Job Title: Nurse Appeals (Grievance & Appeals) Job Responsibilities: The Nurse Appeals role involves investigating and processing medical necessity appeal requests from members and providers. Key responsibilities include: - Supporting legal, management, and executive leadership by managing State Fair Hearing and External Medical Review requests. - Acting as a resource for clinical and non-clinical teams by conducting thorough investigations and reviews of medical necessity
PBM Contract Manager The candidate will manage the full life cycle of Pharmacy Benefit Management (PBM) contracts from RFP through client contract execution. Oversee the contract approval process, ensuring compliance, version control, and support the negotiation and execution of standard and less complex agreements. Oversee the PBM contract approval process, ensuring version control, timely execution, and policy compliance. Evaluate contracts for compliance with insurance, H
Shift Job Travel 10% Company Industry Other/Not Classified Company Size 10000+ Employees Career Level Experienced (Non-Manager) Salary Range $60,000-$80,000 Experience Level 5-7 Years Corporate Paralegal - Broadview Heights, OH - $60,000-$80,000 Responsibilities: - Handle corporate governance matters for domestic and international subsidiaries, including drafting minutes/actions and maintaining corporate records - Assist with preparation of selected publ
Senior Contracts Manager The candidate will report to the Regional Managing Counsel and lead a team of two contract administrators, providing legal, insurance, and administrative support to business partners and legal teams at both regional and global levels. Expertise will be essential in reviewing a broad range of commercial contracts that facilitate the company's environmental and sustainability services. These agreements span industries including technology, utilities, d
Legal Business Associate - Senior The candidate will be a part of a team that provides an integrated approach to technology implementations, automation, data wrangling and document extraction and data management and analytics that help legal departments maximize the strategic value to the organization. Deliver services for companies that streamline their process and increase efficiency by leveraging numerous applications. Participate in the day-to-day interactions with clien
Job Title: Insurance Bad Faith Discovery Analyst Job Responsibilities: The Insurance Bad Faith Discovery Analyst, referred to as Discovery Analyst II, is tasked with managing the records function within the Suits Against the Exchanges (SAE) group. This role involves acquiring and administering documents and evidence from various functions and levels of the organization for complex litigated matters. Key responsibilities include: - Handling complex cases by managing the colle
Job Title: Paralegal I Job Responsibilities: - Research and analyze legal sources including statutes, judicial decisions, and legal articles to effectively respond to subpoenas served upon any entity within the company group of companies. - Collect, review, redact, categorize (e-tag), and produce documents using the company's in-house e-discovery platform in response to subpoenas or other legal matters. - Communicate with clients, witnesses, adversaries, and team members
Job Title: Legal Senior Product Manager II Job Responsibilities: - Own a product or multiple product features within Lexis + AI, leading product domain strategy and program execution. - Represent product domain(s) to peers, managers, executives, and external audiences, serving as a central point for customer understanding. - Work closely with the delivery team to prioritize new features and respond to customer issues and feedback. - Actively mentor and informally lead cross-
Job Title: Nurse Appeals (Grievance & Appeals) Job Responsibilities: The Nurse Appeals role involves a range of responsibilities focused on managing and processing medical necessity appeals from members and providers. Key duties include: - Supporting legal, management, and executive leadership by managing State Fair Hearing and External Medical Review requests. - Acting as a resource for both clinical and non-clinical teams by conducting thorough investigations and reviews
Job Title: Legal Senior Product Manager II Job Responsibilities: - Owns a product or multiple product features within Lexis + AI. - Leads product domain strategy and program execution. - Represents product domain(s) to peers, managers, executives, and external audiences. - Acts as a central point for customer understanding. - Works closely with the delivery team in prioritizing new features and responding to customer issues/feedback. - Actively mentors and informally leads c
Job Title: Corporate Paralegal Job Responsibilities: The Corporate Paralegal is responsible for providing essential legal and administrative support to the General Counsel across various corporate and real estate matters. This includes preparing, reviewing, and managing legal documents related to corporate transactions such as real estate deals, leasing, purchase agreements, mergers, dissolutions, and amendments. Key responsibilities include: - Contract Preparation and Revi
Job Title: Legal Specialist (Paralegal) Job Responsibilities: The Legal Specialist (Paralegal) at the company is tasked with providing essential support to the Legal Department and other departments across the organization on various legal and regulatory matters. The position involves working under the supervision of a designated attorney or Associate General Counsel and includes the following responsibilities: - Preparing drafts of correspondence and simple legal documents
Job Title: Paralegal Specialist Job Responsibilities: The Paralegal Specialist at the company is tasked with providing extensive support to the Legal Department and other departments within the company on various legal and regulatory matters. This role involves working under the supervision of a designated attorney or Associate General Counsel. Key responsibilities include: - Preparing drafts of correspondence and simple legal documents. - Managing internal legal department