Compliance and Regulatory Paralegal - Healthcare

We are seeking a dedicated Compliance & Regulatory Paralegal to join our corporate support team. Our team supports our ABA therapy Learning Centers and our sister company's hospice locations throughout the southeast.

This position will focus on regulatory compliance across our ABA and hospice service lines, with an emphasis on Medicare and Medicaid requirements.

Who is Highlights Healthcare?

Highlights Healthcare provides diagnosis and early intervention ABA therapy services to bring meaningful and positive change to children with autism. We specialize in serving young learners and families with Medicaid benefits. We believe every child can achieve great things, and we are guided by family-centered principles that demonstrate dignity and respect.

Why you should consider a position with Highlights:

• Competitive pay, commensurate with experience
• Full time employment
• Benefits include Paid Time Off (PTO), Health, Dental, and Vision Insurance, Employee Assistance Program (EAP), Flexible Spending Account (FSA), Health Savings Account (HSA), 401K
• Supportive/collaborative work environment
• Growing company committed to clinical excellence and its mission
• Ensure compliance with federal, state and local regulations
• Ensuring compliance with applicable laws, regulations, and internal policies
• Support provider credentialing and recredentialing, including initial applications, verifications, and ongoing monitoring
• Assist with Medicare and Medicaid enrollments and compliance.
• Coordinate and maintain state and local business licenses
• Monitor and support compliance related to waivers and regulatory programs
• Conduct legal and regulatory research related to healthcare compliance
• Identify and mitigate legal and financial risks
• Development and implementation of company policies and procedures

POSITION OVERVIEW

Responsibilities / Essential Functions:

• Maintain the integrity and confidentiality of files and records
• Comply with Highlights Healthcare's vision, mission, and values

QUALIFICATIONS

• Graduate of an accredited college or university, preferred
• Juris Doctor (JD), Paralegal Certificate, or LL.M. (Highly Recommended)
• 3-5 years of experience in paralegal support
• Adherence to laws and best practices with regard to customers and data
• Experience with Medicare and Medicaid regulations, preferred but not required.
• Experience with CAQH, provider enrollment systems, and licensing process, preferred but not required.
• Ability to perform in a fast-paced, team environment
• Excellent knowledge of MS Office
• Highly organized with attention to detail; results driven
• Excellent time management and high productivity
• Strong, polished communication and customer service skills – written and verbal

The above tasks reflect the essential functions and other job functions considered necessary of the job identified and shall not be construed as a detailed description of all work requirements that may be inherent in the job or assigned by supervisory personnel. The job description is used as a guide only and not inclusive of responsibilities and job duties.

Highlights Healthcare is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. In addition to federal law requirements, Highlights Healthcare complies with applicable state and local laws governing nondiscrimination in employment. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

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