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Partners Health Management · 5 months ago

Paralegal/Policies & Procedures Specialist (Hybrid-Gastonia NC)

Gastonia, NC, US

Full-time

Hybrid

Entry, Mid Level

$47K/yr - $57K/yr

2+ years exp

Partners Health Management is seeking a Paralegal/Policies & Procedures Specialist to provide executive-level paralegal and administrative services for the Office of Legal Affairs. The role involves managing complex policies and procedures, performing legal research, and providing legal support services while maintaining confidentiality and compliance with regulations.

FitnessHealth CareMedical

Work & Life Balance

Responsibilities

With assistance and guidance of waiver contract manager, will be directly responsible for Partners’ almost 300 P&Ps, that must be regularly reviewed, vetted and approved by management, leadership and Board

This includes oversight of revision and creation of P&Ps by Partners’ staff for accreditation, certification, contract and regulatory compliance

Also, can include Program Descriptions, Plans and perhaps assisting with board guidelines

Assist with and/or manage automation and process improvement of P&Ps

With assistance from attorneys, legal specialists, waiver contract manager, and program integrity investigators, provides moderate to complex legal support services

Examples include: performing legal research, both formal from traditional legal research databases (currently Lexis) and from non-traditional resources such as State and Federal legislative and regulatory websites

Assisting with obtaining, reviewing, proofing, executing and interpreting contracts and transactions

Assisting with drafting, review, proofing and issuing communications with staff, outside counsel and opposing counsel regarding contracts, litigation (subpoenas, hearing notices, pleadings, motions) and related legal projects

Assisting with or fielding, routing and and/or addressing legal issues and questions from various Partners' business units and staff, and/or ensuring appropriate OLA staff does so

Attending and or assisting attendees with key meetings, hearings and conferences, providing insights to and taking notes for OLA team and Partners

Gather, organize and marshal on demand relevant documents, information and evidence to support OLA work and obligations

Liaising with Program Integrity staff on legal matters arising to legal staff from or related to investigations of alleged fraud, waste and abuse

Consulting OLA attorneys for supervision on matters and in any instance that might be construed as the practice of law

Provides comprehensive and often sophisticated/complex administrative support to OLA team

Examples include assisting OLA staff or directly to: maintain OLA legal files and records

Create, maintain, analyze and report key OLA metrics using various OLA-specific resources and interdepartmental support

Routing, payment and reimbursement of legal bills and expenses, including potential assistance with the OLA legal matters management and invoicing software and database (currently CounselLink)

Communicate with outside counsel regarding pending assigned cases and legal matters, billing guidelines and other needs

Coordinate and support highly visible functions and events, including preparation for board, executive, management level and other meetings; provider forums, council and other meetings; legal trainings; and other events involving Team OLA

Reserve and arrange meeting space, including IT needs

Schedule and coordinate select conference calls, meetings, mediations, and hearings

Handle staff expense reimbursements, travel reservations, supplies and miscellaneous OLA operational matters

In all roles and responsibilities, assures confidentiality of information of a sensitive nature within the department and organization

Adheres to court, regulatory, Partners' and other deadlines

Highly organized and digitally proficient, and able to multitask in fast-paced, detail-oriented -- but highly collaborative, team-oriented and cross-functional -- environment

Maintains a thorough understanding of legal procedures and documents

Qualification

Legal researchPoliciesProceduresContract managementMicrosoft OfficeLexisNexisCounselLinkCritical thinkingCommunication skillsOrganizational skillsAttention to detailTeam collaboration

Required

A minimum experience of two years in a law-related role with law firm or law department

Working knowledge of legal database software, e.g., LexisNexus or Westlaw

Extensive knowledge and proficiency of Microsoft Office products (Word, Excel, Outlook, PowerPoint, etc.)

Comfort and experience with electronic modes of communication, filing, record keeping and office management

Must reside in North Carolina or within 40 miles from its border

Paralegal, Legal Assistant, or similar recognized certification, e.g. NCCP (out of state certification acceptable)

Law license not required

Preferred

Associate or higher degree in Legal Studies, Business, Office Administration, Healthcare, Human Services or other relevant field, including, paralegal/legal studies, Criminal Justice, Political Science, or legal assistant

Experience in healthcare, especially public behavioral health, managed Medicaid, and healthcare payor systems and law

Knowledge of and experience/proficiency with LexisAdvance, CounselLink, WestLaw and e-OAH

Substantial prior paralegal, legal assistant or related working experience or credentialing highly preferred, especially certification as paralegal or legal assistant, e.g., NCCP