Legal Specialist

Role Overview

JOB SUMMARY

The Legal Specialist supports the daily processes required for compliance with government regulations and client specifications, including accreditation. The position requires research of legislation, regulation, and guidance affecting the health care, insurance, and related industries. Assistance with monitoring internal training requirements and assistance with security protocols is regularly performed. The Legal Specialist will assist with the review of contracts as requested, including proofreading, suggested edits, and potential issue spotting. Assistance with responding to routine legal inquiries will occur regularly.

Dane Street’s success relies on individual and team contributions every day. We care for our customers, each other and Dane Street. It is the responsibility for all of us to maintain a positive working environment that promotes client satisfaction and results.

MAJOR DUTIES & RESPONSIBILITIES

• Licensure Applications: Provides assistance with assembly and submission of applications to state agencies for the granting or extension of state licensures, registrations, or other authorizations to conduct medical review activities.
• Legal Research: Gather, analyze, and summarize statutory, legislative, and background information on laws or regulatory guidance affecting Dane Street.
• Proofreading: Assisting the Vice President of Legal, Compliance and Regulatory Affairs or other personnel with the review of contracts and other prepared documents.
• Ad Hoc Projects: Leading or assisting with projects that arise involving an aspect of Dane Street’s business, including data gathering, research, or presentation production.
• Internal Data Tracking: Examples include review for expirations/auto renewals of contracts and discussion with the Vice President for any necessary action, tracking and updating of insurance data, assistance with certificate of insurance (COI) requests, updating certificate of authority expirations, and updating statistical data.
• URAC Assistance: Cite checking, proofreading, document management and preparation, and policy research.
• Web Based Training Compliance: Assistance with alerting applicable staff of required training and ensuring participation and completion of training.
• Committee Participation: Includes Quality Management Committee and roles including taking minutes, issuing follow-up messages and reminders to the other members of the committees and tracking progress on committee projects.
• Security Incidents: Assist in documenting and tracking information breach and other security incidents posing potential compliance exposure to Dane Street.
• Draft objections and other responses to routine subpoenas.
• Legal writing skills are required, including the use and understanding of standardized citations (e.g. MLA or Bluebook) of cases, statutes, regulations, and secondary legal sources.
• Provide routine Legal & Compliance department responses for interdepartmental projects (e.g. RFIs and RFPs).
• Review and, as needed, provide revision suggestions for company policies.
• Assistance with routine Credentialing requests for Legal and Compliance input or decisions.

Other duties & special projects, as assigned and based on business needs.****

Requirements

EDUCATION/CREDENTIALS:

Either a Juris Doctorate degree from an ABA accredited law school or a license to practice law in a United States jurisdiction is required.

3+ years of regulatory experience, legal assistant/paralegal experience, or a combination of both.

JOB RELEVANT EXPERIENCE:

Ability to identify potential operational issues and legal risks.

Legal writing is required. Use, understanding, and application of basic legal citations is necessary.

Business experience in a healthcare and/or insurance setting is preferred.

JOB RELATED SKILLS/COMPETENCIES:

Present exceptional communication skills with the development of a clear understanding of company business lines. Posses the ability to apply critical thinking, manage time efficiently and meet specific deadlines. Computer literacy and typing skills are essential. Fundamental legal writing and analysis skills are required.

WORKING CONDITIONS/PHYSICAL DEMANDS:

Any lifting, bending, traveling, etc. required to do the job duties listed above. Long periods of sitting and computer work.

WORK FROM HOME TECHNICAL REQUIREMENTS:

Supply and support their own internet services.

Maintaining an uninterrupted internet connection is a requirement of all work from home positions.

This job description is subject to change at any time.

Tech Stack

• Assembly

Benefits

Join our team at Dane Street and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including medical, dental, and vision coverage for you and your family. Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future. Apple equipment and a media stipend are provided for remote workspace.

ABOUT DANE STREET:

A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.