Legal jobs

Director of Policy, Complex Care Products The candidate will be responsible for ensuring positive policy position for organization related to Complex Care Products including Medicaid Long Term Care, Home and Community Based Services, Dual Special Needs Plans. Will be... responsible for positively positioning organization with national stakeholders and in national forums to further organizational position. Responsible for identification of appropriate research projects which may... 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Note: This job is no longer active.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: Acts independently and autonomously in conducting a thorough review of appealed claims files, researching additional information to assist with the appeal decision, determining if additional resources are necessary and communicating the appeal decision. Ensures full, fair and impartial de novo reviews in high quality decisions, which include analysis of additional data received with the request for full appeal and collected by the Analyst, including... 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Note: This job is no longer active.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: Acts independently and autonomously in conducting a thorough review of appealed claims files, researching additional information to assist with the appeal decision, determining if additional resources are necessary and communicating the appeal decision. Ensures full, fair and impartial de novo reviews in high quality decisions, which include analysis of additional data received with the request for full appeal and collected by the Analyst, including... 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

Director of Policy, Complex Care Products The candidate will be responsible for ensuring positive policy position for organization related to Complex Care Products including Medicaid Long Term Care, Home and Community Based Services, Dual Special Needs Plans. Will be... responsible for positively positioning organization with national stakeholders and in national forums to further organizational position. Responsible for identification of appropriate research projects which may... 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

Staff VP Program Integrity/Investigations The candidate will be responsible for providing leadership to the Commercial Special Investigations Unit, Provider Audit... and Data Mining teams. Primary duties include development and implementation of program strategies, goals, deliverables, and overall program execution. Develops and administers a strategy that continually reduces the inappropriate provider payments and optimizes opportunities to drive fraud, waste and abuse savings... 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

Investigator The candidate will be responsible for investigating, collecting, researching and analyzing billing data in order to detect fraudulent, abusive or wasteful activities/practices. Primary duties may include: Using appropriate system tools, analyzes data to detect fraudulent, abusive or wasteful payments to providers and subscribers. Ensures investigations are managed and documented in an audit ready and compliant manner. Prepares statistical/financial analys... 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

Adjuster Specialist - Attorney Repped Bodily Injury The candidate is responsible to manage coverage and liability issues. Estimates cost of treatment or compensation for those injured in accidents. Negotiates with attorneys to settle bodily injury (BI) claims. Determines liability (who's at fault for the damages). Interpret medical reports, follow-up with no fault parties and manage claims process to ensure efficient resolution. Must have a Bachelor's degree or a comb... 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

Counsel I The candidate will be responsible for managing a caseload from inception to court. Responsibilities include: pre-trial discoveries, drafting pleadings, communicating with involved parties, and presenting defense strategies in court. Independently represents the Employer/Carrier before the assigned Judge of Compensation Claims and present witnesses and evidence at administrative hearings on litigated workers' compensation claims. Analyzes complex legal and fac... 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

Counsel II The candidate will be responsible for managing a caseload from inception to court. Responsibilities include pre-trial discoveries, drafting pleadings, communicating with involved parties, and presenting defense strategies in court. Independently represents the Employer/Carrier before the assigned Judge of Compensation Claims and present witnesses and evidence at administrative hearings on litigated workers' compensation claims. Analyzes complex legal and fac... 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

Counsel II The candidate will be responsible for managing a caseload from inception to court. Responsibilities include pre-trial discoveries, drafting pleadings, communicating with involved parties, and presenting defense strategies in court. Independently represents the Employer/Carrier before the assigned Judge of Compensation Claims and present witnesses and evidence at administrative hearings on litigated workers' compensation claims. Analyzes complex legal and fac... 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