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In-House
Legal Staff
Senior Paralegal, Regulatory Duties: The candidate maintains the utilization review licenses for the business, third party administrator licenses, and PPO licenses. Obtains and maintains numerous complex specialty licenses for the company including limited-service health plan licenses, and health maintenance organization licenses. Many of these are new license types for the company and will require considerable knowledge and skill to pursue. Responsible for researching licensure requirements and determining which types of licenses are needed for the company to pursue new business opportunities. Interacts with the business development team and the proposal department as well as various state regulators as we assess new requirements. Meets with regulators and outside counsel as necessary to facilitate new licenses for the company. Works on other legal projects as assigned, this could include management of regulatory issues such as character and competency filings, coordination of and participation in Medicare or state regulatory audits and review of issues surrounding proposed new product offerings. Handles other duties as assigned.
Qualification and Experience
Qualifications: Ability to perform high-level legal work with minimal supervision. Knowledge of legal writing and document preparation. Knowledge of regulatory/statutory research and analysis. Ability to coordinate a variety of tasks and assignments simultaneously. Licensing experience. Experience working with state regulators. Excellent verbal and written communication skills.
Job Requisition ID: R00000052230
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