Paralegal - Licensing & Regulatory

Overview

This role involves managing end-to-end company licensing and regulatory support activities focused on healthcare-related licenses and permits. The position requires preparing, submitting, tracking, and maintaining licenses across multiple states, ensuring compliance with federal and state regulations. The role reports to the Chief Compliance Officer and General Counsel and works closely with Executive Leadership, Operations, Quality, Compliance, and external agencies.

This is a fully remote position; however, candidates residing in AK, AR, CA, HI, ID, MD, NE, SD, UT, and WY are not eligible. Preference is given to candidates aligned with the Eastern Time Zone (EDT/EST) to ensure overlap with core clinical and operational teams.

Responsibilities

• Prepare, submit, and track applications for state substance use disorder treatment facility licenses across multiple states.
• Prepare, submit, and track applications for laboratory licenses across multiple states.
• Assist with accreditation, DEA, CMS, CLIA, and other state agency registrations, modifications, renewals, and maintain supporting documentation.
• Monitor license status, key dates, and renewal deadlines; maintain an accurate licensing calendar and proactively initiate renewals.
• Compile, organize, and verify required documentation (corporate, regulatory, quality, facility, ownership) for license submissions.
• Liaise with state and federal agencies, respond to inquiries, and resolve application issues or delays.
• Maintain organized electronic and physical files for all licenses, permits, registrations, and related correspondence.
• Coordinate with internal stakeholders (Operations, Quality, Legal, Finance, HR) to gather information for applications and renewals.
• Track and summarize regulatory or procedural changes impacting licensing requirements and notify management.
• Support internal and external audits/inspections by providing accurate and current licensing documentation.
• Process and respond to subpoenas.
• Support the legal team by conducting research on healthcare laws, regulations, and industry trends.
• Draft, review, and redline healthcare agreements including vendor contracts, employment agreements, NDAs, management services agreements, business associate agreements, and other commercial contracts.
• Draft, review, analyze, and organize documents related to litigation and transactional matters.
• Assist with healthcare regulatory compliance projects involving Medicaid, Medicare, Stark Law, Anti-Kickback Statute, EKRA, telemedicine requirements, HIPAA, HITECH, 42 CFR Part 2, and state privacy laws.
• Support employment law matters including organizing employment-related documents, assisting with policy updates, tracking legal requests, responding to employee claims or agency inquiries, and coordinating with HR.
• Perform administrative tasks and other duties as assigned.

Qualifications

Knowledge, Skills, and Abilities

• Strong attention to detail and accuracy in handling forms, dates, and documentation.
• Excellent written and verbal communication skills for interacting with agencies and internal teams.
• Strong organizational and time-management skills with the ability to manage multiple applications and deadlines concurrently.
• Excellent regulatory research skills.
• Proficiency with Microsoft Office (Word, Excel, Outlook) and Google Suite; comfortable working with document management or tracking systems.
• Ability to interpret instructions, application guides, and regulatory requirements and translate them into clear tasks.
• Professionalism, discretion, and ability to handle sensitive company and regulatory information.

Qualifications & Requirements

• Bachelor’s degree preferred, ideally in Paralegal Studies, Legal Studies, Healthcare Administration, Regulatory Affairs, or related field.
• Paralegal certificate from an accredited program strongly preferred or equivalent relevant experience in a paralegal/compliance role.
• Minimum 2–3 years of experience as a Paralegal, Licensing Specialist, or similar role.
• Prior experience with licensing in healthcare, pharmaceuticals, medical devices, or other highly regulated industries strongly preferred.
• Experience interacting with state boards (e.g., Boards of Pharmacy) or similar regulatory bodies is a plus.
• Familiarity with DEA registrations or controlled substance regulatory requirements is beneficial.
• Prior experience at a substance use disorder or behavioral health treatment provider is preferred.
• Access to reliable internet and telephone services with at least 50 Mbps download and 10 Mbps upload speeds and a strong WiFi signal at the remote work location.
• Must meet pre-employment requirements and maintain all applicable state and job-related background screening guidelines, which may include fingerprinting, drug testing, health screening, CPR/Basic First Aid, and license/credential verifications depending on state-specific requirements.

Location

• Fully remote position.
• Not available to residents of Alaska (AK), Arkansas (AR), California (CA), Hawaii (HI), Idaho (ID), Maryland (MD), Nebraska (NE), South Dakota (SD), Utah (UT), and Wyoming (WY).
• Preference for candidates aligned with Eastern Time Zone (EDT/EST).