Title: Nurse Appeals – Litigation & Legal Support Job Responsibilities: The Nurse Appeals – Litigation & Legal Support role involves a variety of critical responsibilities aimed at supporting legal and clinical operations within the organization. The primary duties include: - Investigating and processing...
Title: Pharmacy Investigator Senior Job Responsibilities: - Conduct independent identification, investigation, and development of complex cases against perpetrators of healthcare fraud to recover corporate and client funds paid on fraudulent claims. - Review claims for appropriate coding, data mining, entity review, law enforcement...
Title: Pharmacy Investigator Senior Job Responsibilities: - Conduct independent identification, investigation, and development of complex cases against perpetrators of healthcare fraud to recover corporate and client funds paid on fraudulent claims. - Perform claim reviews for appropriate coding, data mining,...
tasked with overseeing the investigation, management, and resolution of claims related to Allied Healthcare Providers across multiple states. The role involves handling claims for a variety of medical service providers, including nurses, therapists, counselors, and other... healthcare professionals. Key responsibiliti...
Title: Director, Sr Corporate Counsel Job Responsibilities: The Director, Senior Corporate Counsel will be a vital part of the regulatory team within the department. The individual will provide legal guidance and support to the company on regulatory and compliance-related matters concerning **Members Only**...
Home Attorney The candidate will handle a heavy and complex caseload of cases, including pre-litigation, litigation, trial preparation, and trial. Draft and file litigation documents to include pleadings, discovery requests, discovery responses, demands, motions and memorandum. Guide clients through the...
Title: Senior Legal Counsel I Job Responsibilities: The Senior Legal Counsel I is responsible for providing legal advice and counsel to corporate officers, managers, and employees of the Company and its subsidiaries, affiliates, and joint ventures. This role primarily serves...
Title: Enablement Manager Job Responsibilities: - Own the administrative progression of new medical malpractice cases from Investigation through NOI and suit filing readiness. - Act as the primary facilitator of information and task completion in pre-litigation, ensuring files are complete, accurate, and compliant...
focuses on representing physicians, nurses, dentists, and other health... professionals. The role requires working on-site and occasional travel for hearings and health professionals in legal with clients and potential clients in an office for hearings and meetings...