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Years of Experience
Date Last Verified
Paralegal / Legal Service Consultant Responsibilities: Gather background information, research the law and/or regulations on specific issues or questions. Prepare and present a summary of the findings, including initial analysis, as requested, to the attorney. Review materials for members, providers, agents, and/or pharmacies (letters, training materials, marketing pieces etc.). Focus of the review is to identify any legal or regulatory concerns. Review of Employer Group RFPs working with proposal team. Focus of the review are any legal related questions/issues. Involves developing and utilizing standard responses to common questions and drafting responses to unique questions working with the attorney as needed. Responsible for drafting, reviewing, and revising contracts and / or agreements – some examples include: sales agent agreements, PBM agreement, non-disclosure agreements, etc. Also, requires working closely with the appropriate business client and assigned attorney. Coordinate projects within our team and/or with other departments within the organization. Organize, manage communication and track progress on assigned projects. Some projects may require working with external entities, including state regulatory bodies.
Qualification and Experience
Qualifications: Bachelor's Degree or high school diploma / GED with 3+ years of relevant experience. 4+ combined years working in legal and/or regulatory environment (will consider mix of legal AND business environment experience). Proficient with Microsoft Office Suite. Preferred: Paralegal Certificate. Experience working with contracts preferred - contract review, drafting and negotiating skills. Project Management - some experience managing projects with multiple key owners, several components, and changing time frames. Experience in the healthcare industry, managed care industry or a federal or state government health care program is a plus. Experience working in a matrix environment. Excellent communication skills – written and verbal. Experience with serving external and internal clients / customers, with a positive Customer Service attitude. Detail Oriented – ability to review brochures, letters, contracts, training materials, etc. looking for legal issues, clarity of description, and misrepresentation of product. Ability to work within a small team – sharing work and assignment as needed to ensure priority projects are handled within the appropriate timeframe. Strong analytical, problem solving and organizational skills. An independent thinker who knows when to seek guidance. Demonstrated research skills with a variety of vehicles - intranet, internet, Lexis Nexis, networking etc.
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