Paralegal
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Job Location:
Washington, AR - USA
Monthly Salary:
Not Disclosed
Posted on:
06-11-2025
Vacancies:
1 Vacancy
Job Summary
Paralegal
ROLE
We need an experienced Legal Professional at the Centers for Medicare & Medicaid Services (CMS). CMSs Office of Hearings (OH) is responsible for adjudicating appeals and applications related to the Medicare Advantage Risk Adjustment Data Validation (RADV) and the Medicare Geographic Classification Review Board (MGCRB). In this role you will provide legal and adjudicative support to CMS Hearing Officers and Board Members including case review analysis legal research drafting memoranda and proposed decisions and managing case documentation in OHs Case and Document Management System (CDMS). This is a full-time opportunity. We can offer a competitive salary and a comprehensive benefits package.
Apply today!
RESPONSIBILITIES
REQUIRED SKILLS/EXPERIENCE
PREFERRED EDUCATION / CERTIFICATIONS
LOCATION
CLEARANCE
CLIENT
TRAVEL
WORK HOURS
EMPLOYMENT CLASSIFICATION
RELOCATION
West 4th Strategy is an Equal Opportunity (EEO) employer. All qualified applicants will receive consideration for employment without regard to race color creed religion gender sexual orientation ancestry national origin age marital status mental disability physical disability medical condition pregnancy political affiliation military or veteran status or any other basis prohibited by federal or state law.
Other Considerations: applicants will be subject to a background investigation. Individuals primary workstation is in an office area. The noise level in this environment is low to moderate. Regularly required to sit for extended periods up to 80% of the time; frequently required to move about to access file cabinets and use office equipment such as PC copier fax telephone cell phone etc. Occasionally required to reach overhead bend and lift objects of up to 10 lbs. Specific vision abilities required by this job include the use of computer monitor screens up to 80% of the time.
ROLE
We need an experienced Legal Professional at the Centers for Medicare & Medicaid Services (CMS). CMSs Office of Hearings (OH) is responsible for adjudicating appeals and applications related to the Medicare Advantage Risk Adjustment Data Validation (RADV) and the Medicare Geographic Classification Review Board (MGCRB). In this role you will provide legal and adjudicative support to CMS Hearing Officers and Board Members including case review analysis legal research drafting memoranda and proposed decisions and managing case documentation in OHs Case and Document Management System (CDMS). This is a full-time opportunity. We can offer a competitive salary and a comprehensive benefits package.
Apply today!
RESPONSIBILITIES
- Review and analyze appeal requests briefs motions and supporting documentation for completeness adequacy and jurisdiction under applicable CMS regulations
- Perform legal and regulatory reviews to determine the validity of hearing requests and identify procedural or substantive issues requiring Hearing Officer attention
- Draft legal memoranda bench memoranda and decision recommendations incorporating statutory and regulatory analysis citations and recommendations for disposition
- Support pre-hearing and hearing processes by scheduling conferences preparing notices and recording proceedings for CMS internal use
- Summarize hearing discussions track rulings and prepare written decision drafts consistent with CMS standards and legal precedent
- Prepare proposed final decisions for Hearing Officer or MGCRB review ensuring clarity accuracy and adherence to CMS legal and procedural requirements
- Review MGCRB applications for completeness and compliance and applicable wage index and reclassification criteria
- Conduct substantive reviews of hospital reclassification requests and prepare recommendations for MGCRB consideration
- Document and manage case actions communications and determinations in the OH CDMS to ensure accurate tracking and auditability
- Coordinate with CMS officials and the Office of the Attorney Advisor regarding post-decision actions appeals and final determinations
REQUIRED SKILLS/EXPERIENCE
- 3 years of experience drafting legal briefs and/or memoranda
PREFERRED EDUCATION / CERTIFICATIONS
- A.A. in Legal Studies (or higher) Paralegal certificate or equivalent
LOCATION
- Remote
CLEARANCE
- US Citizenship
CLIENT
- Centers for Medicare and Medicaid Services (CMS) Office of Hearings (OH)
TRAVEL
- No travel required.
WORK HOURS
- Full time 40 hours a week 8 hours a day
EMPLOYMENT CLASSIFICATION
- W2 Classification
RELOCATION
- Not eligible for relocation benefits.
West 4th Strategy is an Equal Opportunity (EEO) employer. All qualified applicants will receive consideration for employment without regard to race color creed religion gender sexual orientation ancestry national origin age marital status mental disability physical disability medical condition pregnancy political affiliation military or veteran status or any other basis prohibited by federal or state law.
Other Considerations: applicants will be subject to a background investigation. Individuals primary workstation is in an office area. The noise level in this environment is low to moderate. Regularly required to sit for extended periods up to 80% of the time; frequently required to move about to access file cabinets and use office equipment such as PC copier fax telephone cell phone etc. Occasionally required to reach overhead bend and lift objects of up to 10 lbs. Specific vision abilities required by this job include the use of computer monitor screens up to 80% of the time.
Required Experience:
Manager
Key Skills
- Legal Drafting
- Proofreading
- Google Docs
- Organizational skills
- Microsoft Outlook
- Microsoft Word
- Case Management
- Legal Research
- Research Experience
- Paralegal
- Filing
- Writing Skills
About Company
As a nation-wide provider of high-tech professionals, West 4th Strategy arms federal agencies and prime contractors with empowered professionals in data analytics, cybersecurity, systems integration, infrastructure management, and program management.
