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The following jobs are no longer active but were real openings previously posted by employers.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 and Safety Paralegal Duties: Provides support to Environmental, Health & Safety (EHS) and Product Regulatory Counsel in advising business clients on compliance with applicable laws and regulations, and assists in the identification and implementation of solutions for potential or actual regulatory issues. Specific tasks include: Researching and analyzing statutes, regulations, judicial decisions, agency guidance documents, and legal articles on . and... 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Note: This job is no longer active.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
Care Expansion Consultants (State level) The candidate will be responsible for the following: Develops and executes strategies for a function or discipline that span a large business unit or multiple markets/sites. Directs others to resolve business problems that affect multiple functions or disciplines. Product, service or process decisions are most likely to impact multiple functions and/or customer accounts (internal or external). Responsible for achieving growth... 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
Counsel Privacy And Data Protection The candidate as the Law Department's subject matter expert on Privacy and Data Protection, will provide privacy law advice in support of company businesses and will play a key role in company’s enterprise-wide risk evaluation and mitigation strategy for privacy and data protection, in collaboration with the Global Privacy Risk and Strategy Leader, Business Unit Attorneys, Business Unit Compliance Officers , Global Compliance, Corpo... 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
Analyst Duties: Contributes to the successful completion of products designed to meet client needs and expectations. Draws on medical knowledge/expertise to review imaged medical and other plaintiff specific records and prepares an assessment of the information in a manner which will be of the most value to the client. Works on-site in Mayfield Heights, Ohio, or from a professional and confidential home office that is free from distractions.... 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
Coordinator The candidate will ensure high quality and expeditious record collection efforts of high priority cases, preparing client work product, fulfilling client requests, and providing support with the legal aspects of case coordination. Should have Bachelors degree or 3-4 years of relevant experience. Paralegal certification, JD degree, or equivalent legal experience a plus. Medical terminology or knowledge a plus. Must have strong working knowledge of Microsoft O... 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
Record Retrieval Professional Duties: Collect complete sets of records from a variety of facilities including, medical providers of care, government agencies, employers, insurance companies, etc.... 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
Retrieval - PRN The candidate must have High school diploma or equivalent. Paralegal certificate or a 2-4 year degree in a health-related field, legal profession, research or business fields preferred. Should have 1+ year experience in the legal profession, medical profession or customer service field, or educational equivalent. Must have proficiency in Microsoft Word, Outlook, Excel, and Internet research. Must be detail oriented, able to work independently, apply cr... 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
Analyst Duties: Contributes to the successful completion of products designed to meet client needs and expectations. Draws on medical knowledge/expertise to review imaged medical and other plaintiff specific records and prepares an assessment of the information in a manner which will be of the most value to the client. Works on-site in Mayfield Heights, Ohio, or from a professional and confidential home office that is free from distractions.... 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
Record Acquisition The candidate will monitor industry trends and implement process improvements to optimize record acquisition (RA) to meet client needs and deadlines. Oversees a staff of individuals who conduct record acquisition utilizing database systems and processes with a high degree of project management and customer service skills. Must have Bachelor’s degree in healthcare, law or related field; or equivalent experience. Must have 5+ years progressive manag... 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