Title: Grievance & Appeals Nurse (RN) Job Responsibilities: - Investigate and process medical necessity appeals requests from members and providers. - Support legal, management, and executive leadership in managing State Fair Hearing and External Medical Review requests. - Act as a resource for clinical...
ACA, ERISA, the Code, HIPAA, and COBRA. - Develop and... present materials on various health and welfare compliance-related issues to internal sales teams and external clients. - Establish effective working relationships with internal partners, clients, and carriers. - Function as part of a...
Title: Grievance & Appeals Nurse (RN) Job Responsibilities: The Grievance & Appeals Nurse (RN) is responsible for managing and processing medical necessity appeals requests from members and providers. Key responsibilities include: - Supporting legal, management, and executive leadership by overseeing State Fair Hearing...
Title: Senior Corporate Counsel - Benefits Job Responsibilities: - Provide legal guidance and strategic support for the company's . employee benefit plans and programs, ensuring compliance with applicable laws and regulations. - Advise Benefits and other internal teams on the design, administration, and...
The following jobs are no longer active but were real openings previously posted by employers.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.
Health & Benefits Compliance Associate The candidate will be responsible for the gathering of information required to be in an ERISA document. Cross checking of information provided by Insurers/TPAs versus employer plan operation and administration. Verification of plan terms. Trouble shooting for compliance in the areas of HIPAA privacy, ACA and wellness... programs as they relate to plan documents. Follow up with team colleagues/clients as to missing and/or incorrect informat... 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Note: This job is no longer active.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
/ Compliance Specialist The candidate will coordinate with various internal departments and committees to develop processes and document, manage, and monitor policies and procedures to ensure operational and procedural compliance with state and federal regulations. Will work closely with legal departments and translate legal requirements/regulations and facilitate risk assessments to highlight compliance process vulnerabilities. Recommend and build new policies and p... 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
The candidate must have experience in handling medical malpractice and personal injury cases.​... 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
Licensure Analyst The candidate interfaces with internal and external clients on UR licensure activities. Evaluates, interprets, and summarizes state regulatory guidelines (and changes to guidelines). Manages the UR licensure activities for specific states. Compiles all materials required for application submission, Development and submission of reporting requirements to state licensing bodies, providing UR licensure subject matter expertise to business leads.... 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
Licensure Analyst The candidate will be responsible for providing Utilization Review licensure services which are necessary for attaining and maintaining UR licensure in specific states. Will interface with internal and external clients on UR licensure activities. Evaluate, interpret, and summarize state regulatory guidelines (and changes to guidelines). Manage the UR licensure activities for specific states. Compile all materials required for application submissi... 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
Paralegal The candidate will support the General Counsel with a variety of tasks related to contract review, internal legal inquires, data and legal file management and other administrative duties as needed. Will assist in all stages of corporate transactions and with the preparation of documents necessary to comply with federal, state and local regulations. Create, manage, update and maintain databases. Manage, coordinate and oversee Records and Information Manage... 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
Licensure Analyst The candidate will be responsible for providing Utilization Review licensure services which are necessary for attaining and maintaining UR licensure in specific states. Interfaces with internal and external clients on UR licensure activities. Evaluates, interprets, and summarizes state regulatory guidelines (and changes to guidelines). Manages the UR licensure activities for specific states. Compiles all materials required for application submiss... 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
Compliance Specialist The candidate will be responsible for implementing an effective compliance program for the US Individual Segment, tailored to the unique needs of a customer facing business. Working closely with USI IFP Compliance Officer and USI business leaders as well as Enterprise Compliance, Legal, Government Affairs, Vendors and other stakeholders, will provide Compliance and Regulatory oversight and support of ongoing operations, work with operational owne... 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
Senior Specialist - US Individual Segment The candidate will be responsible for implementing an effective compliance program for the US Individual Segment, tailored to the unique needs of a customer facing business. Working closely with USI IFP Compliance Officer and USI business leaders as well as Enterprise Compliance, Legal, Government Affairs, Vendors and other stakeholders, provide Compliance and Regulatory oversight and support of ongoing operations, work wi... 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
Assistant The candidate will provide paralegal and administrative support for the Medical Center and Medical Group. Create, maintain, track, and facilitate confidential records, related to such items as physician contracts, real estate leases, timeshares, and vendor forms. Maintain Meditract data base, assist with on-boarding of new physicians, and perform all other administrative tasks as assigned.... 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