Title: Nurse Appeals – Litigation & Legal Support Job Responsibilities: The... Nurse Appeals – Litigation & Legal Support position... is a crucial role within the company, responsible for managing and processing medical necessity appeals requests from members and providers. The role involves...
Title: Preservation Program Manager Job Responsibilities: - Drive preservation process improvement initiatives to enhance existing workflows. - Leverage system functionality to address preservation requirements from definition to implementation. - Collaborate with a supportive team of program managers, technical specialists, lawyers, legal specialists, and support...
Title: Nurse Appeals – Litigation & Legal Support Job Responsibilities: The... Nurse Appeals – Litigation & Legal Support position... is primarily responsible for the investigation and processing of medical necessity appeals requests from members and providers. Important duties include: - Supporting legal, management,...
Title: Senior Corporate Counsel - Benefits Job Responsibilities: - Advise Benefits and other internal teams on the design, administration, and compliance of the company's . employee benefit plans, including 401(k) plan, health & welfare plans, fringe benefit programs, nonqualified deferred compensation plan,...
Title: Legal Counsel, **Members Only** Contracting Job Responsibilities: - Negotiate and manage client contracts with health plan clients, state agencies, employer groups, and other clients of the **Members Only** Services businesses, including behavioral health, medical benefits utilization management, specialty care solutions, and care delivery...