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GCC
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Melinda Burrows
Deputy General Counsel
- Litigation and
Compliance, Progress
Energy Service Company
LLC
 

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Health Plan Corporate Counsel
Refer job# PWFX135592
 
Health Plan Corporate Counsel The candidate will report to the VP Assistant General Counsel. Will manage complex legal projects and providing appropriate advice that is informed by realistic risk assessment. Provide legal support for various departments and cross-disciplinary teams, such as provider network relations, claims processing, customer service, marketing, product development, corporate shared services, and regulatory affairs. Negotiate, draft, and interpret health care network provider agreements such as physician, medical group, hospital, and pharmacy related agreements. Provide legal guidance and support to in connection with responses to requests for proposals, and other expansion activities. In collaboration with compliance professionals, provide counsel regarding data privacy issues including HIPAA. In collaboration with compliance professionals and other in-house counsel, monitor and interpret state and federal regulatory requirements and interacting with regulators to ensure the company's regulatory compliance. Should be a member in good standing of a State Bar. Must have strong academic credentials and 5-12 years of legal experience in law firm or in-house settings, ideally with demonstrated expertise in health insurance and managed care. There is a strong preference for lawyers with substantial experience in the Medicare and Medicaid programs, and with healthcare provider contracting. Periodic travel may be required.
 
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This particular job is currently not active. However, since our clients regularly share with us similar and other job openings, we strongly recommend that you submit your resume. We shall review your resume and get in touch with you as soon as a suitable vacancy comes up to further discuss your interest in exploring the opportunity. Assisting you is our highest priority.

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