Company Statement

For the last 80 years, EmblemHealth has been taking care of New York’s heart and soul, its people. Today, health care is more complex than ever. That’s why we’re at the forefront of change. We work alongside our customers to offer access to high-quality, affordable care, help navigate the health care experience, and make good health achievable; because everyone deserves to be taken care of. We deliver on our mission every day by living our values with our colleagues, members, clients and partners. It begins with caring and respecting all those we work with. We believe a culture of diversity and inclusion is vital to serve our unique and diverse customers. We seek for continues improvement and innovation and believe being agile and nimble is our advantage. We bring a strong sense of partnership to every relationship – internally and externally. The EmblemHealth family of companies offers competitive health, welfare, and retirement benefits as well as incentive pay plans and more.

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Manager & Professional
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2004Z Requisition #
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Assists and provides paralegal support for a broad range of legal matters for in house counsel department.  Areas of support includes: legal research and writing, assisting in audits, reviews and investigations, drafting legal documents, and managing projects/cases, document management, and reviewing and preparing filings. The role may include supporting corporate governance activities including taking minutes, reviewing and drafting policies and procedures, preparing agenda and supporting materials.  Position will require interaction with other corporate departments.


Responsibilities:

  • INVESTIGATES
    • Investigates and organizes facts required to support litigation/disputes
    • Gathers information from various sources—documents/interviews
    • Fact-finding for responses to claims and contract issues
  • RESEARCH, ANALYSIS AND DRAFTING
    • Conducts legal research (e.g., sources of authorities, recorded judicial decisions, legal articles and treatises, regulations, Medicaid and Medicare manuals and guidelines)
    • Acts within federal and state statutes and regulations
    • Drafts solid legal documents and claims responses 
      • Drafts contracts and contract-related correspondence, such as term letters
      • Drafts court documents for hearings, arguments to present, discovery demands
  • REPRESENTS INTEREST OF KEY STAKEHOLDERS
    • Interacts with retained outside counsel
    • Makes recommendations, engages in negotiation and settlement discussions 
    • Supports other corporate departments such as Human Resources, Risk Management, Marketing, or the Risk Retention Group
    • Appears at hearings on behalf of the Company
  • PROJECT MANAGEMENT
    • Manages all legal projects to meet necessary requirements and deadlines
      • Prepares reports of pending/closed matters
    • Maintains overall case management, document review and control
      • Coordinates meetings
      • Organizes and maintains documents/responses in an electronic filing system
  • In addition to legal projects and cases needed project management, other projects could include: 
    • Supporting aspects of governance and meetings, committee schedules, policies and reviews, corporate level correspondence triage 
    • Coordinates the contracting process
    • Prepares applications and renewals for licenses and permits, and government filings
    • Provide some administrative support to the department
  • Maintains litigation calendar for upcoming deadlines, court, and attorney schedules

Qualifications:

  • Preferred: 4 year degree and paralegal training program
  • Knowledge of state and federal laws required
    • Preferred: Prior experience in healthcare required 
  • Knowledge of health provider networks; provider contracts; and benefit plans required
  • Desirable: Litigation experience in a law firm or a corporate legal department required
    • Familiarity with legal procedures and rules of the court required
  • High level of interpersonal skills--oral and written communication skills (e.g. legal documents/responses) required
  • High level of organizational skills required
  • Proficient in:  MS Word/Excel/Outlook required

EEOC Statement

We are committed to leveraging the diverse backgrounds, perspectives and experiences of our workforce to create opportunities for our people and our business. We are an equal opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or any other characteristic protected by law.

Sponsorship Statement

Depending on factors such as business unit requirements, the nature of the position, cost and applicable laws and regulations, EmblemHealth may provide work visa sponsorship for certain positions.

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