- Travelers Insurance Company (Downers Grove, IL)
- …surety bonds to or on behalf of businesses of all sizes. The BSI Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of ... claims and claim litigation to achieve superior...provides coverage for Community Associations, Healthcare Institutions and Providers, Managed Care Organizations, Life and Health Underwriters… more
- Prime Healthcare (Denville, NJ)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/230931/assistant-general- counsel managed - ... team! Responsibilities The successful candidate will have substantial experience working with managed care plans on reimbursement issues. This may include… more
- Travelers Insurance Company (Metairie, LA)
- …surety bonds to or on behalf of businesses of all sizes. The BSI Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of ... claims and claim litigation to achieve superior...provides coverage for Community Associations, Healthcare Institutions and Providers, Managed Care Organizations, Life and Health Underwriters… more
- The County of Los Angeles (Los Angeles, CA)
- …staff issues; health facility licensing, healthcare organization certification and accreditation; managed care and the Knox-Keene Act; and/or medical malpractice ... SENIOR DEPUTY COUNTY COUNSEL - HEALTHCARE LAW Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4318147) Apply ...experience in the practice of healthcare law pertaining to managed care and the Knox-Keene Act. If… more
- CGI Technologies and Solutions, Inc. (Atlanta, GA)
- **Senior Employment Counsel ** **Category:** Legal Affairs **Main location:** United States, Georgia, Atlanta **Position ID:** J1025-1781 **Employment Type:** Full ... from strategic IT and business consulting to systems integration, managed IT and business process services and intellectual property...CGI is offering a full-time opportunity for Senior Employment Counsel to join our US legal team. The position… more
- Walmart (Bentonville, AR)
- …managing single-plaintiff employment cases, wage-and-hour litigation, and PAGA matters + You've managed cases or claims involving the EEOC + You've advised ... handling employment litigation for the world's largest retailer. The Senior Lead Counsel - Employment Litigation role is critical for developing and driving a… more
- AbbVie (Mettawa, IL)
- …lives across several key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For ... (https://www.tiktok.com/@abbvie) . Job Description The role of Sr. Associate General Counsel , Global Commercial Legal is responsible for developing legal strategy… more
- Novant Health (Charlotte, NC)
- …ventures, strategic partnerships and foundational knowledge of healthcare operations. + Managed care , value based arrangements and physician network experience ... What We Offer This Assistant General Counsel /Director role provides legal advice and counsel...network operations, including physician contracting, employment law, and patient care related legal matters. The ideal candidate has a… more
- Mass Markets (NM)
- …RESPONSIBILITIES Key Responsibilities: + Provide legal support as needed by the General Counsel + Draft, review, and revise contracts and advise on contracts and ... and other business documents. + Give accurate and timely counsel to the different internal business units and executives...the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital… more
- Molina Healthcare (Macon, GA)
- … research and/or issue resolution or analysis of reimbursement methodologies within the managed care health care industry **PREFERRED EDUCATION:** Bachelor's ... issues with claims and inquiries. Handles escalated inquiries, complex provider claims payments, records, and provides counsel to providers. Helps to mentor… more
- Library of Congress (Washington, DC)
- …authors of literary, dramatic, musical, artistic, and other works. The Copyright Claims Officer has responsibilities and delegated authority for the oversight and ... and reference services to the public. Through the Copyright Claims Board, it also administers an efficient and user-friendly... Officer reports to the US Copyright Office General Counsel . Has overall responsibility, as well as delegated authority,… more
- Michaels (Carpenter, IA)
- … Administration** + Work closely with Third Party Administrator (TPA) on GL, WC claims reporting, managed care , pharmacy management, and legal management and ... claim reviews with third-party administrator (TPA) and broker claims control consultant. + Has oversight responsibility for working...response to injured third parties. + Collaborate with legal counsel on pertinent claims matters and pursue… more
- LA Care Health Plan (Los Angeles, CA)
- …to LA Care 's organizational documents, including but not limited to managed care licensure; ensure timely preparation and submission of all documents ... of the unit. This includes preparing and maintaining documentation pertinent to LA Care 's Managed Care licensure and ensure timely preparation and… more
- R1 RCM (Boise, ID)
- …counsel healthcare providers in their disputes with medical insurance carriers and managed care organizations at all stages of the administrative appeals ... role, you must maintain a foundational understanding of Commercial, Governmental, Managed Care , and ERISA regulations regarding payment, coverage, conditions… more
- Huron Consulting Group (Chicago, IL)
- …pressure to improve clinical outcomes and reduce the cost of providing patient care . Investing in new partnerships, clinical services and technology is not enough to ... Management Manager provides management of standardized vendor processes to support Huron Managed Services clients and teams. This role is responsible for oversight… more
- Chevron Corporation (Houston, TX)
- …absence cases (STD, FMLA, State Plans, State Job Protection Plans, and LTD) managed by the vendor, provide metrics to management, and conduct trainings in Disability ... management of complex cases (ie co-morbidities, stress & psychiatric illness & injury, claims of employees with a history of adverse action) to facilitate prompt,… more
- Molina Healthcare (Louisville, KY)
- …investigative and law enforcement procedures with emphasis on fraud investigations. + Knowledge of Managed Care and the Medicaid and Medicare programs as well as ... Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems. + Understanding of datamining and use of data analytics to… more
- Offices, Boards and Divisions (Washington, DC)
- …wide range of complex, and often controversial, suits filed under the Federal Tort Claims Act including cases based on medical care , regulatory activities, law ... as the Senior Executive Service Director in its Torts Branch - Federal Tort Claims Act Section. Responsibilities The Torts Branch's Federal Tort Claims Act… more
- Mount Sinai Health System (New York, NY)
- …+ Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation, ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
- AmeriHealth Caritas (Columbus, OH)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... We are looking for the next generation of health care leaders. **This position is remote however, you must...using the Internet, data analysis tools, etc., to analyze aberrant; claims billing and practice patterns. + Analyzes data as… more