Paralegal - Payor Contracting

Full-Time
Day Shift
Department
CSS-Office Of The CLO
Shift Details
Day Shift, Monday-Friday; 8:00a-4:30p
Job ID
wd-JR113119
Posted

Paralegal - Payor Contracting

Join a team that delivers excellence.

Lehigh Valley Health Network (LVHN) is home to nearly 23,000 colleagues who make up our talented, vibrant and diverse workforce.

Join our team and experience firsthand what it's like to be part of a health care organization that's nationally recognized, forward-thinking and offers plenty of opportunity to do great work.

Imagine a career at one of the nation's most advanced health networks.


Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.


LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.


Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.

Hybrid Work Schedule


Summary
Works under the direction and supervision of Sr. Corporate Counsel, Managed Care Contracting to assist in all aspects of contract preparation process, the Clinical Integration Network (CIN) initiatives, and payor data release, dispute and compliance matters along with related filings and maintenance of tickler systems.  Acts as a representative of the department and the Network in communications with other departments, payors, external law firms, governmental agencies and the courts.

Job Duties

  • Under attorney's supervision provides initial contract, correspondence and litigation document drafting as assigned.
  • Schedules meetings, and preparation sessions, maintain, tickler file for work, and filing/negotiation deadlines.
  • Serves as representative of department in interactions with other departments, payers, outside law firms, governmental agencies and courts.
  • Maintains and produces logs of cases, contracts in process, CIN initiatives, payer related data release agreements and other legal work related data as requested by Management.
  • Manages data and information collection processes for the contract negotiation process.
  • Engaged in varying degrees for each paralegal on cost/expense documentation and reports


Minimum Qualifications

  • High School Diploma/GED
  • 3 years as a legal paralegal, operating in the capacity of a legal assistant/paralegal.
  • Knowledge of legal functions and procedural/substantive civil litigation.
  • Excellent communication skills, both written and verbal, with the ability to convey complex information clearly and
    succinctly.
  • Proficiency with MS office products and familiarity with electronic court dockets.
  • Ability to work in a fast-paced environment.
  • Strong attention to detail with an ability to work independently.


Preferred Qualifications

  • Associate’s Degree or Paralegal Certificate.


Physical Demands
Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.


Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.

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Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.

Discover more about our mission and values on our about page.

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