- Investigate and process medical necessity appeals requests from... members and providers. - Support legal, management,... Fair Hearing and External Medical Review requests. - Act... investigations and reviews of medical necessity appeals in preparation... for litigation. - Document and log...
key position within the legal department. The role involves providing legal support for complex data center power and energy transactions with data center providers. The Managing Counsel works... closely with **Members Only** executives to finalize agreements between **Members Only** and its provider...
transactions with data center providers. - Work closely with executives... agreements between the company and its providers. - Coordinate efforts of various... internal organizations to ensure contracts comply with company policies. - Take a leadership role in defining policies, practices, and procedures with...
for investigating and processing medical necessity appeals requests from... members and providers. - Supports legal, management, and... Fair Hearing and External Medical Review requests. - Acts as... teams by managing and conducting thorough investigations and reviews of medical necessity appeals from m......
The following jobs are no longer active but were real openings previously posted by employers.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.
Medical Director Duties: Responsible for... leading clinicians in neighborhood of clinics. Will practice primary care in our clinics alongside their physician colleagues on a part-time basis to enable context for the practice and to remain close to our patients. On top of that limited clinical role, will have mission-critical leadership responsibilities, which include setting an example for how thoughtful primary care is practiced, serving as a formal mentor, coach, and advisor... 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Note: This job is no longer active.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
Medical Science Liaison Solid Organ... Transplantation The candidate provides comprehensive medical and scientific information in... connection with company products. Serves as an advanced field-based scientific professional for US Medical Affairs division of North... American Pharmaceutical Operations. The SOT MSL shares scientific and clinical data exceptionally well, communicating directly with US healthcare providers and clinical researchers via... appropriate scientific exchange, c... 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
Community Liaison - High Risk - South Region The candidate will serve in a consultative, oversight and advocacy role for identified Health Care Home (HCH) providers, other select provider(s) and... provider groups and Community Partners, and the members served by them. Will provide guidance and assistance to, ensure the provision of patient centered services and oversight of any delegated activities. Focus on working directly to ensure that members receive timely, needed health... 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
Community Liaison - High Risk - South Region The candidate will serve in a consultative, oversight and advocacy role for identified Health Care Home (HCH) providers, other select provider(s) and... provider groups and Community Partners, and the members served by them. Will provide guidance and assistance to, ensure the provision of patient centered services and oversight of any delegated activities. Focus on working directly to ensure that members receive timely, needed health... 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 - Military / Specialty The candidate will report to an Assistant General Counsel and support the company, its management and subsidiaries. Will provide legal guidance regarding the TRICARE program, enabling statutes, regulations and associated manuals. Support the provider contracting & relation teams with negotiating and managing the provider network which is comprised of institutional, ancillary and professional providers. Advise internal medical management, IT 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
Care Regional Expansion Consultant - Central / Western Region Duties: The candidate 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). Develops, maintains, and executes Complex C... 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 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. Responsible for achieving growth goals. Develops, maintains, and executes Complex Care market expansion strategies for region. Serves as technical expert for Complex Care Products to state governments, in... 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 Investigator The candidate will be responsible for investigating, collecting, researching and analyzing billing data in order to detect fraudulent, abusive or wasteful activities/practices on an enterprise wide basis for company's Special Investigations Unit. Using appropriate system tools, analyzes data to detect fraudulent, abusive or wasteful payments to providers and subscribers. Prepares statistical/financial... analyses and reports to document findings and maintain... 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 Investigator The candidate will be responsible for investigating, collecting, researching and analyzing billing data in order to detect fraudulent, abusive or wasteful activities/practices on an enterprise wide basis for company's Special Investigations Unit. Using appropriate system tools, analyzes data to detect fraudulent, abusive or wasteful payments to providers and subscribers. Prepares statistical/financial... analyses and reports to document findings and maintain... 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
Healthcare Economics The candidate will develop and implement regional health economics and reimbursement activities for key administrative stakeholders. Will develop and implement regional reimbursement strategies and economic value plans to support physician and facility customers by identifying opportunities to partner with hospitals regarding the economics of firm technologies and programs. Lead regional healthcare economic and reimbursement education for inter... 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