Title: Grievance & Appeals Nurse (RN) Job Responsibilities: - Investigate and process medical necessity appeals requests from members and providers. - Support legal, management, and executive leadership by managing State Fair Hearing and External Medical Review requests. - Act as...
Title Senior Legal Counsel I Job Responsibilities - Provides legal advice and counsel to corporate officers, managers, and employees of the Company and its subsidiaries, affiliates, and joint ventures across various lines of business under the general direction of Legal...
Title: Grievance & Appeals Nurse (RN) Job Responsibilities: - The Nurse Appeals is responsible for investigating and processing medical necessity appeals requests from members and providers. - Supports legal, management, and executive leadership by managing State Fair Hearing and External Medical Review requests. -...
Title: Legal Counsel, **Members Only** Contracting Job Responsibilities: - Provide legal advice and recommendations for initiatives and projects aligned with clients' overall objectives and needs. - Focus on large-scale and/or high financial level projects with broad department and/or organizational impact and moderate level of...
Title Legal Counsel, Carelon Contracting Job Responsibilities The Legal Counsel for Carelon Contracting is tasked with providing legal advice and recommendations for initiatives and projects that align with clients' overall objectives and needs. This role focuses on large-scale and/or high...