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...
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: 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: Assistant General Counsel - Pharmaceutical Distribution Job Responsibilities: - Provide exceptional legal advice and guidance to the Pharmaceutical Distribution and Specialty Pharmaceutical Distribution segment business clients. - Demonstrate strong business acumen and ability to draft and negotiate contracts. - Handle a fast-paced and...
Title: Counsel Job Responsibilities: - Negotiate, draft, and review an extensive range of contracts for the assigned business unit or area. - Review marketing collateral, educational materials, and promotional materials for compliance with all applicable laws and policies. - Counsel and advise on general...
Title: Senior Regulatory Counsel Job Responsibilities: - Serve as in-house counsel responsible for responding to Legal and Regulatory Matters for Property and Casualty Claims. - Provide legal advice and regulatory opinions to be used by Claims, Underwriting, and other internal...