Legal Analyst II

Job Summary

Supports the Chief Legal Counsel and Program Integrity leadership by providing legal and regulatory assistance for investigations, appeals, hearings, and requests from external stakeholders.

Assists in preparing responses to congressional inquiries, Freedom of Information Act (FOIA) requests, and Requests for Information/Action (RFIs/RFAs).

Contributes to joint operating agreements and liaises with federal and state partners, ensuring compliance with Medicare and Medicaid laws, regulations, and program integrity requirements.

Essential Functions

• Assists the Chief Legal Counsel in managing appeals, payment suspension rebuttals, revocations, and related administrative correspondence.
• Supports legal review and participates in Administrative Law Judge (ALJ) hearings, contributing research, case preparation, and documentation.
• Provides investigative support by addressing regulatory and compliance questions arising during program integrity investigations.
• Compiles and drafts responses to FOIA requests, congressional inquiries, subpoenas, and external requests for information.
• Participates in preparing and reviewing responses to RFIs and RFAs, ensuring accuracy and regulatory compliance.
• Congratulates Joint Operating Agreements with internal and external stakeholders under the guidance of the Chief Legal Counsel.
• Attends meetings, maintains case files, and provides general administrative support to the legal team.

Education & Work Experience

• Juris Doctor required
• 2 - 4 years required; 5 - 7 years preferred

Certification(s)

• Active law license required.

Level of Supervision Received

Plans and arranges own work; works with manager to prioritize projects.

Company Information

• Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs.
• We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities.
• Qlarant is also a national leader in fighting fraud, waste and abuse for large organizations across the country.
• In addition, our Foundation provides grant opportunities to those with programs for underserved communities.
• Best People, Best Solutions, Best Results

About the Role

Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Qlarant is also a national leader in fighting fraud, waste and abuse for large organizations across the country. In addition, our Foundation provides grant opportunities to those with programs for underserved communities. Best People, Best Solutions, Best Results

Benefits

• Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities.
• Drug-free workplace.

Pay

Not specified

Schedule

Not specified

Skills

• Legal and regulatory assistance
• Appeals management
• Administrative Law Judge (ALJ) hearings
• Joint operating agreements
• Investigative support
• FOIA requests
• RFIs/RFAs
• Government regulatory frameworks