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Melinda Burrows
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Energy Service Company
LLC
 

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Health Care Counsel
Refer job# NIND140613
 
Health Care Counsel The candidate provides proactive legal advice and counsel on issues related to the dynamic firm group and supports the products and services incorporated within the firm book of business including but not limited to supporting providers in providing value-based care through provider engagement services. Will support the Business in addressing legal, operational and escalated regulatory compliance issues requiring legal intervention related to firm 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 firm 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 firm operations. Assist with the interpretation of federal and state laws to assess impact on firm operations and strategy. Should preferably have 6-8 years corporate legal department or relevant law firm experience. Must have JD degree from accredited law school and Bar membership. 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 desired. Strong drafting and contract writing skills, developed negotiating skills and the ability to work with a high degree of independence with demonstrated results is needed. Strong experience in measuring and analyzing process as well as results, to identify opportunities for improvement is must.
 
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