Mid Level Practice Assistant Jobs
Mid level practice assistant jobs call for professionals ready to own workflows end to end, guide junior staff, and make day-to-day decisions without close supervision. Openings run across Education, Healthcare & Medical Services, and Law & Legal Services, with 14% remote or hybrid availability, and employers like NYU Langone Health, Orlando Health, and Simmons University hiring at this level now.
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We are a Firm where people truly believe in what they do and strive to achieve the highest standards of performance and success.
This position is based in our Nashville office.
General Description:
We are seeking a Transactional Practice Assistant to join our team! Practice Assistants provide high-quality administrative support to a group of lawyers and professionals in a team environment, effectively and efficiently meeting Firm/client needs.
Key Responsibilities and Essential Job Functions:
- Communicate effectively and professionally with clients, lawyers, and co-workers via email, by telephone, and in person; answer telephone, providing responses to routine questions from clients and staff members, and/or route calls to appropriate lawyer or staff member; arrange conference calls and greet clients.
- Create, draft, format, edit, proofread, and manage Word documents, Excel spreadsheets, PowerPoint presentations; draft routine business correspondence, forms, and documents under the supervision of an appropriate lawyer/professional.
- Schedule domestic and foreign travel through Firm travel system, including flights, hotels, and/or car rentals.
- Prepare, organize, and process reimbursements, invoices, and check requests in a timely manner.
- Collect and prepare information to run conflict checks, open new client matters, and draft engagement letters, scope letters, and other required documents; provide guidance to lawyers to ensure completed forms are prepared and submitted properly.
- Learn client-specific billing guidelines or restrictions and consistently apply them to client invoices to ensure compliance and cost-effective practices.
- Open, prioritize, and distribute mail (both paper and electronic), coordinate mailings, deliveries, copying, scanning, and printing, when appropriate.
- Enter and manage work requests from lawyers in the Firm’s workflow tool and complete according to provided deadline(s).
- Perform routine electronic and paper filing in an organized manner for easy access; photocopy, scan, compile, and distribute documents; identify and coordinate available services provided by administrative departments, including office services, the IT Help Desk, document services, accounting, billing, and records.
- Perform all file maintenance, including saving documents to the document management system.
- Assist lawyers with time entry, billing, and collection, as needed.
- Operate independently to ensure completion of assignments, which may be complex in nature or require high-level production, in an accurate and timely manner. Produce a high volume of work assignments in an accurate and timely manner.
- Perform clerical duties for non-legal departments, as needed.
- Special projects and duties as assigned.
Required Skills:
- Advanced knowledge of Microsoft Office Suite and Adobe.
- Experience with document management systems.
- Experience with electronic signature software programs.
- Proficiency in core legal administrative assistant functions and advanced technical and communications skills.
- Ability to thrive in a fast-paced environment with demonstrated ability to coordinate multiple competing tasks and demands.
- Superb attention to detail, grammar, and punctuation, and the ability to articulate thoughts and effectively present innovative ideas and findings.
- Ability to take direction and work independently with little supervision.
- Ability to effectively work well with others.
- Effective and professional interpersonal and communication skills.
- Ability to write clearly and professionally, with excellent proofing skills.
- Strong work ethic with ability and commitment to maintain confidentiality.
Required Qualifications & Education:
- Bachelor's degree
- 4 – 5 years of experience supporting lawyers and paralegals with administrative or client-related tasks preferred.
Physical Requirements:
- Ability to sit or stand for extended periods of time.
- Moderate or advanced keyboard usage.
- Ability to lift and carry up to thirty pounds.
Benefits: Our goal is to promote a work environment in which individuals have access to the resources they need to be their best both professionally and personally, which includes resources that encourage individuals to focus on their health and well-being.
Below are the benefits we offer: comprehensive medical (PPO and HDHPs), dental and vision plans including coverage for domestic partners; life and AD&D insurance; short and long term disability insurance; tax-advantaged accounts for health care expenses, including FSAs and HSAs; FSAs for dependent care; health advocacy services; behavioral health and counseling resources for all family members; 401(k); profit sharing; backup dependent care; senior care planning support; resources for individuals with development disabilities and their caregivers; and paid holidays and other paid time off, including paid leave for new parents.
Holland & Knight is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth or related conditions, transgender status, and sexual orientation), national origin, age, disability, genetic information, veteran status or any other factor prohibited by law.
Applicants who are interested in applying for a position and require an accommodation during the process should contact ApplicantAccommodations@hklaw.com.
Personal Information collected from applicants will be used for the purpose of processing the application throughout any recruitment or employment process, as well as inclusion in a personnel file. Categories of data collected may include name, address, phone numbers, email, Social Security Number, and signature. Holland & Knight may collect further information if you consent to a background check. This includes criminal background, employment, and certifications. Please visit Legal Information Portal for Holland & Knight LLP’s privacy policies.
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Top Industries Hiring
- Education16
- Healthcare & Medical Services10
- Law & Legal Services1
Mid Level Practice Assistant Jobs: Frequently Asked Questions
How do I get a mid level practice assistant job?
Position your existing experience around ownership, not just task completion. Highlight times you managed a process independently, resolved a complex situation without escalating, or improved a workflow. Applications that show concrete contributions to practice efficiency, patient or client experience, or team coordination stand out. Tailor your resume to the specific setting, whether clinical, legal, or administrative, and match your language to the job posting.
Which companies hire mid level practice assistants?
Companies hiring mid level practice assistants right now include NYU Langone Health, Orlando Health, and Simmons University, based on current listings on Migrate Mate as of July 2026. Hiring at this level tends to come from established practices, multi-location health systems, and professional services firms that need experienced support staff who can operate with limited oversight.
Are there remote mid level practice assistant jobs?
Yes, though availability varies by setting and employer. About 14% of mid level practice assistant openings are remote or hybrid as of July 2026, with the strongest remote options appearing in administrative, billing, and coordination-focused roles rather than in-person clinical or front-desk positions.
How do I move up to a mid level practice assistant role?
Moving into a mid level role comes from building depth rather than breadth. Focus on taking full ownership of recurring processes, seeking out projects that require judgment rather than just execution, and documenting measurable results like efficiency gains or reduced errors. Consistent reliability over time, combined with the ability to guide newer colleagues, signals readiness for greater responsibility to most hiring managers.
Which industries hire the most mid level practice assistants?
Mid Level practice assistant roles concentrate in Education, Healthcare & Medical Services, and Law & Legal Services, based on current listings on Migrate Mate as of July 2026. These sectors drive hiring at this level because they rely on experienced support professionals to keep complex, high-volume operations running smoothly with minimal supervision.