Job Title: Paralegal Job Responsibilities: The Paralegal at Company... plays a crucial role in supporting legal, compliance, and administrative functions within a multi-location medical practice. The responsibilities include: - Legal Support & Documentation: Drafting, reviewing, and revising a variety of legal documents such...
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...
Title: Sr Investigator Job Responsibilities: The Sr Investigator is tasked with the independent identification, investigation, and development of complex cases against individuals or entities perpetrating healthcare fraud. The primary aim is to recover corporate and client funds that have been paid on...
Title: Sr Investigator Job Responsibilities: The Sr Investigator is tasked with independently identifying, investigating, and developing complex cases against individuals or entities perpetrating healthcare fraud. The primary objective is to recover corporate and client funds paid on fraudulent claims. Key duties include: -...
Job Title: Nurse Appeals (Grievance & Appeals) Job... Responsibilities: The Nurse Appeals role involves several... critical responsibilities aimed at ensuring that medical necessity appeals are investigated and processed effectively. The key duties include: - Supporting legal, management, and executive leadership by managing State...
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...
Job Title: Nurse Appeals (Grievance & Appeals) Job... Responsibilities: The Nurse Appeals is tasked with... investigating and processing medical necessity appeals requests from both members and providers. This role supports legal, management, and executive leadership by managing State Fair Hearing and External...
Job Title: Senior Paralegal Job Responsibilities: The Senior Paralegal... will be responsible for... Unit. The role involves litigation support and assisting federal... prosecutors in the investigation and prosecution of various matters. Key responsibilities include: - Preparing substantive legal documents such as subpoenas,...
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...
Job Title: Nurse Appeals (Grievance & Appeals) Job... External Medical Review requests. - Act as a resource for both clinical and non-clinical teams by conducting thorough investigations and reviews of medical necessity appeals in preparation for litigation. - Document and log appeal... in...
Job Title: Paralegal -- General Counsel --... (Job ID: 61448) Job Responsibilities: The paralegal in the Office of... rendering legal advice, making court appearances unless legally permitted, or engaging in unauthorized practice of law. Key responsibilities include: - Managing and maintaining litigation, contra...
Job Title: Paralegal – Spine & Orthopaedic... Practice Job Responsibilities: - Act as the primary liaison between physicians, paralegals, attorneys, patients, and insurance representatives. - Obtain, organize, and summarize medical records and reports for case preparation and legal review. - Track deadlines for subpoenas,...
throughout all phases of litigation. - Manage filings in both... state and federal courts, including e-filing and adhering to strict deadlines. - Prepare pleadings, discovery shells, tables of contents and authorities, and finalize complex legal documents with precision. - Coordinate case schedules, deadlines,...
Products Compliance Associate The candidate will help get beer, wine, and other regulated product licenses in markets across the nation. Will play an integral part in the company’s national liquor license and compliance program, by working closely with legal counsel...
Products Compliance Associate The candidate will help get beer, wine, and other regulated product licenses in markets across the nation. Will play an integral part in the company’s national liquor license and compliance program, by working closely with legal counsel...
Products Compliance Associate The candidate will help get beer, wine, and other regulated product licenses in markets across the nation. Will play an integral part in the company’s national liquor license and compliance program, by working closely with legal counsel...
Products Compliance Associate The candidate will help get beer, wine, and other regulated product licenses in markets across the nation. Will play an integral part in the company’s national liquor license and compliance program, by working closely with legal counsel...
Products Compliance Associate The candidate will help get beer, wine, and other regulated product licenses in markets across the nation. Will play an integral part in the company’s national liquor license and compliance program, by working closely with legal counsel...
Title: Investigator Senior - Pharmacy Job Responsibilities: The Investigator Senior - Pharmacy is responsible for independently identifying, investigating, and developing complex healthcare cases against perpetrators of healthcare fraud to recover corporate and client funds paid on fraudulent claims. Key responsibilities include: - Conducting...
Title: Investigator Senior - Pharmacy Job Responsibilities: The Investigator Senior - Pharmacy is tasked with independently identifying, investigating, and developing complex healthcare cases against individuals or entities committing healthcare fraud. The role focuses on recovering corporate and client funds paid on fraudulent...
Homeowner related Bodily Injury and Property Damage claims. - Provide quality claim handling throughout the claim life cycle, including customer contacts, coverage, investigation, evaluation, reserving, litigation management, negotiation, and resolution. -... Maintain full compliance with internal and external quality standards and sta...
Job Title: Litigation Specialist, GL (Construction) Job Responsibilities: -... handling throughout the claim life cycle, including customer contact, coverage, investigation, evaluation, reserving, litigation management, negotiation, and resolution. -... Maintain compliance with internal and external quality standards and state-specific regulations. - Consult with the Mana...
Job Title: Litigation Specialist, GL (Construction) Job Responsibilities: -... Handle assigned claims directly, providing quality customer service and ensuring file quality and timely coverage analysis. - Investigate each claim promptly and strategically, contacting relevant parties such as policyholders, claimants, law enforcement agencies, and...