Title: Grievance & Appeals Nurse (RN) Job Responsibilities: - The Nurse Appeals is responsible for investigating and processing medical necessity appeals requests from members and providers. - Supports legal, management, and executive leadership by managing State Fair Hearing and External Medical Review requests. -...
sizes. - Prepare and argue motions in court. - Take depositions and manage complex discovery processes, including Electronic Stored Information (ESI). - Prepare cases for trial, ensuring all legal and procedural requirements are met. - Engage with health care regulatory matters, including HIPAA, stat...
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 internal teams on the design, administration, and compliance of employee...
Title: Senior Corporate Counsel - Benefits Job Responsibilities: The Senior Corporate Counsel - Benefits is tasked with providing legal guidance and strategic support for the company’s . employee benefit plans and programs. Key responsibilities include: - Advising Benefits and other internal teams on...
Title: Senior Corporate Counsel - Benefits Job Responsibilities: The Senior Corporate Counsel - Benefits at the company will play a crucial role in providing legal guidance and strategic support regarding the company's . employee benefit plans and programs. The primary responsibilities include: -...