support regarding the company's . employee benefit plans and programs. The primary responsibilities include: - Advising Benefits and other internal teams on the design, administration, and compliance of the company's . employee benefit plans, including the 401(k) plan, health & we...
Job Title: Health Care Litigation Associates Job Responsibilities: -... Engage in litigation tasks including preparing and... arguing motions. - Take depositions and manage complex discovery processes and Electronic Stored Information with a focus on health care litigation. - Handle health... care regulatory... matters and......
leadership by managing State Fair Hearing and External Medical Review requests. - Act as a resource for both clinical and non-clinical teams by conducting thorough investigations and reviews of medical necessity appeals in preparation for litigation. - Document and log appeal... in...
Job Title: Experienced Litigation Paralegal Job Responsibilities: - Organize and... maintain electronic and paper correspondence and files for multiple cases, ensuring accurate tracking of related deadlines. - Assist attorneys in conducting factual investigations, including client interviews. - Draft screening memos and engagement letters/retainers. - Serve...
responsible for litigating a variety of workers’ compensation claims. These claims often involve high-exposure, complex litigation, including but not limited... to repetitive trauma, occupational disease, death, and hearing loss claims. The attorney will represent clients from various industries such a...
Title: Nurse Appeals (Grievance & Appeals) Job Responsibilities: The Nurse Appeals is tasked with investigating and processing medical necessity appeals requests from both members and providers. This role supports legal, management, and executive leadership by managing State Fair Hearing and External Medical...
Title: Investigator Senior - Pharmacy Job Responsibilities: The Investigator Senior - Pharmacy is responsible for independently identifying, investigating, and developing complex healthcare cases against perpetrators of healthcare fraud to recover corporate and client funds paid on fraudulent claims. Key responsibilities include: - Conducting...
Contract Manager The candidate will manage the full life cycle of Pharmacy Benefit Management (PBM) contracts from RFP through client contract execution. Oversee the contract approval process, ensuring compliance, version control, and support the negotiation and execution of standard and...
Title: Personal Injury Case Manager Job Responsibilities: - Manage a caseload of pre-litigation personal injury cases. - Conduct interviews and meetings with clients, providing regular updates on their cases. - Gather facts, order medical records and bills, and track client treatment. - Draft and analyze...
Adjuster - Complex Casualty Litigation Job Responsibilities: - Manage complex commercial... vehicles, competing claims, and significant injuries. - Direct counsel through the litigation process and engage experts... from various disciplines such as scene reconstruction, civil engineering, forensics, and biomechanics. - Conduct negotiations, including mediations...
seeks a Medical Liability Litigation Associate Attorney to join... involves working on healthcare litigation and medical liability cases,... offering a hybrid working model and comprehensive benefits. The successful candidate will join a team of experienced litigators with extensive knowledge of...