Paralegal - Estate Recovery Program; Primarily Remote

Explore the Possibilities and Advance with Us.

You can view all open jobs by clicking here or use the following search form to find jobs that suit your specific career interests.

When you join the UMass Chan Medical School team, you join us in advancing together to improve the health and well‑being of our diverse communities throughout Massachusetts and across the US and the world. Together, we lead in education, research, health care delivery, and public service. Your life’s work is more than a career. It’s an expression of your passion, intellect, skill, and drive.

UMass Chan’s commitment to excellence, innovation, competitive benefits, and work‑life integration will allow you to build a professionally rewarding career as we work together to better or improve the health of people around the globe.

Job Number
:
Category
:
Administrative Professional
Location
:
Westborough, MA
Shift
:
Day
Exempt/Non‑Exempt
:
Exempt
Business Unit
:
For Health Consulting
Department
:
For Health Consulting - Specialty Programs - W407642
Job Type
:
Full‑Time
Num. Openings
: 2
Post Date
:
Sept. 19, 2025
Work Location
:
Hybrid
Salary Minimum
: USD $62,000.00/Yr.
Salary Maximum
: USD $72,000.00/Yr.

At For Health 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 For Health Consulting focus on identifying and coordinating benefits and performing cost avoidance, recovery, lien verification, and asset verification activities for state Medicaid programs, including Mass Health. As a member of the TPL Estate Recovery Unit, you would assist in recovering funds from estates of certain Mass Health members after their death.

Estate recovery collections are deposited into the states general fund, which pays for programs and services benefit ting 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.

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.

• Continue to refine and enhance current operations, implementing innovative methods to identify new cases, verify claims and recover payments originally paid by Medicaid and/or other state funded programs based on federal and state statutes and regulations.
• Research, maintain and understand compilation of all Federal and State statutes and regulations pertaining to Third Party and Estate Recovery to ensure Medicaid is the payer of last resort.
• Maintain a caseload as assigned, following established protocols.
• Identify benefits paid by Medicaid and calculate the total value to be recovered in each case.
• Represent the best interest of the Medicaid program consistent with the goals and objectives of CHCF.
• Request and produce claims history printouts including all service reports from Medicaid history databases for recipient payment history.
• Investigate and document all case related matters and relevant financial and medical history in order to support a claim against the probate estate or third party settlements of a Medicaid member.
• Provide training of support staff.
• Maintain and update Recovery training manual.
• Maintain all case records as required for an established time period.
• Communicate and collaborate with probate courts, attorneys, hospitals, insurance companies and other relevant entities to insure all Medicaid related Estate Recovery cases are referred to the unit and processed accordingly.
• Conduct legal research through the use of public databases and web based applications and prepare legal memoranda and other case related…