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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

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Counsel Jobs > Senior Counsel - Regulatory, Insurance, Medicare/medicaid, Managed Care Job in New York > Senior Counsel - Regulatory, Insurance, Medicare/medicaid, Managed Care

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Senior Counsel - Regulatory, Insurance, Medicare/medicaid, Managed Care

Refer job# WQCL155842

Senior Counsel - Regulatory, Insurance, Medicare/Medicaid, Managed Care Reporting to General Counsel, the counsel will provide strategic advice on how the company may meet its business needs while complying with applicable Medicare Advantage, Medicaid Managed Care, and state health insurance laws. Be responsible for primary legal counsel to the Chief Compliance Officer and the Compliance Department on the legal requirements Medicare Advantage and Medicaid Managed Care programs as well as state insurance laws and regulations. Provide legal advice on the company's licensure requirements, including HMO, PPO, TPA, and UR. Provide legal advice to the company's Privacy Officer and others on compliance with privacy and data security laws, including HIPAA. Research and analyze managed care and state insurance laws. Coordinate with the business, government relations, communications, and other cross-functional teams on multi-disciplinary issues. Mentor and supervise junior attorneys. The candidate must hold a Law degree (J.D. or equivalent) and Bar admission required with 10+ years of relevant legal experience, with 4+ years of experience practicing health law with a national law firm, and preferably with a strong record of in-house success. Experience advising managed care companies that participate in Medicare Advantage and Medicaid Managed Care programs. Prior experience advising managed care companies preferred. Interest in continuous quality improvement in the delivery of legal services is desired. Possess strong research skills and the ability to translate complex legal issues into practical and actionable advice and recommendations. Ability to handle complex legal matters with minimal oversight while escalating significant issues in a timely fashion required. Sound judgment, a high degree of professionalism, and a sense of urgency and commitment to meeting deadlines required. Communicates clearly, concisely, and persuasively with a variety of internal stakeholders (corporate business partners, team members, functional colleagues, etc.), works collaboratively, and builds effective partnerships. Proactive and solution oriented.

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