Paralegal, Regulatory Compliance

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Full Time, Carrollton, TX

3 days ago Requisition

Salary Range: $33.65 To $41.14 Hourly

Come join an exciting and innovative company that puts the care back in healthcare!

At Kaba Fusion, our patients come from all walks of life and so do we. We hire GREAT people, period! Our culture celebrates and supports the differences that make us unique. Here, it doesn’t matter what your role is, your hard work and dedication is not only recognized but celebrated. Join us and find out why this is the place to excel and do your best work.

• Update and maintain initial filings for Medicare and Medicaid payors.
• Interpret applications, compile supporting documents, analyze requests, and submit applications.
• Support the Managed Care Department with ownership and disciplinary action review for a variety of payers.
• Maintain pharmacy profiles on NCPDP and NPI websites.
• Conduct research on application processes for each entity and state and keep the research up to date.
• Develop and maintain annual timelines and work plans using contracting software.
• Coordinate cross‑departmental updates with Licensing, Managed Care and Reimbursement teams.
• Develop and distribute internal communications regarding changes in Medicare and Medicaid.
• Review and renew surety bonds and coordinate issuance of certificates of insurance.
• Research special license projects and report on requirements, forms, fees, and timelines.
• Prepare and submit revalidations and changes to Medicare and Medicaid (e.g., address change, PIC change, officer change).
• Complete and file Medicare 855S DMEPOS and 885B HIT applications.
• Troubleshoot specific Medicaid issues.
• Oversee enrollment processes for Government Health Plans.
• Set up user accounts with Government, Commercial Health Plans and Medical Group payer portals.
• Assist Licensing team with permits for pharmacies and home health agencies at all levels.
• Update new licenses/permits and submit ownership and disciplinary action disclosures.
• Other duties as assigned.

• Basic knowledge of business compliance regulatory framework.
• Knowledge of federal, state, county and city rules and regulations for home infusion pharmacies and home health agencies.
• Excellent writing and communication skills.
• Strong judgment and professionalism.
• Ability to communicate with individuals at various levels.
• Excellent attention to detail.
• Ability to handle sensitive information with discretion and confidentiality.
• Demonstrated ability to work with minimal supervision.
• Strong organizational, prioritization and deadline‑management skills.
• Continuous monitoring of changes that may affect licenses.
• Proficient with Windows, Excel and Word.

• High School Diploma required.
• At least 2 years of State Board licensing experience preferred.
• At least 1 year of regulatory compliance and/or credentialing experience preferred.

• Competitive compensation.
• Benefits start on your first day of employment.
• 401(k) with 4% match – no waiting or vesting period.
• PTO, floating holidays, paid holidays.
• Company‑paid life insurance, short‑term disability.
• Employee Assistance program.
• Learning & Development programs.
• Perks, including discounts on travel, cell phone, clothing and more.

Join us and find out why this is the place to excel and do your best work.