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...
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...
The following jobs are no longer active but were real openings previously posted by employers. These listings provide valuable insight into employer hiring trends and frequently lead to job offers. In many cases, employers are still hiring or open to strong candidates even if no new job is posted. Applying to these listings often makes you the only applicant, increasing your chances of being hired.
Analyst Duties: Contributes to the successful completion of products designed to meet client needs and expectations. Draws on medical knowledge/expertise to review imaged medical and other plaintiff specific records and prepares an assessment of the information in a manner which will be of the most value to the client. Works on-site in Mayfield Heights, Ohio, or from a professional and confidential home office that is free from distractions.... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Analyst Duties: Contributes to the successful completion of products designed to meet client needs and expectations. Draws on medical knowledge/expertise to review imaged medical and other plaintiff specific records and prepares an assessment of the information in a manner which will be of the most value to the client. Works on-site in Mayfield Heights, Ohio, or from a professional and confidential home office that is free from distractions.... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Coordinator The candidate will ensure high quality and expeditious record collection efforts of high priority cases, preparing client work product, fulfilling client requests, and providing support with the legal aspects of case coordination. Should have Bachelors degree or 3-4 years of relevant experience. Paralegal certification, JD degree, or equivalent legal experience a plus. Medical terminology or knowledge a plus. Must have strong working knowledge of Microsoft O... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Record Retrieval Professional Duties: Collect complete sets of records from a variety of facilities including, medical providers of care, government agencies, employers, insurance companies, etc.... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Record Acquisition The candidate will monitor industry trends and implement process improvements to optimize record acquisition (RA) to meet client needs and deadlines. Oversees a staff of individuals who conduct record acquisition utilizing database systems and processes with a high degree of project management and customer service skills. Must have Bachelor’s degree in healthcare, law or related field; or equivalent experience. Must have 5+ years progressive manag... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Retrieval - PRN The candidate must have High school diploma or equivalent. Paralegal certificate or a 2-4 year degree in a health-related field, legal profession, research or business fields preferred. Should have 1+ year experience in the legal profession, medical profession or customer service field, or educational equivalent. Must have proficiency in Microsoft Word, Outlook, Excel, and Internet research. Must be detail oriented, able to work independently, apply cr... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
of Record Acquisition Duties: Directs a large division to ensure client requirements are met. Responsible for optimizing processes, meeting record compliance requirements, analyzing market trends and overseeing managers in the department.... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Health and Safety Paralegal Duties: Provides support to Environmental, Health & Safety (EHS) and Product Regulatory Counsel in advising business clients on compliance with applicable laws and regulations, and assists in the identification and implementation of solutions for potential or actual regulatory issues. Specific tasks include: Researching and analyzing statutes, regulations, judicial decisions, agency guidance documents, and legal articles on . and... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Attorney (Risk Manager Coordinator) The candidate must have a . degree and license to practice law in the State of Ohio preferred. Should have 1+ years of experience in non-profit work. Experience in the following areas in order of importance needed: Healthcare – specifically Medicaid/Corporate Compliance/HIPAA and if possible... behavioral health.... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Attorney The candidate staffs multiple Corporate Legal Services Practice Groups as assigned from time to time by the Deputy General Counsel. Responsible for competently and professionally handling legal matters delegated by Assistant General Counsels, Associate General Counsels, Deputy General Counsel and/or General Counsel, including handling legal transactions and providing legal support to company and its subsidiaries and affiliates. Conducts legal research and writ... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here