Legal Analyst II

Overview

A not-for-profit organization specializing in healthcare and human services program delivery is seeking a legal professional to support the Chief Legal Counsel and Program Integrity leadership. The role involves providing legal and regulatory assistance related to investigations, appeals, hearings, and external stakeholder requests. The position offers experience in legal analysis, case preparation, and government regulatory frameworks, particularly within Medicare and Medicaid compliance.

Responsibilities

• Assist the Chief Legal Counsel in managing appeals, payment suspension rebuttals, revocations, and related administrative correspondence.
• Support legal review and participate in Administrative Law Judge (ALJ) hearings by contributing research, case preparation, and documentation.
• Provide investigative support by addressing regulatory and compliance questions during program integrity investigations.
• Compile and draft responses to Freedom of Information Act (FOIA) requests, congressional inquiries, subpoenas, and other external information requests.
• Participate in preparing and reviewing responses to Requests for Information/Action (RFIs/RFAs), ensuring accuracy and regulatory compliance.
• Coordinate with federal and state law enforcement agencies and serve as a liaison to CMS and provider legal counsel as directed.
• Develop Joint Operating Agreements with internal and external stakeholders under guidance.
• Attend meetings, maintain case files, and provide general administrative support to the legal team.
• Complete all required security, IT, and compliance training in accordance with organizational and regulatory requirements.

Requirements

• Juris Doctor degree required.
• Active law license required.
• 2 to 4 years of relevant work experience required; 5 to 7 years preferred.
• Ability to plan and arrange own work and collaborate with management to prioritize projects.

Compensation & Benefits

• Employment contingent upon successful completion of pre-employment background and drug screening.
• Drug-free workplace.

Equal Opportunity

The organization is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities.