involves investigating and processing medical necessity appeal requests from... members and providers. Key responsibilities include: - Supporting... Fair Hearing and External Medical Review requests. - Acting as... for clinical and non-clinical teams by conducting thorough investigations and reviews of medical necessity...
at the company is tasked with providing legal support for complex transactions related to data center power and energy. This role involves working closely with company executives to complete agreements with providers. The responsibilities include coordinating... efforts across various interna...
Title: Nurse Appeals (Grievance & Appeals) Job Responsibilities: The Nurse Appeals role involves a range of responsibilities focused on managing and processing medical necessity appeals from members... and providers. Key duties include: - Supporting... Fair Hearing and External Medical Review requests. - Acting as......
Title: Content Manager, Private Equity & Transactional Floater Job Responsibilities: - Develop and deliver practical legal content, products, tools, and solutions for attorneys, focusing on the private equity and investment management practice area as well as other transactional areas such as real...
governance of information technology systems (ISD) and artificial intelligence within a hospital setting. - Advise hospital leadership and procurement teams on the legal implications of acquiring new technologies, including electronic health records (EHR), telemedicine platforms, cybersecurity tools, and medical devices. - Draft,...