Paralegal - Estate Recovery Program - Remote

Overview

At ForHealth Consulting we partner with purposeful organizations to make the healthcare experience better: more equitable, effective, and accessible. We aim to transform the health care experience to one that addresses the needs and concerns of the individual and is inclusive of all.

The Third Party Liability & Benefit Coordination (TPL&BC) business teams at ForHealth Consulting focus on identifying and coordinating benefits and performing cost avoidance, recovery, lien verification, and asset verification activities for state Medicaid programs, including MassHealth. As a member of the TPL Estate Recovery Unit, you would assist in recovering funds from estates of certain MassHealth members after their death. Estate recovery collections are deposited into the state’s general fund, which pays for programs and services benefitting everyone in Massachusetts.

If you are interested in using and applying your estate planning, probate, and real estate closing knowledge in a remote work environment with state benefits, this is an excellent opportunity for you.

GENERAL SUMMARY OF POSITION:

Under the general direction of the Specialty Programs Unit Manager, the Specialist II serves as a resource to the Center for Healthcare Financing (CHCF) staff primarily in matters concerning estate recovery. This individual will ensure the integrity of collection outcomes, according to federal and state estate recovery regulations.

In Short

• Refine and enhance operations for estate recovery.
• Research federal and state statutes related to estate recovery.
• Maintain a caseload and follow established protocols.
• Calculate total value to be recovered from Medicaid cases.
• Represent Medicaid program interests in recovery efforts.
• Request claims history printouts from Medicaid databases.
• Investigate and document case-related matters.
• Provide training to support staff.
• Maintain case records as required.
• Communicate with various entities regarding estate recovery cases.

Requirements

• Bachelor’s Degree in Business Administration or equivalent experience.
• 3 years related experience.
• Paralegal certificate or equivalent experience.
• Strong oral and written communication skills.
• Knowledgeable of Massachusetts Statutes related to Estate Recovery.
• Understanding of Medicaid regulations.
• Proficient in Microsoft Office and web-based solutions.
• Effective negotiation skills.

Benefits

• Work in a purposeful organization focused on healthcare improvement.
• Remote work environment with state benefits.
• Opportunity to apply legal knowledge in a meaningful way.
• Collaborative team environment.
• Professional development opportunities.