Medical Malpractice Defense Paralegal: Trial Prep & Records

Lewis Brisbois; St. Louis (MO); Hybrid; USD 60,000 - 80,000; Full time

Job summary

Lewis Brisbois is seeking an experienced Medical Malpractice / Long-Term Care Defense Paralegal to support a high-volume defense practice in St. Louis, MO. The role collaborates with attorneys handling medical negligence, nursing home and assisted living litigation from pre-suit through trial.

The ideal candidate has 3–5 years paralegal experience in defense litigation, familiarity with regulatory frameworks, and proficiency with litigation support tools. Hybrid work arrangement offered.

Qualifications

• Paralegal certificate or degree preferred; equivalent professional experience considered.
• 3–5 years of paralegal experience in medical malpractice and/or long-term care defense litigation (insurance defense strongly preferred).
• Familiarity with nursing home/assisted living regulatory frameworks (state survey process, CMS/OSHA standards) a strong plus.
• Proficiency with litigation support and e-discovery tools (Relativity, iManage, Trial Director, or similar).

Responsibilities

• Manage full litigation lifecycle support for medical malpractice and long-term care defense matters, including case intake, discovery, depositions, and trial preparation.
• Analyze, organize, and summarize voluminous medical records, chronologies, charts, and facility documentation (MARs, care plans, incident reports, survey/citation history).
• Coordinate with expert witnesses, including record production, CV/report tracking, and deposition logistics.
• Draft and manage discovery responses, subpoenas, and medical record requests/authorizations.
• This position has an annual billable requirement of 1,600 hours.

Skills

Litigation support

Education

Paralegal certificate or degree

Tools

Relativity

iManage

Trial Director

Job description

Lewis Brisbois is seeking an experienced Medical Malpractice / Long-Term Care Defense Paralegal to support a high-volume defense practice in St. Louis, MO. The role collaborates with attorneys handling medical negligence, nursing home and assisted living litigation from pre-suit through trial.

The ideal candidate has 3–5 years paralegal experience in defense litigation, familiarity with regulatory frameworks, and proficiency with litigation support tools. Hybrid work arrangement offered.