Senior Paralegal

About the role

The Senior Paralegal will provide vital legal and administrative support for AlohaCare, a local, non-profit health plan serving Hawai`i's low-income residents with free Medicaid and dual Medicare health insurance coverage.

Responsibilities

• Review, draft, and assist in the negotiation of vendor contracts, non-disclosure agreements (NDAs), business associate agreements (BAAs), confidentiality agreements, consulting agreements, insurance certificates, and other managed care contracts.
• Identify and escalate key legal risks, compliance concerns, and material business terms for appropriate review.
• Absorb and summarize key provisions, and ensure alignment with corporate policies and applicable regulatory requirements.
• Maintain an organized contract database, including tracking of key terms, deadlines, renewals, and amendments.
• Review legal and contract documents and coordinate communications with outside counsel and internal stakeholders.
• Conduct legal research related to healthcare laws, contract interpretation, and industry best practices.
• Prepare memoranda, reports, and legal summaries for senior leadership.
• Monitor, track, and research federal and state regulatory developments relevant to the organization, including guidance from CMS, state Medicaid agencies, and other regulatory authorities.
• Analyze regulatory updates and identify potential impacts to the organization’s compliance program.
• Prepare clear, concise summaries, reports, and briefings to support regulatory awareness for the Compliance team and senior leadership.
• Maintain organized documentation and reference materials related to laws, regulations, and regulatory guidance.
• Aid the Compliance team in interpreting regulatory requirements and supporting compliance program activities.
• Ensure policies and procedures are reviewed and maintained in alignment with applicable program, insurance, and regulatory requirements.
• Aid in drafting, tracking, and maintaining organizational policies, procedures, and related documentation.
• Support compliance with corporate governance and licensing requirements.
• Assist Compliance department, as needed.
• Lead document retention practices and provide guidance to staff on recordkeeping requirements.
• All other duties assigned.
• Adhere to all regulatory compliance and quality guidelines, as well as AlohaCare policies and procedures.
• Responsible for maintaining AlohaCare’s confidential information in accordance with AlohaCare policies, state and federal laws, rules and regulations regarding confidentiality.

Requirements

• Bachelor’s degree with emphasis in Law, legal studies, Health Administration or related field or equivalent combination of education and experience.
• Minimum of 3 years of paralegal experience, preferably in a managed care, healthcare, or insurance organization.
• Strong understanding of contract law and healthcare regulations.
• Ability to make effective and persuasive presentations on controversial or complex topics.
• Technical writing expertise.
• High sense of integrity.
• Ability to read, analyze, and interpret complex documents including but not limited to new regulations, laws, etc.
• Ability to interpret an extensive variety of technical instructions and deal with several abstract and concrete variables.
• Ability to make effective and persuasive presentations on controversial or complex topics.
• Achieves results, builds trust, communicate effectively, customer and quality focused.
• Strong interpersonal and facilitation skills with the ability to communicate with all levels of the organization.
• Strong, effective, and precise written and oral communication skills; speak clearly and persuasively in positive or negative situations.
• Professional telephonic etiquette skills.
• Ability to solve problems, analyze, think critically and make good judgment.
• Strong customer service skills and be able to work in a diverse, demanding and evolving environment with strong conflict and problem resolution skills.
• Able to work independently with minimal supervision.
• Able to effectively work in a fast-paced and changing environment, manage multiple projects and priorities across multiple teams/projects and in a matrixed environment.
• Possesses excellent time management and organizational skills; is dependable, enthusiastic, self-starting, and self-motivated. Uses time effectively, reacts professionally under pressure.
• Proficient knowledge of spreadsheets/graphics, presentation, and databases.
• Intermediate skills in Microsoft Programs: Word, Excel, Outlook and PowerPoint.
• Experience in the operation of general office equipment to include PC, fax/copy machine and phone system.

Preferred Requirements

• Paralegal certification (ABA-approved program).
• Prior experience in contract negotiation and dispute resolution.
• Familiarity with CMS regulations, Stark Law, Anti-Kickback Statute, and HIPAA compliance.