book of business

Does anyone specialize in pharmacy or PBMs? What helped you grow in this area? Any helpful resources? Any and all advice welcome! This is a new area for me, and I am struggling!

Fastest growing practice area within healthcare law?

I do general transactional work but really want to get into healthcare. How can I make this happen?

Would getting a masters in health administration be worth it in terms of helping me get into healthcare law? I have transactional experience but no health law experience.

How has your work been affected by COVID-19? I’m a regulatory and transactional attorney at an AmLaw 100 firm. Everyone has been telling me that health care will be fine (continued in comments)

Any health law attorneys with amazing work life balance or straight 9-5? Can you tell us what you do?

Who's hiring entry level health care attorneys (less than 5 years transactional experience) with fully remote option?

Looking for a new mentor. Background- I previously practiced environmental law for some time and transitioned to health care about 4 years ago. Recently picked up pharmacy (in-house). I was interviewed for a Medicare/Medicaid role, but the hiring counsel thought I’d be great at pharmacy so placed me there. Was upfront about not knowing pharmacy one bit, but expressed my willingness to learn. Fast forward a year later- still struggling with Pharmacy knowledge. Looking for resources.. cont’d below

Anyone in house at a hospital or academic health center? If so can you shed some light on work load, the main pressures of the job, your level of satisfaction and long term outlook?

Where have people seen healthcare big law folks leave to? Mostly pharma? Providers/systems? Universities? Trying to get a sense of exit opps.

Any recommended resources for a mid-level lit associate looking to develop some skills in health care transactional work? I'm primarily a med-mal attorney and several clients have small opportunities on the MA side that I'd like to be able to assist with. The firm does not currently have a specific transactional healthcare practice group so I'd need to go out of the firm for mentorship in this area. For now, I'm just looking for good basic foundational resources.

Appreciate it!

Hi, I am a mid level associate at AM200 with experience in regulatory, transactional healthcare matters and some litigation. Looking to transition to a place with opportunities in healthcare investigations/white collar/disputes. Any suggestions? Looking to stay in New York and close to market pay (don't mind being slightly below).

I've been corp healthcare for 20 yrs and am planning an exit in 6 months to open a legal/consulting business. Looking for thoughts on billable hourly for law firms/ providers/healthplans as clients.

What is everyone’s sense of in house comp at a hospital?

Is it realistic to go solo in the healthcare law space? Or do boutique firms have a hold on the market?