Univera Healthcare · 1 day ago
Legal Documentation Specialist
Buffalo, NY
Full-time
Onsite
Entry, Mid Level
$26.89/hr - $43.02/hr
2+ years expUnivera Healthcare is a company focused on providing healthcare solutions, and they are seeking a Legal Documentation Specialist. This role involves drafting and reviewing provider contract documents, managing legal files, and ensuring compliance with regulatory requirements related to provider contracting.
Health CareInsuranceMedicalNon Profit
Responsibilities
Works with Corporate Counsel and others in Legal Department to develop draft template provider contracts for all provider types that keep current with regulatory, BCBSA and other entities as necessary for required language and terms
Accountable for drafting and maintenance of other legal documents, maintaining and updating corporate files, and responding to requests from corporate and regional staffs regarding pertinent provider legal issues and forms
Develops and loads provider contracts and manages an on-line inventory system of signed contracts and major contract types and terms
Accountable for all maintenance and development work for this paperless system
In addition, all templates are stored electronically, with appropriate access safeguards, and made available to regional contracting and support staffs as necessary
These templates will be current with all regulatory required language and other requirements
Maintains records and assists in ensuring regional and corporate compliance with major terms in all provider contracts
To this extent, develops and maintains an electronic database of major terms and all signed provider contracts
Acts as a liaison between contract negotiation and legal counsel in relaying regulatory requirements/mandates
Gatekeeper for all contractual requests, and accountable for all contractual updates to legal documents
Accountable for ensuring that company processes are followed during contract negotiations prior to signing off on any contractual document changes
This includes ensuring with regional staffs that all terms to be included in contracts have been sized for dollar impacts, assessed for operational implementation capabilities, and have followed exception processes where applicable
Establishes and maintains requisite legal files consisting of correspondence, and legal documents, and background materials relative to assigned matters
Continuously works to identify and remove barriers to increased productivity, quality, cost effectiveness, and timeliness of operations and customer satisfaction
Oversees technological improvements and the purchase of software for this function
Maintains updated lists of required and desired corporate clauses for provider contracts, and compliance with each by region
May provide guidance to contracting staffs and operation implementation teams, and other internal groups and departments to ensure compliance with state, federal and corporate rules and regulations relative to provider contracting issues
May publish all regulatory requirements affecting provider contracting efforts; establishes training seminars and sessions to ensure that regional and other staffs are trained on these requirements
May publish established company policies and protocols regarding document management processes
Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values, adhering to the Corporate Code of Conduct and leading to the Lifetime Way values and beliefs
Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures
Regular and reliable attendance is expected and required
Performs other functions as assigned by management
Qualification
Required
Paralegal degree with a minimum of two years experience with contract language, working in a law firm or corporate law department of health care/insurance company, or a legal secretarial degree with a minimum of five years experience in a law firm or corporate law department of health care/insurance company, or other degree and experience deemed comparable by the General Counsel
Strong analytical ability and project management skills coupled with the ability to prioritize assignments, work independently, and handle confidential information with discretion is essential
Must possess excellent written and oral communication skills and be capable of establishing effective working relationships with all levels of internal staff and external representatives
Should demonstrate competency in word processing and have expertise with personal computers
Benefits
Participation in group health and/or dental insurance
Retirement plan
Wellness program
Paid time away from work
Paid holidays
Company
Univera Healthcare
Univera Healthcare is a non-profit health plan that provides health services for New Yorkers.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Richard Vienne
VP Chief Medical Officer Univera Healthcare
Harris Williams Jr.
Founding Field Partner of Univera
Recent News
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