- 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
- CareFirst (Baltimore, MD)
- …+ 1+ year of regulatory experience; a minimum of 1 year in ERISA/health/ managed care issues and experience in bankruptcy, employment law, litigation and/or ... **Resp & Qualifications** **PURPOSE:** The Associate General Counsel provides a complete range of legal services...an appropriate manner. Oversees the filing of proofs of claim in bankruptcy matters to ensure that the corporations… more
- Sutter Health (Sacramento, CA)
- …expert-level legal advice and management of complex legal and operational issues within the Managed Care , Revenue Cycle, and Finance domains. This role plays a ... legal risk, and supporting key negotiations and regulatory initiatives. Key Responsibilities Managed Care Contracting Support Serve as primary legal partner to… 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
- 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 (Dayton, OH)
- … 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
- 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
- Health Care Service Corporation (Chicago, IL)
- …within the company.9.Provide leadership regarding negotiation of rates for traditional and managed care business. Conduct and assist in the negotiation process ... appropriate education/in-servicing is provided for providers. Education may pertain to managed care and areas where pertinent rulings/regulations could affect… 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
- 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
- Hoffman Construction Company (Boise, ID)
- …+ Ongoing professional training and development + Comprehensive benefits-including free primary care for you and your family through our dedicated clinics, health ... draft documents, managing all project related correspondence and resolving claims on behalf of the Company. This position will...the Company. This position will report to the General Counsel . The Project Contract Attorney will work closely with… 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
- New York State Civil Service (Albany, NY)
- …Code 12234 Duties Description The New York State Education Department's Office of Counsel and Office of Special Education and Adult Career and Continuing Educational ... Senior Attorney position in Albany. The incumbent would be stationed within Office of Counsel , a team of two dozen attorneys which provides legal services to the… more
- New York State Civil Service (Albany, NY)
- …Avenue City Albany State NY Zip Code 12229 Duties Description The Office of Counsel provides legal guidance and services to the Office for People with Developmental ... incumbent will perform the following duties: .Investigate lawsuits and claims as well as CPLR Article 78 proceedings against...related to individuals who are involuntarily committed to OPWDD care , are ordered into OPWDD care by… more
- AmeriHealth Caritas (Columbia, SC)
- … 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