Legal Case Manager

Job not on LinkedIn

🔥 16 hours ago

🏈 Alabama, Connecticut, +10 more states – Remote

🏈 Alabama – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🌪️ Kansas – Remote 🏈 Ohio – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🎸 Mississippi – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote

💵 $18 - $38 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧑‍💼 Attorney / Lawyer

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Review, research, and process requests for member claims records involving Protected Health Information (PHI) • Process and fulfill requests submitted to Aetna seeking access to member PHI • Ensure legal, regulatory, privacy, and authorization requirements are satisfied before records are disclosed • Review and validate request documentation to determine eligibility for disclosure • Manage and process subpoenas, court orders, law enforcement requests, regulatory inquiries, legal access requests, member and provider authorizations, personal representative requests, and other legally permitted disclosures • Research and resolve complex or non-routine member rights, disclosure, and privacy requests • Escalate matters requiring legal, compliance, or privacy review • Ensure confidentiality and security of sensitive member information while adhering to established policies, procedures, and internal controls

🎯 Requirements

• Working knowledge of problem solving and decision making skills • 2-5+ years’ work experience with Protected Health Information (PHI) • Excellent verbal and written communication skills • Working knowledge of HIPAA Privacy Rule requirements • Experience reviewing and interpreting legal documents, subpoenas, court orders, authorizations, and regulatory correspondence • High School Diploma or Equivalent Experience (REQUIRED)

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being, based on eligibility