Apply on line at http://www.alohacare.org/Careers/Default.aspx

The Company:

AlohaCare is a local, non-profit health plan serving the Medicaid and Medicare dual eligible population. We provide comprehensive managed care to qualifying health plan members through well-established partnerships with quality health care providers and community-governed health centers. Our mission is to serve individuals and communities in the true spirit of aloha by ensuring and advocating access to quality health care for all. This is accomplished with emphasis on prevention and primary care through community health centers that founded us and continue to guide us as well as with others that share our commitment. As Hawaii’s third-largest health plan, AlohaCare offers comprehensive prevention, primary and specialty care coverage in order to successfully build a healthy Hawaii.

The Culture:

AlohaCare employees share a passion for helping Hawaii’s most underserved communities. This passion for helping and caring for others is internalized and applied to our employees through a supportive and positive work environment, healthy work/life balance, continuous communication and a generous benefits package.

AlohaCare’s leadership empowers and engages its employees through frequent diversity, recognition, community, and educational events and programs. AlohaCare has a strong commitment to support Hawaii’s families and reinforces a healthy work/home balance for its employees. Because AlohaCare values honesty, respect and trust with both our internal and external customers, we encourage open-door, two-way communication through daily interactions, employee events and quarterly all-staff meetings. AlohaCare’s comprehensive benefits package includes low cost medical, dental, drug and vision insurance, PTO program, 401k employer contribution, referral bonus and pretax transportation and parking program.

These employee-focused efforts contribute to a friendly, team-oriented culture which is positively reflected into the communities we serve.

Position Summary:

The Senior Paralegal will provide vital legal and administrative support for the organization. This role will focus on drafting and reviewing contracts, managing the contract lifecycle database, legal research, document preparation, regulatory compliance support, special projects, and general paralegal duties. The ideal candidate will have extensive experience in contract analysis, agreements review, and healthcare compliance knowledge with a sharp eye for risk and compliance issues. The Senior Paralegal is a key player in maintaining the organization’s legal efficiency while embodying the organization’s core values. This role reports to the Senior Vice President, Compliance and Quality.

Primary Duties & Responsibilities:

• Review, draft, and assist in the negotiation of vendor contracts, non-disclosure agreements (NDAs), business associate agreements (BAAs), confidentiality agreements, consulting contracts, and insurance certificates, other managed care contracts.
• Identify and flag key legal risks, compliance concerns, and business terms for review.
• Maintain an organized contract database and track key deadlines, and renewals.
• Assist in redlining contracts, summarizing terms, and ensuring consistency with corporate policies and regulatory requirements.
• Review documents and coordinate communication with outside counsel and internal teams.
• Ensures policies and procedures are reviewed for compliance with program regulations, insurance regulations, and regulatory requirements.
• Assist in drafting policies, procedures, and legal correspondence.
• Support the drafting, tracking and archiving of organizational policies.
• Lead document retention practices and provide guidance to staff.
• Support compliance with corporate governance and licensing requirements.
• Maintains and tracks laws and regulations, contract documentations, amendments, and various compliance measures.
• Conduct legal research on healthcare laws, contract interpretation, and industry best practices.
• Prepare memos, reports, and legal summaries for senior executives.
• Perform special projects, as assigned.

Required Competencies & Qualifications:

• Bachelor’s Degree (Preferred: Law or legal studies or Health Administration)
• Minimum of 3-5 years of paralegal experience, preferably in a managed care, healthcare, or insurance organization.
• Legal knowledge: Strong understanding of contract law and healthcare regulations.
• Strong written, verbal, and presentation skills for interacting with attorneys, executives, and stakeholders.
• Technical writing expertise.
• High sense of integrity.
• Ability to work independently and manage own work assignments with minimal supervision.
• Working knowledge of Microsoft Excel, Word, and PowerPoint.
• Proficient knowledge of spreadsheets/graphics, presentation, and databases.
• Strong analytical skills, communication skills, and relationship skills.
• Ability to work on multiple projects concurrently and prioritize tasks appropriately.
• Ability to read, analyze, and interpret complex documents including but not limited to new regulations, laws, etc.
• Ability to make effective and persuasive presentations on controversial or complex topics.
• Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions and deal with several abstract and concrete variables.

Preferred Qualifications:

• Paralegal certification (ABA-approved program) strongly preferred.
• Prior experience in contract negotiation and dispute resolution.
• Familiarity with CMS regulations, Stark Law, Anti-Kickback Statute, and HIPAA compliance.

Physical Demands/Working Conditions:

• Requires operation of computer workstation, including keyboard and video display terminal.
• Sedentary Work: Exerting up to 20 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Salary range: $61,000 - $83,000 annually

AlohaCare is committed to providing equal employment opportunity to all applicants in accordance with sound practices and federal and state laws. Our policy prohibits discrimination and harassment because of race, color, religion, sex (including gender identity or expression), pregnancy, age, national origin, ancestry, marital status, arrest and court record), disability, genetic information, sexual orientation, domestic or sexual violence victim status, credit history, citizenship status, military/veterans status, or other characteristics protected under applicable state and federal laws, regulations, and/or executive orders.