Attorney resources

Employer resources

General Counsel Consulting

General Counsel
Consulting
provided
exceptional
service in helping
my organization
recruit for a hard
to fill position.
They did extensive
work on the front
end to understand
our needs and
our culture and
began referring
highly qualified
candidates almost
immediately.

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

Related Jobs:

Pennsylvania - Director, Investment Advisor Compliance

Related Category Jobs:

Jobs for Law Students

Law Student - Law Firm in San Jose, CA
USA-CA-San Jose
File Clerk The candidate will be organizing and filing documents for client files. Creating compute.... [more]

Law Student - In-House in San Mateo, CA
USA-CA-San Mateo
Winter Intern ? Tax Services The candidate will serve as members of client service teams. Interns a.... [more]

Law Student - In-House in Chicago, IL
USA-IL-Chicago
Intern - Tax Services The intern will be exposed to a wide variety of projects and industries. Will.... [more]

Articles By
Harrison Barnes From
BCG Attorney Search

How to Answer the “Tell Me About Yourself” Interview Question

Why Most Attorneys Screw Up Interviews and Their Legal Careers

Attorney Recruiter Placements and Legal Recruiter Placements and Lateral Attorney Moves for the Week of April 01, 2024

Mastering the Interview Process: Insights from the BCG Attorney Search Interview Preparation Guide

The Story of BCG Attorney Search and What We Do for You that No One Ever Will in Your Legal Career

The Crucial Role of Business Plans in Law Firm Partner Success

Attorney Recruiter Placements and Legal Recruiter Placements and Lateral Attorney Moves for the Week of March 25, 2024

Attorney Recruiter Placements and Legal Recruiter Placements and Lateral Attorney Moves for the Week of March 18, 2024

Attorney Recruiter Placements and Legal Recruiter Placements and Lateral Attorney Moves for the Week of March 11, 2024

Attorney Recruiter Placements and Legal Recruiter Placements and Lateral Attorney Moves for the Week of March 04, 2024

Job Listing

Click here

Job of the Day

Legal Counsel for Beneficiaries; Proposition 19 & Property Tax Relief; Elder Law
Newport Beach California United States

"Certain beneficiaries and trustees lacking legal counsel that we fund trust loans for, generally for tax relief and property buyout purposes -- need help from an attorney.� Your fees are paid by the family trust.� Contact us ASAP..." � We are ...

Counsel Jobs > Corporate Counsel Of Managed Care Job in Pennsylvania > Corporate Counsel Of Managed Care

In House Legal Job Listings

YOUR WINDOW TO A WORLD OF OPPORTUNITIES

Corporate Counsel Of Managed Care

Refer job# VGUS148195

Corporate Counsel of Managed Care Responsibilities: Oversee and manage litigation, administrative proceedings and other regulatory proceedings or matters related to disputed payor claims. Work collaboratively on matters assigned to outside counsel engaged to represent or assist PMH, including review, direction and supervision of outside counsels legal work. Draft all required legal demand letters to payers as may be required by contract in the dispute resolution process. Represent PMH entities in Meet and Confer conferences to discuss and attempt to resolve disputes. Prepare and file cases for arbitration when warranted. Build relationships with key PMH Revenue Cycle, Managed Care (CRC), Case Management, Utilization Review, and other resources that have upstream impact on whether cases reach the legal action stage. Provide feedback based on experience and resolved cases to strengthen position in future disputes. Qualifications: A JD Degree or equivalent degree from a law school accredited by the American Bar Association. Admission to the State Bar of California (or eligibility under the Registered In-House Counsel provisions of the State Bar of California), and professional licensure in good standing without any instances of suspension, revocation, censure or other adverse events in any jurisdiction. Excellence in academic achievement. 3+ years of legal work experience in a law firm and/or in-house legal department involving the performance of managed care legal services for health plans, hospitals, health systems, providers, health care delivery organizations, and/or integrated delivery systems. Demonstrated excellent working knowledge and primary focus of prior work experience in managed care (federal, state and local laws, rules and regulations), including third party payor laws, the California Knox-Keene Act, privacy requirements, the Stark law and federal Anti-Kickback statute, other healthcare fraud and abuse laws, federal and state antitrust laws, and other laws impacting hospital-payor relations and physician-payor relations. Good working knowledge of other substantive legal areas and issues related to managed care and health care generally, including health care business and corporate transactions, hospital/physician/payor transactions, joint ventures, and mergers, acquisitions and dispositions. Good working knowledge of the key operational and strategic issues and challenges currently affecting hospitals, health systems, providers, health care delivery organizations, and/or integrated delivery systems. Demonstrated ability to identify legal risks, apply relevant law and organizational policies, and develop effective strategies for resolving or responding to the issues or risks. Excellent written and verbal communication skills, including the communication of complex legal and compliance concepts in a clear, concise and practical manner. Demonstrated ability to work closely and maintain good working relationships with and relate well to highly driven, diverse executives and personalities in an attorney-client setting. Strong interpersonal skills, ability to communicate and manage well at all levels of the organization and with staff at remote locations essential. Demonstrates sound judgment and make decisions based on accurate and timely analyses. High level of integrity and dependability with a strong sense of urgency and results-orientation. Action-oriented, entrepreneurial, flexible, and innovative approach to management. A savvy leader with proven team building skills. Capable of developing and motivating people. Possesses personal qualities of integrity, credibility, and commitment to organizations and clients mission.

	EMAIL TO COLLEAGUE	PERMALINK



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. Please be assured that none of your materials will be forwarded to any employer without your consent. Of course, all inquiries are kept strictly confidential.

Shoot for the moon. Even if you miss it, you will land among the stars.