Description review
Paralegal IV
Empower AI Inc. · United States · back to the listing
HR standards
55/100
needs work
Title ↔ description
52/100
needs work
Reads as
Legal Counsel
81% confident
What this role officially is
corporate lawyer — ESCO, the EU occupation classification
Corporate lawyers provide legal consulting services and representation to corporations and organisations. They give advice on matters relating to taxes, legal rights and patents, international trade, trademarks, and legal financial issues arising from operating a business.
Also known as: business solicitor, corporate attorney, patent lawyer, trademark lawyer, corporation lawyer, intellectual property lawyer
How others title the same work
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What the listing never says
- 16 bullet points. Long requirement lists deter qualified candidates, who read them as hard gates. Scope clarity
- No location or timezone policy stated, so a candidate cannot tell where they may work from. Scope clarity
The listing, marked up
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+ years1 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
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+ years1 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