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Health Care Operational Counsel
Refer job# KHBU138984
 
Health Care Operational Counsel The candidate provides proactive legal advice and counsel on issues related to the dynamic CareAllies group and supports the products and services incorporated within the CareAllies book of business including supporting providers in providing value-based care through provider engagement services, ACO support, practice transformation, delivery of home based care services and support of provider organizations operating in a multi-payer environment. Will support the Business in addressing legal, operational and escalated regulatory compliance issues requiring legal intervention related to CareAllies products and services, with a focus on problem solving and solution based advice; will assist with the review, analysis and editing of contract documents such as non-disclosure agreements, business associate agreements, management services agreements, practice transformation agreements, and administrative services agreements; will provide legal support to CareAllies business regarding new market and product development and company strategy, organizational business projects and fulfillment of operational and strategic goals. Accountable for a working knowledge and expertise of state and federal laws and regulations pertaining to management of provider entities such as IPA s, CIN s and physician practices, laws and regulations related to provider incentive and gain sharing arrangements, state and federal requirements related to delegated entities and downstream provider networks, legal and regulatory requirements related to the creation and maintenance of clinically integrated networks, fully-insured and governmental product offerings, the Affordable Care Act, and federal and state privacy laws and regulations including the HIPAA Privacy and Security Rule. Collaborates with business, operational risk and compliance staff to identify known and potential regulatory, legal and business risks impacting CareAllies operations. Assist with the interpretation of federal and state laws to assess impact on CareAllies operations and strategy.

The candidate must have JD degree from accredited law school and Bar membership. Should preferably have 6-8 years corporate legal department or relevant law firm experience. Strong analytical skills are required. Familiarity with managed care products and (fully insured and governmental) downstream provider networks and regulatory requirements governing such environments is preferred. Strong drafting and contract writing skills, developed negotiating skills and the ability to work with a high degree of independence with demonstrated results is must. Exceptional track record of project and process management is essential. Strong experience in measuring and analyzing process as well as results, to identify opportunities for improvement is required.
 
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