
201 - 500 employees
Founded 2004
🏥 Healthcare
💼 Consulting
⚕️ Healthcare Insurance
Healthcare • Consulting • Healthcare Insurance
Livanta LLC is a technology-enabled organization dedicated to advancing healthcare quality through innovation. It specializes in providing services to patients, caregivers, healthcare providers, and payers, focusing on improving health outcomes, navigating healthcare systems, and ensuring payment accuracy. Livanta is recognized as the largest Medicare Quality Improvement Organization and offers a range of services including quality oversight, auditing, advocacy, and data analytics to enhance patient care and safety while managing healthcare costs effectively.
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201 - 500 employees
Founded 2004
🏥 Healthcare
💼 Consulting
⚕️ Healthcare Insurance
Healthcare • Consulting • Healthcare Insurance
Livanta LLC is a technology-enabled organization dedicated to advancing healthcare quality through innovation. It specializes in providing services to patients, caregivers, healthcare providers, and payers, focusing on improving health outcomes, navigating healthcare systems, and ensuring payment accuracy. Livanta is recognized as the largest Medicare Quality Improvement Organization and offers a range of services including quality oversight, auditing, advocacy, and data analytics to enhance patient care and safety while managing healthcare costs effectively.
• Arbitrate and decide payment disputes • Determine jurisdictional issues when necessary • Review dispute-relevant information and request additional information as authorized and required • Decide whether the initiating or non-initiating party will receive the arbitration decision • Remain neutral when analyzing submitted materials • Write concise determinations within required deadlines • Review cases, summarize facts, and assess issues • Collaborate with technical and legal professionals to reach appropriate decisions • Research jurisdictional and substantive issues using federal and state law and regulations related to the No Surprises Act of 2020 and the Federal Independent Dispute Resolution Entity program • Interpret applicable regulations and policies regarding jurisdiction and case merits • Communicate determinations clearly in writing • Exercise independent judgment to ensure determinations are accurate, supported, and defensible • Draft, edit, and review determination decisions • Perform other duties assigned by management
• Juris Doctorate preferred • Certified in Arbitration is preferred, required within the year • Ability to perform comfortably in a fast-paced, deadline-oriented work environment • Excellent organizational, interpersonal, written, and communication skills • Ability to work as a team member and independently • Experience working across SharePoint, Salesforce, and Microsoft Office products • Availability for varying schedules, including weekend and holiday shifts • Ability to sit, read, work on a computer, and watch a computer screen for extended periods • Ability to occasionally stand, walk, use hands and fingers, kneel, or crouch
• Remote work arrangement • Reasonable accommodations for individuals with disabilities • Equal employment opportunity protections
Apply Now🔥 9 hours ago
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Remote hospice triage RN supporting IntellaTriage’s hospice and home-health clients with after-hours patient and family calls. Assessing needs, coordinating care, and documenting interventions.
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Remote hospice triage RN providing after-hours telephone support for hospice patients and families. Coordinating care and documenting interventions for IntellaTriage’s hospice and home-health clients.
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Remote hospice triage RN providing after-hours phone support for IntellaTriage’s hospice and home-health clients. Assessing patient needs, coordinating care, and documenting urgent calls.