Job Title: Nurse Appeals – Litigation & Legal... and non-clinical teams by managing and conducting thorough investigations and reviews of medical necessity appeals from members and providers... in preparation for litigation. - Documents and logs appeal information in relevant tracking syste...
The following jobs are no longer active but were real openings previously posted by employers. These listings provide valuable insight into employer hiring trends and frequently lead to job offers. In many cases, employers are still hiring or open to strong candidates even if no new job is posted. Applying to these listings often makes you the only applicant, increasing your chances of being hired.
II - Telecommute The candidate will investigate, collect, research and analyze billing data in order to detect fraudulent, abusive or wasteful activities/practices. Will use appropriate system tools, analyzes data to detect fraudulent, abusive or wasteful payments to providers and subscribers. Prepare statistical/financial analyses and reports to document findings and maintain up-to-date case files for management review. Prepare final report and notification of... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
III or Investigator Senior Duties: Using appropriate system tools, analyzes data to detect fraudulent, abusive or wasteful payments to providers and subscribers. Ensures investigations are managed and documented in an audit ready and compliant manner. Prepares statistical/financial analyses and reports to document findings and maintains up-to-date case files for management review. Prepare final report and notification of findings letter suitable for disseminat... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
General Counsel The candidate will report to Vice President and General Counsel. Will lead and coordinate all aspects of business unit's commercial contracting activities, including reviewing, approving, drafting and consulting on all sales contract activity affecting business enterprise. Supervise global team of contract managers that handle day-to-day commercial contracting across diverse range of industries ranging from chemicals to semiconductors to automotive... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
I or II Duties: The candidate will investigate, collect, research and analyze billing data in order to detect fraudulent, abusive or wasteful use appropriate system tools, analyze data to detect fraudulent, abusive or wasteful payments to providers and subscribers. Prepare statistical/financial analyses and reports to document findings and maintain up-to-date case files for management review. Prepare final report and notification of fin... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
I or II Duties: The candidate will investigate, collect, research and analyze billing data in order to detect fraudulent, abusive or wasteful use appropriate system tools, analyze data to detect fraudulent, abusive or wasteful payments to providers and subscribers. Prepare statistical/financial analyses and reports to document findings and maintain up-to-date case files for management review. Prepare final report and notification of fin... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Attorney II Duties: Reports to Managing Attorney or Associate Managing Attorney. Provides legal representation for clients in matters of moderate importance and risk. Reviews and evaluates assigned cases. Prepares and tries cases in all courts and agencies. Communicates with Claims and clients. Provides related legal advice and services. Works on legal matters that are moderately important, risky or complicated, representing clients in trials or hearings before courts... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Duties: Reports to Chief Executive Officer. Provide high-level legal work performing a variety of responsible functions and project assistance. Ability to anticipate and mitigate potential legal problems within the organization and develop strategies to avoid costly litigation and reduce potential areas of risk. Works closely with the President/CEO, Senior Executive Team, outside legal counsel, and employees at all levels. Oversee all legal issues related to Hampt... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Advocate or Temporary Attorney The candidate should be an EDPNA certified disability advocate and/or attorney to work as an independent contractor in the areas of social security disability, veterans' disability appeal and Medicare services. Must have 2+ years of direct representation and hearing experience and strong technical knowledge. Should have the ability to travel throughout the local territory to represent claimants at hearings.... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Advocate or Temporary Attorney The candidate should be an EDPNA certified disability advocate and/or attorney to work as an independent contractor in the areas of social security disability, veterans' disability appeal and Medicare services. Must have 2+ years of direct representation and hearing experience and strong technical knowledge. Should have the ability to travel throughout the local territory to represent claimants at hearings.... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Attorney or SSDI Representative The candidate will develop case upon appeal to an Administrative Law Judge and through Hearing. Will order, obtain, and submit medical evidence. Prepare case for hearing and represent claim at hearing when necessary. Provide firm any requested information, including briefs. Maintain regular contact with the claimant. Provide firm's with status updates and documentation throughout the life of the case through firm's secure “Infotradeâ€... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here