四级法务助理
Paralegal IV
Overview
Empower AI 是面向政府的 AI。Empower AI 为联邦机构领导人提供工具，以提升其员工的潜力，并通过一条明确的路径实现有意义的转型。总部位于弗吉尼亚州雷斯顿，Empower AI 利用三十年的经验解决医疗、国防和民用任务中的复杂挑战。我们经过验证的 Empower AI 平台® 为客户提供了切实可行、可持续的转型路径，使其能够根据自身的实际情况、工作方式和现有资源实现真正的转型。结果是政府员工的创造力和生产力呈指数级增长。如需更多信息，请访问 www.Empower.ai。
Empower AI 很荣幸被 Viqtory（《G.I. Jobs》出版商）评为 2024 年军事友好雇主。该称号体现了公司对雇佣和支持现役军人和退伍军人员工的承诺。
Responsibilities
为 CMS 听证办公室的听证活动提供中立的法律和裁定支持，主要负责 Medicare Advantage 风险调整数据验证（RADV）上诉。研究复杂问题，综合多学科发现，并为 CMS 听证官起草清晰、可辩护的建议和拟议决定。这是一项兼职职位。
关键职责：
- 审查 RADV 上诉请求、简报、动议、听证记录和支持文件。
- 研究并应用法规、CMS 指导文件、政策、程序和先例。
- 起草和审查法律备忘录、命令、通知、建议和拟议决定。
- 评估管辖权、程序性和实质性问题，并上报重大风险或缺陷。
- 将法律、医学、编码和案件管理的发现整合到中立且有充分依据的建议中。
- 提供最终质量审查，指导法律支持人员，与 CMS 和项目领导协调，并维护合规的案件记录。
- Qualifications
- 要求：
- 法律研究、法律助理研究、健康政策、公共管理或相关领域的学士学位，或同等教育和经验。
- 10 年以上法律、监管、合规、行政上诉或医疗保健政策方面的逐步负责的工作经验。
- 5 年以上起草或实质性审查法律简报、备忘录、建议、拟议决定、命令、意见或类似分析性工作成果的经验。
- 熟悉 Medicare 或 Medicaid 法律、医疗保健上诉、管理护理或监管领域。
查看英文原文
Overview
Empower AI is AI for government. Empower AI gives federal agency leaders the tools to elevate the potential of their workforce with a direct path for meaningful transformation. Headquartered in Reston, Va., Empower AI leverages three decades of experience solving complex challenges in Health, Defense, and Civilian missions. Our proven Empower AI Platform® provides a practical, sustainable path for clients to achieve transformation that is true to who they are, what they do, how they work, with the resources they have. The result is a government workforce that is exponentially more creative and productive. For more information, visit www.Empower.ai.
Empower AI is proud to be recognized as a 2024 Military Friendly Employer by Viqtory, the publisher of G.I. Jobs. This designation reflects the company’s commitment to hiring and supporting active-duty and veteran employees.
Responsibilities
Lead neutral legal and adjudicative support for CMS Office of Hearings activities, primarily Medicare Advantage Risk Adjustment Data Validation (RADV) appeals. Research complex issues, synthesize multidisciplinary findings, and draft clear, defensible recommendations and proposed decisions for the CMS Hearing Officer. This is a part time position.
Key Responsibilities:
- Review RADV appeal requests, briefs, motions, hearing records, and supporting documentation.
- Research and apply statutes, regulations, CMS guidance, policies, procedures, and precedent.
- Draft and review legal memoranda, orders, notices, recommendations, and proposed decisions.
- Evaluate jurisdictional, procedural, and substantive issues and escalate material risks or deficiencies.
- Integrate legal, medical, coding, and case-management findings into neutral, well-supported recommendations.
- Provide final quality review, guide legal support staff, coordinate with CMS and project leadership, and maintain compliant case records.
Qualifications
Requirements:
- Bachelor’s degree in legal studies, paralegal studies, health policy, public administration, or a related field, or equivalent education and experience.
- 10+ years of progressively responsible legal, regulatory, compliance, administrative appeals, or healthcare policy experience.
- 5+ years drafting or substantively reviewing legal briefs, memoranda, recommendations, proposed decisions, orders, opinions, or comparable analytical work products.
- Knowledge of Medicare or Medicaid law, healthcare appeals, managed care, or regulatory oversight.
- Demonstrated strength in complex legal research, neutral analysis, decision writing, quality review, communication, organization, and deadline management.
- Proficiency with Microsoft Office and legal, document, or case-management systems; ability to obtain required suitability and system access.
Preferred Qualifications:
- Juris Doctor degree from an accredited law school and active bar admission in a U.S. jurisdiction.
- Experience with administrative hearings, appeals, adjudications, decision writing, or judicial clerkship work.
- Experience supporting federal hearing officers or administrative law judges.
- Direct experience with CMS appeals, Medicare Advantage, RADV, or healthcare regulatory adjudication.
About Empower AI
All hiring and promotion decisions at Empower AI are based on merit to bring the best talent available to contribute to our firm’s overall success. It is the policy of Empower AI not to discriminate against any applicant for employment, or employee because of age, color, sex, disability, national origin, race, religion, or veteran status. Empower AI is a VEVRAA Federal Contractor.
Pay Band Min
USD $55.88/Hr.Pay Band Max
USD $86.49/Hr.Originally posted on Himalayas