- Travelers Insurance Company (Hartford, CT)
- …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
- Prime Therapeutics (Hartford, CT)
- …Anti-Kickback Statute, and False Claims Act, with a focus on PBM and managed care operations + Experience engaging with regulatory bodies (eg, CMS, OIG, ... every decision we make. **Job Posting Title** Deputy General Counsel , Litigation - REMOTE **Job Description** The Deputy General...of experience as an attorney and 5 years representing managed care companies, health care … more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …law with a background in health care law, health insurance, or managed care . * Three or more years' experience successfully supporting contract negotiations. ... the intersection of healthcare law, ERISA compliance, and operational claims management. The Associate General Counsel will...Mission Transform the health plan experience - how health care is accessed and delivered - by bringing outstanding… more
- Mass Markets (KY)
- …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
- New York State Civil Service (Menands, NY)
- NY HELP Yes Agency Workers' Compensation Board Title Compensation Claims Referee (NY HELPS), WCB Item #4101 Occupational Category Legal Salary Grade 28 Bargaining ... allowed? Yes County Albany Street Address Office of General Counsel , Conciliation 150 Broadway City Menands State NY Zip...Description Under the direction of the Senior Workers' Compensation Claims Referee, the duties of the Workers' Compensation … more
- Molina Healthcare (Cleveland, OH)
- … research and/or issue resolution or analysis of reimbursement methodologies within the managed care health care industry **PREFERRED EDUCATION:** Bachelor's ... claims and inquiries. Handles escalated inquiries, complex provider claims payments, records, and provides counsel to...complex provider claims payments, records, and provides counsel to providers. Helps to mentor and coach Provider… more
- The Institute for Family Health (New Paltz, NY)
- …SKILLS: + Thorough understanding of FQHC, Article 28, Article 31, dental CMS, managed care , sliding fee, and commercial payer billing guidelines and regulations. ... and timely management of the receivables + Prepare evaluations, counsel staff on performance, and execute disciplinary actions up...be responsible for Claim Printing/Reviewing of printed claim forms for accuracy to ensure claims … more
- AdventHealth (Maitland, FL)
- …timely. **The expertise and experiences you'll need to succeed:** + 3 years Healthcare, Managed Care , Hospital or Ancillary claims analysis, Hospital or ... Contract Denial Specialists, other AdventHealth departments, payers and legal counsel . **The value you will bring to the team:**...related field with bachelors degree + 5 years Healthcare, Managed Care , Hospital or Ancillary claims… more
- New York State Civil Service (Buffalo, NY)
- …allowed? No Telecommuting allowed? Yes County Erie Street Address Office of General Counsel , Verbatim Reporters 295 Main Street, Suite 400 City Buffalo State NY Zip ... firefighting, volunteer ambulance workers, or paid family leave discrimination claims using a stenographic machine and computer-aided transcription, specifically… more