Paralegal IV

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $55 - $86 / hour

⏱ Part Time

🟠 Senior

🔴 Lead

💼 Paralegal

👻 Ghost score 1%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Empower AI

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1989

🎖️ Defense

🏥 Healthcare

📦 Logistics

Defense • Healthcare • Logistics

Empower AI, formerly known as NCI, is a company that enhances the capabilities of public sector teams through advanced artificial intelligence solutions. With a focus on federal agencies, Empower AI leverages its extensive technical expertise to address complex challenges in both Civilian and Defense missions, enabling government leaders to boost workforce productivity and make informed decisions quickly. The company's offerings encompass a range of specialties, including AI, cybersecurity, software development, and cloud migration, aimed at facilitating meaningful transformation within government operations.

📋 Description

• Lead neutral legal and adjudicative support for CMS Office of Hearings activities, primarily Medicare Advantage Risk Adjustment Data Validation appeals • Research complex issues and synthesize multidisciplinary findings • Draft clear, defensible recommendations and proposed decisions for the CMS Hearing Officer • 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 and guide legal support staff • Coordinate with CMS and project leadership • Maintain compliant case records

🎯 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 • 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 • Juris Doctor degree from an accredited law school and active bar admission in a U.S. jurisdiction preferred • Experience with administrative hearings, appeals, adjudications, decision writing, or judicial clerkship work preferred • Experience supporting federal hearing officers or administrative law judges preferred • Direct experience with CMS appeals, Medicare Advantage, RADV, or healthcare regulatory adjudication preferred

🏖️ Benefits

• 2024 Military Friendly Employer recognition • Merit-based hiring and promotion decisions • Support for active-duty and veteran employees