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...
ensuring compliance with applicable laws and regulations. - Advise Benefits and other internal teams on the design, administration, and compliance of . employee benefit plans, including 401(k) plans, health & welfare plans, fringe... benefit programs, nonqualified deferred compensation plans, and leave...
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...
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...
Title: Content Manager, Private Equity & Transactional Floater Job Responsibilities: - Develop and deliver practical legal content, products, tools, and solutions for attorneys, focusing on the private equity and investment management practice area as well as other transactional areas such as real...
governance of information technology systems (ISD) and artificial intelligence within a hospital setting. - Advise hospital leadership and procurement teams on the legal implications of acquiring new technologies, including electronic health records (EHR), telemedicine platforms,... cybersecurity tools, and medical devices. - Draft,...