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Counsel, Healthcare Compliance
Refer job# PSMC149709
 
Counsel, Healthcare Compliance The candidate will be responsible for developing a deep understanding of Company regulatory obligations in various markets as they relate to non-emergency medical transportation, and providing the necessary guidance throughout the organization to implement those regulations. Will interact with regulators to discuss, clarify or negotiate on matters reflecting Company business objectives. You will also manage Company ongoing obligations to comply with healthcare laws and regulations including Anti-Kickback Statute, False Claims Act, HIPAA, Medicare and Medicaid regulations. This role will report to the Director of Healthcare Compliance. Interprets and analyzes laws and regulations from state Medicaid agencies, Centers for Medicare and Medicaid Services (CMS), HHS Office for Civil Rights, and Medicare Advantage Plans governing Company operations in this space. Provides strategic advice and guidance on implementing those laws and regs, working closely with the product, communications, sales and operations teams. Works closely with regulators in various jurisdictions to negotiate for favorable outcomes to compliance matters that support the company s business objectives. Maintains ongoing positive relationship with regulators. Works with Information Security and Privacy to educate workforce and maintain compliance with HIPAA. Works closely with legal and government relations to draft correspondence, comments, and position papers touching upon Company compliance matters. Administers licensure and application processes including provider enrollments in Medicaid, Medicare Advantage and Managed Medicaid Plans as required. Meets corporate compliance objectives by performing compliance risk assessments, identifying compliance gaps, and assisting with the development of corrective action plans as needed. Works closely with legal and government relations to recommend public policy strategies and operational impacts in the healthcare business. Keeps management, operational, and marketing stakeholders informed of healthcare compliance issues.

The candidate should have 6+ years of legal and compliance experience focusing on healthcare laws and regulations at a mid to large size law firm, government regulatory agency, or in-house at a healthcare provider or health insurance plan, with a J.D. from a top law school. Working with regulators and/or working at a start-up is not required, but preferred. Outstanding writing, research, negotiating, and interpersonal skills. Strong oral advocacy and presentation skills. Experience providing guidance on compliance requirements for a fast growing businesses on healthcare-related regulatory issues and putting systems into place to meet those requirements. Proven ability to work cross functionally and with upper management to achieve compliance objectives with support from internal business partners.
 
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