WINTrio LLC · 2 weeks ago
Legal Professional / Paralegal (Federal Healthcare Program)
United States
Full-time
Remote
Mid Level
3+ years expWINTrio LLC is an 8(a) and HUBZone organization providing technical and professional services to federal and commercial customers. They are seeking a detail-oriented Legal Professional / Paralegal to support a federal healthcare program focused on hearing and appeals operations, involving legal reviews, medical record analysis, and policy interpretation related to healthcare claims.
Cloud ComputingConsultingCyber SecurityInformation TechnologyCloud InfrastructureDevOps
No H1B
U.S. Citizen Only
Responsibilities
Conduct legal reviews and draft legal briefs, memoranda, and case summaries supporting hearings and appeals
Perform medical record reviews to assess evidence and compliance with program regulations
Support policy analysis and regulatory interpretation by researching statutes, federal rules, and administrative decisions
Collaborate with auditors, analysts, and legal reviewers to identify discrepancies and strengthen case documentation
Manage documentation within a case management system, ensuring accuracy and confidentiality
Assist in preparing pre-hearing documentation, issue statements, and decision drafts
Ensure compliance with HIPAA, Privacy Act, Section 508, and information security protocols
Participate in quality assurance reviews and support process improvement initiatives across the appeals workflow
Qualification
Required
Bachelor's degree in law, Legal Studies, Health Policy, or related field (Paralegal Certification preferred)
3+ years of experience in legal writing, case documentation, or healthcare compliance
Strong understanding of legal terminology, regulatory frameworks, and administrative law
Experience analyzing medical or audit records for legal and compliance sufficiency
Excellent research, writing, and analytical skills
Preferred
Prior experience supporting a federal agency, healthcare contractor, or government program
Exposure to federal appeals processes, provider reimbursement, or audit review workflows
Experience in policy analysis, legal research, or program integrity documentation
Understanding of federal healthcare regulations and administrative procedures
Active or eligible for Public Trust clearance
Company
WINTrio LLC
Established in 2014, WINTrio LLC is an SBA 8(a)-certified, HUBZone, and ISO 9001/27001/20000-certified federal IT consulting firm.
11-50 employees
Funding
Current Stage
Early StageRecent News
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