Our client is searching for a passionate and experienced paralegal with a background in Healthcare. This is a direct hire full time psoitions with competatievv pay and benefits. This role is responsible for monitoring, and providing support on a variety of complex federal, state, county and city regulatory licensing compliance policies and procedures for the healthcare industry. Maintains records, compiles information and submits the necessary forms in order to keep licenses and permits active, and to ensure the timely submission of renewal forms and supporting documentation to regulatory agencies in order to guarantee licenses and license renewals. Responsibilities will also include credentialing and re-credentialing functions with a variety of Payers. Management and maintenance of pharmacy profiles on NCPDP and NPI websites.
MAJOR DUTIES AND RESPONSIBILITIES:
1. Manage licensing compliance requirements and permits for the six (6) branch pharmacies and two (2) home health agencies at all levels: federal, state, county and city, including but not limited to:
- a. State Board of Pharmacy
- b. Drug Enforcement Administration (DEA)
- c. Medicare
- d. Medicaid I MediCal
- e. County Business Licenses
- f. City Business Licenses
- g. Alarm Permits
- h. Clinical Laboratory Improvement (CLIA)
2. Maintenance of NCPDP and NPI websites uploading of new licenses/permits, ensuring demographic and Change of Ownership (CHOW), location and Pharmacist in Charge (PIC) information is submitted and current.
3. Manage and submit credentialing applications for new Payer contracts. Manage and track all requests for re-credentialing information and ownership disclosures as required.
SKILLS AND ABILITIES:
- Basic knowledge of business compliance regulatory framework
- Knowledge in all aspects of healthcare industry federal, state, county and city rules and regulations pertaining to the operations of home infusion pharmacies and home health agencies.
- Excellent writing skills, ability to communicate effectively with branch managers and governmental agencies processing personnel.
- Highly organized and excellent judgment and professionalism
- Ability to communicate with individuals at various levels and to handle sensitive information with discretion and utmost confidentiality
- Demonstrated ability to work with minimal supervision
- Ability to serve as a liaison with key internal stakeholders, Pharmacists in Charge (PIC), attorneys and external organizations
- Continuously monitors changes and evaluates specific activities that may have an impact on the current licenses: including but not limited to relocations, change of ownership, company name changes, dba's, and changes of Pharmacist in Charge (PIC). Submit documentation as required.
EDUCATION AND/OR EXPERIENCE:
Paralegal certificate and 4 years’ experience as Paralegal required
- Bachelor's Degree preferred
- At least 2+ years State Board licensing experience preferred (Pharmacy or any healthcare entity)
- At least 1+regulatory compliance and/or credentialing experience preferred
- At least 1+ years’ experience with State Medicaid filings preferred
What's in it for YOU!
- Great work environment
- Growth Opportunity
- Great Pay and Full Benefits starting day 1