Title: Nurse Appeals (Grievance & Appeals) Job Responsibilities: The Nurse Appeals role involves investigating and processing medical necessity appeal requests from members and providers. Key responsibilities include: - Supporting legal, management, and executive leadership by managing State Fair Hearing and External Medical Review...
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: Nurse Appeals (Grievance & Appeals) Job Responsibilities: The Nurse Appeals role involves a range of responsibilities focused on managing and processing medical necessity appeals from members and providers. Key duties include: - Supporting legal, management, and executive leadership by managing State Fair...
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...
the firm's operations and client satisfaction. The primary duties include drafting comprehensive legal documents from start to finish, supporting attorney(s) in managing estate planning, Medicaid applications, and probate matters,... and upholding the firm's culture of excellence in client experience. Spe...
Job Title: Medicaid and Probate Paralegal Job Responsibilities: The... Medicaid and Probate Paralegal at... of public benefits, including Medicaid and VA planning. The... role involves handling probate matters for deceased clients and managing some guardianship cases. Key responsibilities include: - Communicating effectively with...
law firm seeks a licensed attorney residing in Ohio to join its team. The ideal candidate will have a minimum of 3 years of substantive legal experience and hold additional licensure in one or more of the following states: Indiana,...