Description:

Schedule Details/Additional Information:
Monday – Friday, Remote

Major Responsibilities:
  • Delivers legal services to the organization and works directly with leadership of the organization outside the Legal Department as directed by the leader of the functional team within the Legal Department.
  • Understands relevant business objectives and identifies and delivers effective business and legal solutions (i.e., “business aware” solutions) while protecting the system's interests and mitigating legal and reputational risk, instilling a culture of responsibility and ethical behavior.
  • Advises the leader of the functional team within the Legal Department and leadership of the organization outside the Legal Department, as appropriate, on all legal matters related to the assigned function, identifying responsible effective solutions to business and legal issues.
  • Contributes to material strategic imperatives of the department and the functional team at the direction of the leader of the functional team.
  • As directed by the leader of the functional team, assists in planning, designing, developing, and implementing the legal function within the functional team.
  • Assists in the assessment and management of outside legal relationships related to the assigned function, assesses the talents and roles of outside legal counsel, retains outside counsel as required at the direction of the leader of the functional team, and oversees the performance of outside counsel.
  • Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business.

Licensure, Registration, and/or Certification Required:
Attorney licensed to practice law issued by the state in which the team member practices.

Education Required:
Doctorate Degree in Law.

Experience Required:
  • 8-10 years of relevant experience in health law advising hospitals, payers, and/or physician practices on matters involving reimbursement.
  • Experience advising, counseling, or working with health care operations teams on issues involving population health, value-based care, compliance, revenue cycle, provider contracting, and/or health plan matters is strongly preferred.
  • Managed care, provider contracting, and governmental payer expertise, including Centers for Medicare and Medicaid Services (CMS) conditions of participation and requirements;
  • Serving as strategic counsel and legal advisor in support of managed care, provider, and payer arrangements for major health systems and/or health insurance plans;
  • ?Complex healthcare regulatory issues relating to healthcare transactions and revenue cycle management;

Knowledge, Skills & Abilities Required:
  • Ability to analyze corporate contracts, legal agreements, and risk management.
  • Ability to effectively leverage the use of outside counsel while controlling costs.
  • Ability to work effectively with governmental and other regulatory agencies to protect the best interests of the system.
  • Excellent written and verbal communication and interpersonal skills and the ability to communicate effectively with all levels of employees and other stakeholders, which is necessary to collaborate with staff/management/executives/other organizations.