Apply online at http://www.alohacare.org/Careers/Default.aspx
The Company:
AlohaCare is a local, non-profit health plan serving Hawai`i’s low-income residents with free Medicaid and dual Medicare health insurance coverage. Our members include children, seniors and adults residing on all islands. We provide comprehensive benefits and managed care services with an emphasis on healthy living habits and preventive primary health care. Our approach is to meet the whole-person health and social needs of members. Through our community partnerships we offer innovative services such as connection to social service agencies, Native Hawaiian healing services and in-home primary care for qualified members. Our mission is to serve in the true spirit of aloha by ensuring and advocating for access to quality health care for all. We are Hawaii’s third-largest health plan and offer a wide network of quality primary care, specialists, hospitals, pharmacies and among many other providers across the state.
The Culture:
AlohaCare employees have a passion for helping Hawai`i’s most underserved communities. Our caring culture is fundamental to our company-wide team approach to providing high quality services. We support our employees with a supportive and positive work environment, healthy work-life balance, continuous communication, and a generous benefits package.
AlohaCare’s leadership empowers and engages its employees by recognizing outstanding job performance and collaboration. We share organization-wide updates during quarterly All Staff meetings. We encourage participation in volunteer and educational opportunities. We put a high value on honesty, respect, and trust-building. We encourage open-door, two-way, and frequent communication.
AlohaCare’s comprehensive benefits package includes low-cost medical, dental, drug and vision insurance, paid time-off, 401k employer contribution, referral bonus and pretax transportation and parking program.
The Opportunity:
The Senior Paralegal will provide vital legal and administrative support for the organization. This role will focus on drafting and reviewing contracts, managing the contract lifecycle database, legal research, document preparation, regulatory compliance support, special projects, and general paralegal duties. The ideal candidate will have extensive experience in contract analysis, agreements review, and healthcare compliance knowledge with a sharp eye for risk and compliance issues.
Monitor, research, and summarize federal and state regulatory developments (e.g., CMS, state Medicaid); proactively communicate updates and support the Compliance team through preparation of concise summaries, reports, and regulatory analysis.
The Senior Paralegal is a key player in maintaining the organization’s legal efficiency while embodying the organization’s core values. This role reports to the Senior Vice President, Compliance Officer.
Primary Duties and Responsibilities:
Paralegal / Contracting 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.
- Assist in redlining contracts, summarizing key provisions, and ensuring 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.
Regulatory Affairs & Compliance Support
- 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.
- Assist 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.
- Assist in drafting, tracking, and maintaining organizational policies, procedures, and related documentation.
- Support compliance with corporate governance and licensing requirements.
General Responsibilities
- 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. Employees have access to AlohaCare data based on the data classification assigned to this job title.
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 Requirementss:
- 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.
Mental, Physical and Environmental Demands:
Salary Range: $61,000 - $83,000 annually
AlohaCare is committed to providing equal employment opportunities to all applicants in accordance with sound practices and federal and state laws. Our policy prohibits discrimination and harassment because of race, color, religion, sex (including gender identity or expression), pregnancy, age, national origin, ancestry, marital status, arrest and court record, disability, genetic information, sexual orientation, domestic or sexual violence victim status, credit history, citizenship status, military/veteran status, or other characteristics protected under applicable state and federal laws, regulations, and/or executive orders.
