Title: Senior Corporate Counsel - Benefits Job Responsibilities: - Provide legal guidance and strategic support for the company's . employee benefit plans and programs, ensuring compliance with applicable laws and regulations. - Advise Benefits and other internal teams on the design, administration, and...
Title: Grievance & Appeals Nurse (RN) Job Responsibilities: The Grievance & Appeals Nurse (RN) is responsible for managing and processing medical necessity appeals requests from members and providers. Key responsibilities include: - Supporting legal, management, and executive leadership by overseeing State Fair Hearing...
Title: Experienced Paralegal – Litigation / Healthcare Job Responsibilities: - Obtain, review, and analyze documents, including medical records, financial records, tax and employment records, or any other relevant information. - Create medical record chronologies to assist in case preparation. - Prepare for trial by...
Title: Grievance & Appeals Nurse (RN) Job Responsibilities: - Investigate and process medical necessity appeals requests from members and providers. - Support legal, management, and executive leadership in managing State Fair Hearing and External Medical Review requests. - Act as a resource for clinical...
medical summaries of pertinent medical records. - Create medical audits of treatment expenses for use in the evaluation of damages. - Perform the medical record retrieval process to obtain supplemental medical records in compliance with HIPAA requirements. - Conduct medical research... on s...
ACA, ERISA, the Code, HIPAA, and COBRA. - Develop and... present materials on various health and welfare compliance-related issues to internal sales teams and external clients. - Establish effective working relationships with internal partners, clients, and carriers. - Function as part of a...
depositions and handle complex discovery and Electronic Stored Information (ESI). - Prepare cases for trial, ensuring comprehensive readiness for court proceedings. - Manage health care regulatory matters, including compliance with HIPAA regulations. - Handle state and... federal agency audits and investigations efficiently. - Ad...
Title: Senior Associate Counsel Job Responsibilities: - Provide comprehensive legal and strategic guidance on the procurement, deployment, and governance of information technology systems (ISD) and artificial intelligence within a hospital setting. - Advise hospital leadership and procurement teams on the legal implications of...
Overview: A distinguished law firm is currently seeking a midlevel Associate Attorney to join its Data Privacy and Cybersecurity practice group. This position is ideal for legal professionals with a minimum of two years of experience in breach response and...