Report to: General Counsel
845 Jackson St, San Francisco, CA 94133
About this role
This position interfaces with all levels of stakeholders, a diverse group of health care providers, patients and others, including but not limited to, hospital senior leaders, physicians, allied health professionals, physician office administrators, vendors, health plans/payers and downstream providers, and other external parties to assist in handling a wide range of legal and risk management issues. Must be able to exercise sound, independent judgment and decision making.
Essential Duties and Responsibilities
- Assist with the filing of administrative appeals and documentation to health insurers and governmental payers;
- Prepare a variety & complex legal documents, such as physician and non-physician agreements (at the paralegal skill level), utilizing templates and standard provisions approved by Chinese Hospital legal department. In addition to agreements, documents may include, but are not limited to, corporate documents, forms, government filings, health plan credentialing’s, and legal memoranda.
- Review various types of Managed Care agreements and provide recommendations on language only; will be part of the negotiation team.
- Work with hospital senior leaders in reviewing all vendors’ agreements in a timely manner.
- Maintain legal files in electronic filing system, as instructed, and ensure proper indexing and filing of legal documents. Work with hospital senior leaders to renew/terminate services prior to the renewal date specify in the agreements.
- Effectively conduct legal research and analysis of applicable laws using various resources, including electronic databases and research tools.
- Facilitate and expedite response to discovery requests. Draft responses to discovery and draft motions and briefs in response to subpoenas for in-house or outside attorney review.
- Direct and coordinate release of records, e.g., medical, employment, financial and business, in response to subpoenas, Court Orders, attorney requests, internal and external investigations and other inquiries.
- Respond to questions and provide assistance hospital management personnel on questions relating to subpoenas, claims, suits, investigations, CHA policies & procedures, etc.
- Weigh multiple, complex factors and arrive at conclusions and make recommendations in line with CHA mission, vision, values and goals.
- Draft policies and procedures based upon government guidelines, rules and regulations.
- Effectively communicate, both orally and in writing, with internal and external parties.
- Use good judgment in interactions with stakeholders, knowing when it is appropriate to escalate issues or concerns to the supervisors.
- Assist with drafting and updating contract templates, enhancing record maintenance and sharing, and actively supporting organizational initiatives.
- Demonstrate ability to work in fast-paced environment, managing multiple projects simultaneously, and meeting ongoing deadlines.
- Bachelor’s degree in relevant field of study and paralegal certificate; or
- Associate degree in paralegal studies or related field and two (2) years’ relevant work experience; or
- Paralegal certificate and two (2) years’ relevant work experience in health care industry.
- Paralegal certificate preferred but not required.
- Proficiency or ability to become proficient using technology tools (whatever legal related system we are having at the hospital)
- Strong oral and written communication skills.
- Legal knowledge appropriate for the specialty for which the paralegal is assigned, e.g. healthcare regulation and operations, labor and employment law, real estate law, e-discovery, etc.
- Analytic skills and ability to identify key legal issues and ability to proactively communicate such legal issues to supervising attorney.
- Demonstrates a commitment to service, organizational values, and professionalism through appropriate conduct and demeanor at all times, acting with discretion, maintaining the confidentiality of privileged or protected information, and supporting positive relationships with other teams/departments.
While performing the duties of this job, staff is regularly required to sit, stand, walk, talk and/or listen. He/she uses his/her hands to do computer work, write reports, do equipment set-up/cleaning/storage, clerical support, etc. He/she will be using the phone frequently. Good vision is needed to be able to read schedules, enter accurate data, etc. He/she must have good general health and demonstrate emotional stability so as to carry out the above-enumerated duties.
- Able to lift up to 30 pounds
- Use proper body mechanics when handling equipment
- Standing, walking and moving 50% of the day
Complies with Chinese Hospital Compliance Handbook including Code of Ethics and all statutes, regulations, guidelines applicable to federal and state programs. Responsibilities include, following the guidelines and reporting suspected violations of any statute, regulations, agreements or guidelines applicable to all healthcare programs.