Title: Grievance & Appeals Nurse (RN) Job Responsibilities: - Investigate and process medical necessity appeals requests from members and providers. - Support legal, management, and executive leadership by managing State Fair Hearing and External Medical Review requests. - Act as...
Title: Associate Professor / Professor, Vice Chair of Research, Department of Emergency Medicine Job Overview: The Department of Emergency Medicine at a reputed firm is seeking an accomplished and visionary leader for the position of Vice Chair of Research. This role will...
Join **Members Only**'s Health Care Practice Group as a Partner or Associate H2: Immediate Opportunities in Multiple Ohio Locations **Members Only**, a national law firm with over 750 attorneys, is seeking experienced Partners and Associates for their...
Title: Asst/Assoc/Full Professor, College of Medicine, Primary Care Physician, Midtown Job Responsibilities: - Diagnose diseases or study medical conditions using a variety of techniques such as gross pathology, histology, cytology, cytopathology, clinical chemistry, immunology, flow cytometry, and molecular biology. - Write detailed reports...
Title Senior Legal Counsel I Job Responsibilities - Provides legal advice and counsel to corporate officers, managers, and employees of the Company and its subsidiaries, affiliates, and joint ventures across various lines of business under the general direction of Legal...
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. -...
Title: Legal Counsel, **Members Only** Contracting Job Responsibilities: - Provide legal advice and recommendations for initiatives and projects aligned with clients' overall objectives and needs. - Focus on large-scale and/or high financial level projects with broad department and/or organizational impact and moderate level of...
Title Legal Counsel, Carelon Contracting Job Responsibilities The Legal Counsel for Carelon Contracting is tasked with providing legal advice and recommendations for initiatives and projects that align with clients' overall objectives and needs. This role focuses on large-scale and/or high...