- Company: Get A Job.ai
- Location: United States
- Salary: Pay not listed
Website Get A Job.ai
Represented by Get A Job.ai
About This Opportunity
Our talent team is representing a confidential healthcare consulting organization in their search for a Legal Review Specialist on a part-time, remote basis. This position supports federally funded healthcare programs and Medicare appeals operations, focusing on regulatory and legal analysis of appeal determinations and compliance matters.
Please note: This position is contingent upon contract award. Employment begins once the contract is officially activated.
Responsibilities
- Review appeal determinations, case files, and supporting materials for legal and regulatory sufficiency
- Analyze complex Medicare policy, statutory, and regulatory issues related to appeals and coverage determinations
- Advise internal stakeholders on interpretation and application of Medicare statutes, federal regulations, and agency guidance
- Support responses to government inquiries involving regulatory, legal, or policy-related matters
- Assist in preparation of materials for administrative hearings, adjudicatory reviews, and higher-level appeal proceedings
- Conduct legal and regulatory research to support appeal determinations and program operations
- Evaluate case documentation to ensure consistency with applicable legal and regulatory requirements
- Identify regulatory risks, compliance concerns, and policy implications
- Draft and review legal memoranda, policy analyses, issue papers, and written recommendations
- Collaborate with clinical reviewers, appeals analysts, and operational staff on complex regulatory issues
- Support quality assurance, audit readiness, and compliance review activities
- Monitor changes in Medicare regulations and agency guidance; communicate impacts to stakeholders
- Assist in development and maintenance of policies, procedures, and operational guidance
What We're Looking For
Required:
- Juris Doctor (JD) from an accredited law school preferred; Bachelor's degree required with equivalent legal, regulatory, or healthcare policy experience
- 7+ years of experience supporting Medicare, healthcare regulatory compliance, appeals, program integrity, policy analysis, or federal healthcare programs
- Experience with Medicare statutes, CFR interpretation, or CMS adjudicatory processes
- Strong analytical and legal writing skills
- Ability to interpret complex regulatory and policy materials
Preferred:
- Experience supporting CMS, OGC, or federal healthcare programs
How We Work With You
When you apply through Get A Job.ai, one of our recruiters will screen your qualifications and experience. If there's a strong match, we'll prepare and submit your profile to our client for consideration. Please do not contact the client directly—all communication and coordination will flow through our team to ensure a smooth process.
Pay
Pay details for this role will be discussed during the screening process and are based on experience level.
Equal Employment Opportunity: Get A Job.ai is committed to inclusive hiring practices. We evaluate all candidates based on qualifications and merit.
Apply with Get A Job.ai
A recruiter will review your profile and submit you to the client. Do not contact the client directly.
Apply through Get A Job.ai. A recruiter will review your profile and submit you. Do not contact the client directly.
Apply through Get A Job.ai. A recruiter will review your profile and submit you.
Explore Get A Job.ai online
Working in United States
The United States of America (USA), also known as the United States (U.S.) or America, is a country primarily located in North America. It is a federal republic consisting of 50 states and a federal capital district, Washington, D.C. The 48 contiguous states border Canada to the north and Mexico to the south, with the semi-exclave of Alaska in the northwest and the archipelago of Hawaii in the Pacific Ocean. The United States also asserts sovereignty over five major island territories and various uninhabited islands in Oceania and the Caribbean. It is a megadiverse country, with the world's th
Note: US observes a public holiday on Sep 7 — Labour Day.
🇺🇸 Relocation safety for US: Exercise Normal Caution — via Warnely, CC BY 4.0
National unemployment rate in US: 4.2% — via World Bank
National job openings rate: 4.4% — via BLS JOLTS
Private-sector wage growth (year over year): 3.1% — via FRED
National quits rate: 2.0% — via FRED (BLS JOLTS)
Weekly initial unemployment claims: 203,000 — via FRED
GDP per capita in US: $90,027 — via World Bank
Consumer price inflation in US: 2.9% (annual) — via World Bank
Real GDP growth in US: 2.2% (annual) — via World Bank
Average hours worked per year in US: 1,800 — via OECD
Job details above are provided by the employer/source. The sections on this page are compiled from public data sources with AI assistance.
Accommodations: if you need a workplace accommodation to apply for or perform this job, see ADA.gov or EEOC.gov for guidance on your rights and how to request one.
Listing facts
- Role Legal Review Specialist – Part-time
- Employer Get A Job.ai
- Location United States
- Type Part Time
- Pay (from listing) Pay not listed
- Posted September 6, 2026
- Apply by October 6, 2026
- Country United States
- Overview Full job description on this page (399 words)
Facts above come from this job record on Get A Job.AI — not copied from third-party review sites.
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