Title: Nurse Appeals – Litigation & Legal Support Job Responsibilities: The Nurse Appeals – Litigation & Legal Support is tasked with a range of responsibilities crucial to the management and processing of medical necessity appeals from both members and providers. Key duties...
bulletins, court reporters/decisions, and statutory changes, and manage any backlog while implementing targeted compliance training. - Develop and own controls related to federal protocols such as Medicare, the Office of Foreign... Assets Control (OFAC), and the Child Support Lien Network. - Collab...
Title: Assistant General Counsel - Specialty Alliance Job Responsibilities: The Assistant General Counsel - Specialty Alliance is responsible for providing legal support to the Vice President, Associate General Counsel, Pharmaceutical & Specialty Solutions. The role involves managing a wide array of complex...
Title: Counsel Job Responsibilities: - Draft, review, and negotiate a diverse range of contracts, including commercial sales, procurement, and clinical research agreements, ensuring the company's interests are safeguarded. - Act as the legal representative on promotional review committees for . products and provide...
Title: Counsel, Healthcare Transactions & Regulatory Data Job Responsibilities: - Advise on legal and regulatory issues arising in connection with corporate transactions, including acquisitions, dispositions, operator transitions, and facility closures, with a particular focus on healthcare-specific considerations. - Lead or support the preparation...
Title: Director, Healthcare Product Attorney Job Responsibilities: - Coordinate and consult with legal colleagues to ensure alignment across departmental initiatives, incorporating multiple legal perspectives. - Guide and advise product, engineering, technology, and other operational teams across the entire product development lifecycle, from concept...
Title: Associate General Counsel - Litigation Job Responsibilities: The Associate General Counsel is tasked with providing expert legal advice and strategic counsel on complex, high-impact litigation and related projects. The role primarily focuses on large-scale projects or those with high financial stakes,...
Title: Nurse Appeals – Litigation & Legal Support Job Responsibilities: The Nurse Appeals role in Litigation & Legal Support is fundamentally responsible for managing and processing medical necessity appeals requests from both members and providers. Key responsibilities include: - Supporting legal, management, and...
Products Compliance Associate The candidate will help get beer, wine, and other regulated product licenses in markets across the nation. Will play an integral part in the company’s national liquor license and compliance program, by working closely with legal counsel...
Title: Claims Compliance Analyst Job Responsibilities: - Support the maintenance of a central 50-state claims compliance library. - Assist with internal audits and regulatory reviews. - Validate compliance with Claims Best practices. - Analyze data and file trends to identify potential compliance issues and build...
Title: Sr. Claims Specialist (Workers Compensation, NE Region) Job Responsibilities: The Senior Workers Compensation Claims Specialist is tasked with handling multi-party commercial line Workman’s Compensation claims of moderate to high exposure and complexity within specific authority limits. The aim is to...
Title: Sr. Claims Specialist (Workers Compensation, NE Region) Job Responsibilities: The Senior Workers Compensation Claims Specialist at the company will manage multi-party commercial line Workers Compensation claims of moderate to high exposure and complexity. The role involves ensuring claims are processed efficiently...
Title: Paralegal – Spine & Orthopaedic Practice Job Responsibilities: - Act as the primary liaison between physicians, paralegals, attorneys, patients, and insurance representatives. - Obtain, organize, and summarize medical records and reports for case preparation and legal review. - Track deadlines for subpoenas, depositions,...
Title: Assistant General Counsel (AGC) Job Responsibilities: The Assistant General Counsel (AGC) at the company is responsible for providing comprehensive legal support across all areas of hospital and long-term care operations. The role involves offering strategic legal advice and day-to-day counsel to...
Title: Sr. Claims Specialist (Workers Compensation, NE Region) Job Responsibilities: The Senior Workers Compensation Claims Specialist is responsible for handling multi-party commercial line Workers Compensation claims of moderate to high exposure and complexity within specific authority limits. The primary goal...
a strategic in-house attorney position focusing on legal matters related to managed care, payer contracting, and regulatory compliance. The primary responsibilities include: - Providing legal and business guidance on complex contractual and regulatory issues involving payor relationships, third-party administrators, Medicare Advan...
Title: Senior Counsel (Medical Device) Job Responsibilities: - Manage and support the day-to-day legal affairs of assigned Medical Device businesses or operating divisions, under the general supervision of, and in consultation and collaboration with, the Division General Counsel. - Manage outside counsel supporting...
Title: Sr. Claims Specialist (Workers Compensation, NE Region) Job Responsibilities: The Senior Workers Compensation Claims Specialist is responsible for managing multi-party commercial line Workman’s Compensation claims. These claims are of moderate to high exposure and complexity and must be handled within specific...
Title: Sr. Claims Specialist (Workers Compensation, NE Region) Job Responsibilities: The Senior Workers Compensation Claims Specialist at the company is tasked with managing multi-party commercial line Workers’ Compensation claims that range from moderate to high exposure and complexity, staying within specific authority...