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Energy Service Company
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Counsel Jobs > Associate General Counsel (corporate Office) Job in Arizona > Associate General Counsel (corporate Office)

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Associate General Counsel (corporate Office)

Refer job# ZIES140199

Associate General Counsel (Corporate Office) The candidate: Provides advice and counsel to the healthcare-related departments including, but not limited to, Provider Services, Medical Management, Program Integrity, and Claims. Will draft, review and participate in negotiating contracts with providers and other organizations with a goal of achieving acceptable risk levels. Identifies and analyzes legal issues (including conducting legal research, identifying new or emerging areas of risk, etc.), presents clear recommendations, and ensures legal compliance. Investigates, researches and provides general legal advice on a broad range of issues arising from operations. Reviews and develops documents and contracts as necessary including provider agreements, business associate agreements, transactions involving electronic health records, telehealth, and others as needs arise. Assists in providing legal advice to departments and committees throughout on all health law issues, including fraud and abuse, privacy and security, and peer review privilege. Drafts and reviews other miscellaneous legal documents and correspondence. Researches current issues and developments related to government health care programs, health insurance and impact of existing and proposed healthcare regulations. Performs legal research and prepares memoranda on other legal issues as assigned. Assists with the development and monitoring of internal regulatory compliance procedures. Reviews marketing materials, responses to grievances, routine and priority correspondence, and internal and external communications documents. Functions on standing and ad hoc committees as a representative of the Legal department including to, committees responsible for firm s peer review, quality, and credentialing programs. Assists with training and implementation to ensure legal compliance with requirements. Reviews and revises Company policies and procedures. Ensures that Company employees and committee members are aware of and in compliance with applicable laws and regulations. Educates staff and committee members on legal requirements as appropriate. Advises senior leadership of the legal ramifications of past and proposed company actions. Performs other duties as assigned. Regular and reliable attendance is required. Should have experience with regulatory matters, including Medicare and Medicaid and conditions of participation in federal healthcare programs, anti-kickback laws, self-referral laws and HIPAA. Experience in fraud and abuse work and experience with corporate and transactional matters for health care providers is preferred. JD degree from an accredited law school License to practice in the State of Arizona 4+ years legal experience in healthcare or related field. Should have excellent written and verbal communication skills. Must have experience advising managed care administrators, health plans, or healthcare providers. Should preferably be familiarity with government-funded healthcare programs. Prior experience with federal government contracting is a plus. Should preferably have experience reviewing, drafting, and negotiating commercial contracts, including technology agreements.

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