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Associate General Counsel
Richmond Virginia United States

  Job Description Associate General Counsel, Legal   Job Family: Legal Job Title: Associate General Counsel ...

In House Legal Job Listings

Contracts Attorney
Refer job# WOZP146025
Contracts Attorney The candidate will serve as Contracts Attorney to assist General Counsel/Vice President, Legal Affairs with development, review, tracking and upkeep of contract management tasks for HPP. This position reports directly to the General Counsel/Vice President, Legal Affairs. Effectively and efficiently manage contract drafting, editing and negotiations & processes for tracking same in accordance with Company policies and procedures. Responsible to update all health plan contracts when necessary due to information changes, requirements based on regulations, standards, and/or Company protocol. Ensuring compliance with Company policies and procedures and regulatory requirements for contract processing, management, negotiations and maintenance/repository of contracts. Establish and maintain timely and accurate communication channels with other business units to ensure contract process is effective. Maintain contract management system to allow for collection of information related to NCQA, CMS, DHS, PID, DOH, internal business units, external or internal auditors, committees or workgroups. Conduct initial and periodic review of contracts relative to financial arrangements, service arrangements, reasonableness, term limits, and other applicable topics. Assist with other projects as needed.

The candidate should have a Bachelor's degree; Juris Doctorate degree from ABA-approved Law School; license to practice law in Pennsylvania. 5 + years experience in managed care setting in contracting or legal department of major health insurer. Knowledge of managed care, Medicaid and Medicare. Skilled in healthcare contracting, drafting, negotiating, and interpretation. Experience in medical-legal issues and laws, regulatory agencies, health insurance, and other national standards relative to the healthcare industry. Ability to handle multiple complex legal projects in a fast-paced environment. Demonstrated experience with health care contracting, provider and payor relationships, and health care regulatory structures including health care fraud and abuse laws and regulations, licensure and certification, healthcare information systems, and Medicare/Medicaid program requirements and reimbursement. Excellent communication, interpersonal and organizational skills. Strong conflict resolution aptitude, analytical skills, and independent decision making ability. Management experience.
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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