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Counsel Jobs > Browse Jobs > Health Care Counsel Jobs

In House Legal Job Listings
YOUR WINDOW TO A WORLD OF OPPORTUNITIES
 
Welcome to the job listings section of General Counsel Consulting. We are constantly updating our jobs seven days a week. As a firm dedicated to in-house search and placement, our ability to forge strong relationships with top-rated companies around the world allows us to offer our candidates a breadth of opportunities we believe is unrivaled.
 
We are pleased that your assessment of options has led you to General Counsel Consulting, and we invite you to browse our website to learn more about our firm and the career opportunities we offer. If you would like to be considered for an in-house attorney position, feel free to submit your resume.
 
If you are an employer looking to hire an in-house counsel, please click here to contact us and submit your opening.
 
 

California - Hospital Health Plan Compliance Officer

Walnut Creek CA Hospital Health Plan Compliance Officer
The candidate will serve as the Hospital and Health Plan Compliance Officer, the Privacy Officer, and as a member of the Medical Center Leadership team. Will be responsible for the strategic development, implementation and evaluation of compliance management systems at the Medical Center, including contract hospitals, contract services, and other facilities. Analyze legal, regulatory, licensing and accreditation requirements and their impact on operations and oversee the development of compliance risk mitigation and corrective action plans. Ensure that controls are in place to guarantee privacy and security, to identify fraud, waste and abuse and to ensure that state and federal regulations are addressed. Collaborate with Medical Center leadership to ensure that operating procedures, systems and standards align with compliance requirements and controls and that staff is trained on these controls. Create and manage detailed audits of Health Plan and Hospital managed services. Develop strong collaborative leadership relationships with TPMG, external regulatory agencies and accreditation bodies, and use these relationships to manage risks and establish priorities and plans to address these risks. Ensure that the Medical Center has systems in place to achieve compliance by development of compliance management systems (such as training, policies, procedures, monitoring and auditing, among others) across all functions. Assist managers to adopt a culture of compliance in their daily operations. Oversee the development, implementation and evaluation of corrective action plans and responses to internally and externally identified compliance issues. Create and manage detailed on site audits of Health Plan and Hospital managed services. Co-lead the Medical Center Compliance Committee with TPMG partner and provide direction in establishing legislative and regulatory compliance strategy. Develop an audit plan and dashboard to communicate completion of corrective actions to senior leadership. Serve as the Privacy Officer and oversee systems to ensure the protection and security of member and patient health information. Ensure the integrity of the regional hotline process and conduct investigations to resolve compliance issues and complaints. In conjunction with Medical Center and Regional leaders, ensure that medical center service delivery changes meet requirements of state and federal regulators as well as billing requirements of Medicare and other federal coverage guidelines. Oversee medical center responses to external regulatory agencies such as CMS and the Federal Office of Civil Rights. Manage identified privacy breaches to ensure that all reports are filed, root cause analysis is performed and that controls are initiated to prevent further loss of protected health information. Provide oversight to the implementation of revenue cycle functions and ensure the remediation of Site of Service, Scope of Practice and billing/documentation issues. Responsible for identifying risk areas in the revenue cycle, including accurate coding and documentation. Work with Regional groups and HIM managers to implement compliance coding and documentation practices. Ensure that appropriately credentialed providers are supplying services to health plan and government sponsored groups. Lead education and implementation of new state and federal laws affecting care delivery and health plan operations.

The candidate should have a Bachelor's degree or equivalent in health care administration, business or public health administration, operations research, nursing, economics or other related field. Master's degree in Business, Health Care, Public Administration, J.D. or related field preferred. Must have 8-10 years of experience in hospital operations or multifaceted health care systems and multi-provider settings. Experience in revenue cycle, program development and strategic planning is required. Certified in Healthcare Compliance (CHC) or other equivalent compliance certification preferred. Should have knowledge of accreditation and licensing requirements including: The Joint Commission, NCQA, Knox Keene Act, CMS, Cal-OSHA, HIPAA, MEDI-Cal regulations and standards. Legal 8 - 10 Full-time 2013-03-22

Kentucky - Medicaid Compliance Advisor

Louisville KY Medicaid Compliance Advisor
The candidate will analyze data, provide research services, and provide advice to minimize compliance risk exposure to the company. Will be part of a team who will develop and maintain key relationships both internally with company operational leaders as well as externally with the State Medicaid Officer, CMS and other regulators. Review and analyze market documents and data to identify what can be used to evidence meeting regulatory standards. Define regulatory and contract requirements to be interpreted, monitored and audited by appropriate Departments. Coordinate and manage a standard set of information relating to regulatory standards. Perform assessments, develop action plans, and provide guidance to operations groups. Build relationships with responsible market contacts and external regulators. Serve as a translator between business leaders and State Medicaid Departments, assisting with the interpretation of the intention of the guidelines. Manage day to day interaction with outside regulators. Coordinate on-site audits, working with the regulators during their visits. Post site audits and negotiate findings to mitigate potential fines and sanctions. Provide oversight and monitor corrective action plan development. Meet established expectations and takes responsibility for achieving results; encourage others to do the same. Consistently model and inspire high levels of integrity, lives up to commitments, and takes responsibility for the impact of one's actions. Effectively leverage resources to create exceptional outcomes, embraces change, and constructively resolves barriers and constraints. Understand oneself, effectively manages emotions, listens and communicates with respect, and builds trusting relationships.

The candidate should have a Bachelor's degree or equivalent relevant experience. A J.D. degree is desired. Must have 2-5 years of experience in Health Plan Compliance. Advanced experience working in a Compliance related field is needed. Should have experience working with regulatory agencies, including state departments of health insurance and CMS. Must be knowledgeable in process improvement and metrics development. Should be knowledgeable in regulations governing health care industries. Legal 2 - 5 Full-time 2013-03-15

Minnesota - Vice President of Health Policy

Minnetonka MN Vice President of Health Policy
The candidate will serve as Health Reform, Affordable Care Act (ACA), and general health policy subject matter expert for company. Will understand key provisions of the law and regulations and communicate business impact and opportunities to Community and State health plan and functional leads on a regular basis. Create and lead a small team focused on health reform implementation for Community and State that assures compliance with ACA, and develop, evolve and execute a comprehensive work plan for health reform readiness in 2013 and 2014. Represent Community and State on broader Group reform readiness and policy development issues, notably health insurance exchange strategy and implementation with the Employer and Individual team, and ACA policy development with all Group business segments. Support health plans in advocacy to states on strategies to deploy ACA. Regularly engage, educate and monitor the progress of key business partners (e.g. benefit operations, network development, etc.) to support a successful implementation of the ACA Medicaid expansion in 2014. Create and update a policy analysis capability within Community and State as it relates to the ACA with particular focus on Medicaid expansion options under the ACA, the tax on insurers and the intersection between Medicaid and the Exchanges. Work closely with Group Government Affairs on policy development and execution. Represent Community and State with external health policy groups, legislators, and regulators to advocate for favorable market conditions and market expansion opportunities. Perform similar functions for Community and State related to other future health care policies and regulations. Report to the Chief of Staff for Community and State.

The candidate should have an undergraduate degree or equivalent experience. Law degree and prior policy or legislative experience strongly preferred. Must have 10+ years of experience working with or advising on Healthcare Government programs with 5+ years of experience in legal, legislative, or public policy domains. Knowledge of the political and rule making process needed. Experience working in politics or government is an asset. Travel may be required. Legal 10 - 15 Full-time 2013-03-08

District of Columbia - Vice President of Health Policy

Washington DC Vice President of Health Policy
The candidate will serve as Health Reform, Affordable Care Act (ACA), and general health policy subject matter expert for company. Will understand key provisions of the law and regulations and communicate business impact and opportunities to Community and State health plan and functional leads on a regular basis. Create and lead a small team focused on health reform implementation for Community and State that assures compliance with ACA, and develop, evolve and execute a comprehensive work plan for health reform readiness in 2013 and 2014. Represent Community and State on broader Group reform readiness and policy development issues, notably health insurance exchange strategy and implementation with the Employer and Individual team, and ACA policy development with all Group business segments. Support health plans in advocacy to states on strategies to deploy ACA. Regularly engage, educate and monitor the progress of key business partners (e.g. benefit operations, network development, etc.) to support a successful implementation of the ACA Medicaid expansion in 2014. Create and update a policy analysis capability within Community and State as it relates to the ACA with particular focus on Medicaid expansion options under the ACA, the tax on insurers and the intersection between Medicaid and the Exchanges. Work closely with Group Government Affairs on policy development and execution. Represent Community and State with external health policy groups, legislators, and regulators to advocate for favorable market conditions and market expansion opportunities. Perform similar functions for Community and State related to other future health care policies and regulations. Report to the Chief of Staff for Community and State.

The candidate should have an undergraduate degree or equivalent experience. Law degree and prior policy or legislative experience strongly preferred. Must have 10+ years of experience working with or advising on Healthcare Government programs with 5+ years of experience in legal, legislative, or public policy domains. Knowledge of the political and rule making process needed. Experience working in politics or government is an asset. Travel may be required. Legal 10 - 15 Full-time 2013-03-08

Illinois - Counsel

Lake County IL Counsel
The candidate will handle a variety of business transactions and provide legal, regulatory and compliance counsel to US proprietary pharmaceuticals division. Responsible for compliance with applicable corporate and divisional policies and procedures. Serve as Counsel for one or more pharmaceutical brands and frequently interact with and provide substantive advice to marketing, medical affairs and regulatory affairs departments concerning a broad range of legal, regulatory and compliance issues, including FDA regulations, False Claims Act, Anti-Kickback Statute, OIG guidance, the PhRMA Code, the Sunshine Act, Foreign Corrupt Practices Act and competition law in connection with product labeling, promotional and non-promotional activities, marketing strategies, sales compensation, government reimbursement, and interactions with healthcare professionals. Responsible for preparing, reviewing and negotiating complex commercial agreements, 3rd party vendor agreements, service agreements, consulting agreements and other corporate agreements. Provide legal advice and assistance for the development of policies and training, and conduct training. Resolve routine legal matters in practice area with direct supervision as needed from more experienced attorneys. Assist more experienced attorneys in resolving complex legal issues on cross-functional projects. Develop knowledge of Abbott's business and supported client areas. Keep abreast of changes in laws that affect client areas. Resolve legal issues using negotiation skills and legal expertise. Help select and direct the work of outside counsel, define project objectives and manage project.

The candidate should have a J.D. degree and appropriate licensure to practice law in Illinois as an in-house counsel. Must have 5-7 years of experience in health care law, and a record of demonstrated success in serving as a business partner and counseling clients on a wide range of health care issues at a major law firm or corporation without requiring substantial oversight and guidance from a managing attorney. Experience in FDA advertising/promotion regulations and health care laws compliance/fraud and abuse laws is required. Prior experience in the health care industry in an in-house position is preferred. Legal 5 - 7 Full-time 2013-03-07

Texas - Senior Counsel, Regulatory

Dallas TX Senior Counsel, Regulatory
The candidate will report to an Assistant General Counsel. Will analyze potential compliance issues and provide regulatory guidance to hospitals, outpatient centers and physician practices. Practice independently and have direct interaction with hospital administration, home office leaders, other counsel as well as government agencies. Work with home office departments such as compliance, quality, audit and others on special projects.

The candidate should have a J.D. degree from an ABA accredited institution and license to practice law, preferably in Texas. Must have 5+ years of experience in healthcare law, preferably with law firm experience. Should be proficient in federal healthcare program requirements and hospital compliance program obligations. Regulatory experience in the following areas would be beneficial: Federal healthcare program Reimbursement, Stark, Antikickback, EMTALA, HIPAA, Conditions of Participation and Joint Commission requirements. Legal 5 - 7 Full-time 2013-03-02

Rhode Island - Senior Legal Counsel - Healthcare

Woonsocket RI Senior Legal Counsel - Healthcare
The candidate will advise internal business partners on health care regulatory, marketing and contractual issues. Will provide legal advice and support to inquiries and requests. Review and analyze applicable statutes and regulations. Draft and/or review contracts, licenses and other materials. Review and monitor ongoing programs and operations, including marketing programs and initiatives. Serve as a subject matter expert to the Legal Department, Marketing Department, Government Relations, Compliance and other business units. Report to the Senior Legal Counsel.

The candidate should have a J.D. degree, preferably from a highly-regarded law school. Must have 7+ years of legal experience focused on health care regulatory law. Should have strong knowledge of health care law, with a preference for familiarity with issues relevant to health care providers. Law firm experience with some in-house and/or government experience preferred. Litigation and/or privacy law experience is desired. Legal 7 - 9 Full-time 2013-02-27

California - Assistant General Counsel and Practice Group Manager - Government Programs Practice Group

Oakland CA Assistant General Counsel and Practice Group Manager - Government Programs Practice Group
The candidate will collaborate effectively with the General Counsel, Deputy General Counsel, other PGMs, and Regional Counsels to provide collective leadership of the legal department. Will ensure horizontal and vertical communication and collaboration within the department necessary to provide high quality, integrated legal services that protect company, meet company's business objectives and achieve high levels of customer satisfaction. Establish and maintain effective customer and interdepartmental relationships. Ensure the sufficiency, alignment, and efficient allocation of legal resources. Collectively manage the legal department's performance against metrics that the leadership may develop over time. Promote continuous quality improvement, leadership development, professional development, and succession planning. Handle the legal department's administrative, financial, and governance functions, including budgets, reserves, approvals, reporting, recruiting, etc. Cultivate and manage relationships with customers, including agreements for the most efficient and valuable use of legal resources.

The candidate must have 10+ years of experience as a practicing attorney, primarily in health law. CA Bar membership is required. Should be a recognized (externally and/or internally) as an expert in one or more specialties within the health law area. Experience handling complicated legal issues with serious risks and with successful outcome is required. Legal 10 - 15 Full-time 2013-02-16

Washington - Regulatory Compliance Counsel Regulatory

Seattle WA Regulatory Compliance Counsel
The candidate will oversee the Corporate Compliance Program and review and evaluate compliance issues/concerns within the organization. Will ensure that all members of the organization are adhering to and are in compliance with the regulatory policy, procedure, and standards as described by the business and required by applicable laws, regulations, policies, and guidance. Manage day-to-day operation of the program. Develop, initiate, maintain, and revise policies and procedures for the general operation of the Compliance Program and its related activities to prevent illegal, unethical, or improper conduct. Develop and periodically review and update Standards of Conduct to ensure continuing currency and relevance in providing guidance to management and employees. Collaborate with other departments to direct compliance issues to appropriate existing channels for investigation and resolution. Respond to alleged violations of rules, regulations, policies, procedures, and Standards of Conduct by evaluating or recommending the initiation of investigative procedures. Develop and oversee a system for uniform handling of such violations. Act as an independent review and evaluation body to ensure that compliance issues/concerns within the organization are being appropriately evaluated, investigated and resolved. Monitor, and as necessary, coordinate compliance activities of other departments to remain abreast of the status of all compliance activities and to identify trends. Identify potential areas of compliance vulnerability and risk. Develop/implement corrective action plans for resolution of problematic issues, and provide general guidance on how to avoid or deal with similar situations in the future. Provide reports on a regular basis, and as directed or requested, to keep senior management informed of the operation and progress of compliance efforts. Ensure proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required.

The candidate should preferably have J.D. or other Master's level degree or equivalent combination of education, training and experience. License to practice law is strongly preferred. Should preferably be Certified in Healthcare Compliance (CCH) or equivalent, Certified in Healthcare Research Compliance (CHRC) or equivalent, or Certified IRB Professional (CIP). Must have 6+ years of experience in a health care in-house legal or compliance department. Should also have 5+ years of experience in a management role within a healthcare or clinical research organization with 3+ years of experience overseeing Corrective And Preventive Action plans, working with Change Control boards in the implementation of change to policy and procedure, and directly working with regulatory agencies. Should have demonstrated working knowledge of regulatory affairs related to clinical research and compliance. Must build and maintain a working knowledge of: applicable health care laws, regulations, policies, and guidance including 21 CFR Part 11 Compliance and OFCCP and EEO compliance; legal and compliance terminology, concepts, and processes; operational, financial, compliance, quality assurance, Information, Technology, and human resource procedures and laws, regulations, policies, and guidance; and research and corporate compliance issues and related laws, regulations, policies, and guidance. Legal 6 - 8 Full-time 2013-02-13

Texas - Counsel - Outpatient Services

Dallas TX Counsel - Outpatient Services
The candidate will oversee and assist with due diligence of target facilities. Will identify acquisition issues to report to Senior Counsel and assist in issue resolution prior to closing. Act as liaison and manage relationships with outside counsel, consultants and company personnel. Provide support to Outpatient center contracting efforts. Manage acquisition process to ensure completion of closing and pre/post-closing items. Assist Senior Counsel with operational and regulatory legal analyses for the department. Assist with licensure, accreditation, and Medicare/Medicaid enrollment matters for the department. Support OSD service line acquisition, development and on-going operations in a rapidly expanding outpatient department. Oversee and assist with due diligence of target facilities. Identify acquisition issues to report to Senior Counsel and assist in issue resolution prior to closing. Assist with review and preparation of contracts for various department service lines. Act as liaison and manage relationships with outside counsel, consultants and company personnel. Manage acquisition process to ensure completion of closing and pre/post-closing items. Assist Senior Counsel with operational and regulatory legal analyses for the department. Assist with licensure, accreditation, and Medicare/Medicaid enrollment matters for the department. Ensure compliance with Corporate Outpatient center governance requirements. Communicate with other legal counsel to ensure consistency of legal advice across the company. Coordinate with other departments as necessary in connection with on-going projects. Must have 2-5 years of experience as a healthcare attorney, preferably at a nationally recognized law firm. Transactional and licensure experience a plus. Should be licensed to practice law in one or more of the states where company conducts business. Legal 2 - 5 Full-time 2013-02-13
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In-House Corporate Attorney
In-House,InSync Healthcare Solutions
Location : Tampa Florida United States

In-House Corporate Attorney   The Qualifacts+Credible and InSync Legal Team is seeking an experienced attorney with two (2) to three (3) years of general corporate and healthcare experience for a Corporate Counsel position in our new office in ... + read more

sep 15, 2023

 1 2 3 
 
California - Hospital Health Plan Compliance Officer
Refer job# HZ1K25988
 
Hospital Health Plan Compliance Officer
The candidate will serve as the Hospital and Health Plan Compliance Officer, the Privacy Officer, and as a member of the Medical Center Leadership team. Will be responsible for the strategic development, implementation and evaluation of compliance management systems at the Medical Center, including contract hospitals, contract services, and other facilities. Analyze legal, regulatory, licensing and accreditation requirements and their impact on operations and oversee the development of compliance risk mitigation and corrective action plans. Ensure that controls are in place to guarantee privacy and security, to identify fraud, waste and abuse and to ensure that state and federal regulations are addressed. Collaborate with Medical Center leadership to ensure that operating procedures, systems and standards align with compliance requirements and controls and that staff is trained on these controls. Create and manage detailed audits of Health Plan and Hospital managed services. Develop strong collaborative leadership relationships with TPMG, external regulatory agencies and accreditation bodies, and use these relationships to manage risks and establish priorities and plans to address these risks. Ensure that the Medical Center has systems in place to achieve compliance by development of compliance management systems (such as training, policies, procedures, monitoring and auditing, among others) across all functions. Assist managers to adopt a culture of compliance in their daily operations. Oversee the development, implementation and evaluation of corrective action plans and responses to internally and externally identified compliance issues. Create and manage detailed on site audits of Health Plan and Hospital managed services. Co-lead the Medical Center Compliance Committee with TPMG partner and provide direction in establishing legislative and regulatory compliance strategy. Develop an audit plan and dashboard to communicate completion of corrective actions to senior leadership. Serve as the Privacy Officer and oversee systems to ensure the protection and security of member and patient health information. Ensure the integrity of the regional hotline process and conduct investigations to resolve compliance issues and complaints. In conjunction with Medical Center and Regional leaders, ensure that medical center service delivery changes meet requirements of state and federal regulators as well as billing requirements of Medicare and other federal coverage guidelines. Oversee medical center responses to external regulatory agencies such as CMS and the Federal Office of Civil Rights. Manage identified privacy breaches to ensure that all reports are filed, root cause analysis is performed and that controls are initiated to prevent further loss of protected health information. Provide oversight to the implementation of revenue cycle functions and ensure the remediation of Site of Service, Scope of Practice and billing/documentation issues. Responsible for identifying risk areas in the revenue cycle, including accurate coding and documentation. Work with Regional groups and HIM managers to implement compliance coding and documentation practices. Ensure that appropriately credentialed providers are supplying services to health plan and government sponsored groups. Lead education and implementation of new state and federal laws affecting care delivery and health plan operations.

The candidate should have a Bachelor's degree or equivalent in health care administration, business or public health administration, operations research, nursing, economics or other related field. Master's degree in Business, Health Care, Public Administration, J.D. or related field preferred. Must have 8-10 years of experience in hospital operations or multifaceted health care systems and multi-provider settings. Experience in revenue cycle, program development and strategic planning is required. Certified in Healthcare Compliance (CHC) or other equivalent compliance certification preferred. Should have knowledge of accreditation and licensing requirements including: The Joint Commission, NCQA, Knox Keene Act, CMS, Cal-OSHA, HIPAA, MEDI-Cal regulations and standards.
 
EMAIL TO COLLEAGUE  PERMALINK
 
Kentucky - Medicaid Compliance Advisor
Refer job# IPT025881
 
Medicaid Compliance Advisor
The candidate will analyze data, provide research services, and provide advice to minimize compliance risk exposure to the company. Will be part of a team who will develop and maintain key relationships both internally with company operational leaders as well as externally with the State Medicaid Officer, CMS and other regulators. Review and analyze market documents and data to identify what can be used to evidence meeting regulatory standards. Define regulatory and contract requirements to be interpreted, monitored and audited by appropriate Departments. Coordinate and manage a standard set of information relating to regulatory standards. Perform assessments, develop action plans, and provide guidance to operations groups. Build relationships with responsible market contacts and external regulators. Serve as a translator between business leaders and State Medicaid Departments, assisting with the interpretation of the intention of the guidelines. Manage day to day interaction with outside regulators. Coordinate on-site audits, working with the regulators during their visits. Post site audits and negotiate findings to mitigate potential fines and sanctions. Provide oversight and monitor corrective action plan development. Meet established expectations and takes responsibility for achieving results; encourage others to do the same. Consistently model and inspire high levels of integrity, lives up to commitments, and takes responsibility for the impact of one's actions. Effectively leverage resources to create exceptional outcomes, embraces change, and constructively resolves barriers and constraints. Understand oneself, effectively manages emotions, listens and communicates with respect, and builds trusting relationships.

The candidate should have a Bachelor's degree or equivalent relevant experience. A J.D. degree is desired. Must have 2-5 years of experience in Health Plan Compliance. Advanced experience working in a Compliance related field is needed. Should have experience working with regulatory agencies, including state departments of health insurance and CMS. Must be knowledgeable in process improvement and metrics development. Should be knowledgeable in regulations governing health care industries.
 
EMAIL TO COLLEAGUE  PERMALINK
 
Minnesota - Vice President of Health Policy
Refer job# 5Z2G25825
 
Vice President of Health Policy
The candidate will serve as Health Reform, Affordable Care Act (ACA), and general health policy subject matter expert for company. Will understand key provisions of the law and regulations and communicate business impact and opportunities to Community and State health plan and functional leads on a regular basis. Create and lead a small team focused on health reform implementation for Community and State that assures compliance with ACA, and develop, evolve and execute a comprehensive work plan for health reform readiness in 2013 and 2014. Represent Community and State on broader Group reform readiness and policy development issues, notably health insurance exchange strategy and implementation with the Employer and Individual team, and ACA policy development with all Group business segments. Support health plans in advocacy to states on strategies to deploy ACA. Regularly engage, educate and monitor the progress of key business partners (e.g. benefit operations, network development, etc.) to support a successful implementation of the ACA Medicaid expansion in 2014. Create and update a policy analysis capability within Community and State as it relates to the ACA with particular focus on Medicaid expansion options under the ACA, the tax on insurers and the intersection between Medicaid and the Exchanges. Work closely with Group Government Affairs on policy development and execution. Represent Community and State with external health policy groups, legislators, and regulators to advocate for favorable market conditions and market expansion opportunities. Perform similar functions for Community and State related to other future health care policies and regulations. Report to the Chief of Staff for Community and State.

The candidate should have an undergraduate degree or equivalent experience. Law degree and prior policy or legislative experience strongly preferred. Must have 10+ years of experience working with or advising on Healthcare Government programs with 5+ years of experience in legal, legislative, or public policy domains. Knowledge of the political and rule making process needed. Experience working in politics or government is an asset. Travel may be required.
 
EMAIL TO COLLEAGUE  PERMALINK
 
 
District of Columbia - Vice President of Health Policy
Refer job# 0HZW25826
 
Vice President of Health Policy
The candidate will serve as Health Reform, Affordable Care Act (ACA), and general health policy subject matter expert for company. Will understand key provisions of the law and regulations and communicate business impact and opportunities to Community and State health plan and functional leads on a regular basis. Create and lead a small team focused on health reform implementation for Community and State that assures compliance with ACA, and develop, evolve and execute a comprehensive work plan for health reform readiness in 2013 and 2014. Represent Community and State on broader Group reform readiness and policy development issues, notably health insurance exchange strategy and implementation with the Employer and Individual team, and ACA policy development with all Group business segments. Support health plans in advocacy to states on strategies to deploy ACA. Regularly engage, educate and monitor the progress of key business partners (e.g. benefit operations, network development, etc.) to support a successful implementation of the ACA Medicaid expansion in 2014. Create and update a policy analysis capability within Community and State as it relates to the ACA with particular focus on Medicaid expansion options under the ACA, the tax on insurers and the intersection between Medicaid and the Exchanges. Work closely with Group Government Affairs on policy development and execution. Represent Community and State with external health policy groups, legislators, and regulators to advocate for favorable market conditions and market expansion opportunities. Perform similar functions for Community and State related to other future health care policies and regulations. Report to the Chief of Staff for Community and State.

The candidate should have an undergraduate degree or equivalent experience. Law degree and prior policy or legislative experience strongly preferred. Must have 10+ years of experience working with or advising on Healthcare Government programs with 5+ years of experience in legal, legislative, or public policy domains. Knowledge of the political and rule making process needed. Experience working in politics or government is an asset. Travel may be required.
 
EMAIL TO COLLEAGUE  PERMALINK
 
Illinois - Counsel
Refer job# XL5U25809
 
Counsel
The candidate will handle a variety of business transactions and provide legal, regulatory and compliance counsel to US proprietary pharmaceuticals division. Responsible for compliance with applicable corporate and divisional policies and procedures. Serve as Counsel for one or more pharmaceutical brands and frequently interact with and provide substantive advice to marketing, medical affairs and regulatory affairs departments concerning a broad range of legal, regulatory and compliance issues, including FDA regulations, False Claims Act, Anti-Kickback Statute, OIG guidance, the PhRMA Code, the Sunshine Act, Foreign Corrupt Practices Act and competition law in connection with product labeling, promotional and non-promotional activities, marketing strategies, sales compensation, government reimbursement, and interactions with healthcare professionals. Responsible for preparing, reviewing and negotiating complex commercial agreements, 3rd party vendor agreements, service agreements, consulting agreements and other corporate agreements. Provide legal advice and assistance for the development of policies and training, and conduct training. Resolve routine legal matters in practice area with direct supervision as needed from more experienced attorneys. Assist more experienced attorneys in resolving complex legal issues on cross-functional projects. Develop knowledge of Abbott's business and supported client areas. Keep abreast of changes in laws that affect client areas. Resolve legal issues using negotiation skills and legal expertise. Help select and direct the work of outside counsel, define project objectives and manage project.

The candidate should have a J.D. degree and appropriate licensure to practice law in Illinois as an in-house counsel. Must have 5-7 years of experience in health care law, and a record of demonstrated success in serving as a business partner and counseling clients on a wide range of health care issues at a major law firm or corporation without requiring substantial oversight and guidance from a managing attorney. Experience in FDA advertising/promotion regulations and health care laws compliance/fraud and abuse laws is required. Prior experience in the health care industry in an in-house position is preferred.
 
EMAIL TO COLLEAGUE  PERMALINK
 
Texas - Senior Counsel, Regulatory
Refer job# N7ML25765
 
Senior Counsel, Regulatory
The candidate will report to an Assistant General Counsel. Will analyze potential compliance issues and provide regulatory guidance to hospitals, outpatient centers and physician practices. Practice independently and have direct interaction with hospital administration, home office leaders, other counsel as well as government agencies. Work with home office departments such as compliance, quality, audit and others on special projects.

The candidate should have a J.D. degree from an ABA accredited institution and license to practice law, preferably in Texas. Must have 5+ years of experience in healthcare law, preferably with law firm experience. Should be proficient in federal healthcare program requirements and hospital compliance program obligations. Regulatory experience in the following areas would be beneficial: Federal healthcare program Reimbursement, Stark, Antikickback, EMTALA, HIPAA, Conditions of Participation and Joint Commission requirements.
 
EMAIL TO COLLEAGUE  PERMALINK
 
 
Rhode Island - Senior Legal Counsel - Healthcare
Refer job# AVDE25708
 
Senior Legal Counsel - Healthcare
The candidate will advise internal business partners on health care regulatory, marketing and contractual issues. Will provide legal advice and support to inquiries and requests. Review and analyze applicable statutes and regulations. Draft and/or review contracts, licenses and other materials. Review and monitor ongoing programs and operations, including marketing programs and initiatives. Serve as a subject matter expert to the Legal Department, Marketing Department, Government Relations, Compliance and other business units. Report to the Senior Legal Counsel.

The candidate should have a J.D. degree, preferably from a highly-regarded law school. Must have 7+ years of legal experience focused on health care regulatory law. Should have strong knowledge of health care law, with a preference for familiarity with issues relevant to health care providers. Law firm experience with some in-house and/or government experience preferred. Litigation and/or privacy law experience is desired.
 
EMAIL TO COLLEAGUE  PERMALINK
 
California - Assistant General Counsel and Practice Group Manager - Government Programs Practice Group
Refer job# D8R825616
 
Assistant General Counsel and Practice Group Manager - Government Programs Practice Group
The candidate will collaborate effectively with the General Counsel, Deputy General Counsel, other PGMs, and Regional Counsels to provide collective leadership of the legal department. Will ensure horizontal and vertical communication and collaboration within the department necessary to provide high quality, integrated legal services that protect company, meet company's business objectives and achieve high levels of customer satisfaction. Establish and maintain effective customer and interdepartmental relationships. Ensure the sufficiency, alignment, and efficient allocation of legal resources. Collectively manage the legal department's performance against metrics that the leadership may develop over time. Promote continuous quality improvement, leadership development, professional development, and succession planning. Handle the legal department's administrative, financial, and governance functions, including budgets, reserves, approvals, reporting, recruiting, etc. Cultivate and manage relationships with customers, including agreements for the most efficient and valuable use of legal resources.

The candidate must have 10+ years of experience as a practicing attorney, primarily in health law. CA Bar membership is required. Should be a recognized (externally and/or internally) as an expert in one or more specialties within the health law area. Experience handling complicated legal issues with serious risks and with successful outcome is required.
 
EMAIL TO COLLEAGUE  PERMALINK
 
Washington - Regulatory Compliance Counsel Regulatory
Refer job# H3TM25579
 
Regulatory Compliance Counsel
The candidate will oversee the Corporate Compliance Program and review and evaluate compliance issues/concerns within the organization. Will ensure that all members of the organization are adhering to and are in compliance with the regulatory policy, procedure, and standards as described by the business and required by applicable laws, regulations, policies, and guidance. Manage day-to-day operation of the program. Develop, initiate, maintain, and revise policies and procedures for the general operation of the Compliance Program and its related activities to prevent illegal, unethical, or improper conduct. Develop and periodically review and update Standards of Conduct to ensure continuing currency and relevance in providing guidance to management and employees. Collaborate with other departments to direct compliance issues to appropriate existing channels for investigation and resolution. Respond to alleged violations of rules, regulations, policies, procedures, and Standards of Conduct by evaluating or recommending the initiation of investigative procedures. Develop and oversee a system for uniform handling of such violations. Act as an independent review and evaluation body to ensure that compliance issues/concerns within the organization are being appropriately evaluated, investigated and resolved. Monitor, and as necessary, coordinate compliance activities of other departments to remain abreast of the status of all compliance activities and to identify trends. Identify potential areas of compliance vulnerability and risk. Develop/implement corrective action plans for resolution of problematic issues, and provide general guidance on how to avoid or deal with similar situations in the future. Provide reports on a regular basis, and as directed or requested, to keep senior management informed of the operation and progress of compliance efforts. Ensure proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required.

The candidate should preferably have J.D. or other Master's level degree or equivalent combination of education, training and experience. License to practice law is strongly preferred. Should preferably be Certified in Healthcare Compliance (CCH) or equivalent, Certified in Healthcare Research Compliance (CHRC) or equivalent, or Certified IRB Professional (CIP). Must have 6+ years of experience in a health care in-house legal or compliance department. Should also have 5+ years of experience in a management role within a healthcare or clinical research organization with 3+ years of experience overseeing Corrective And Preventive Action plans, working with Change Control boards in the implementation of change to policy and procedure, and directly working with regulatory agencies. Should have demonstrated working knowledge of regulatory affairs related to clinical research and compliance. Must build and maintain a working knowledge of: applicable health care laws, regulations, policies, and guidance including 21 CFR Part 11 Compliance and OFCCP and EEO compliance; legal and compliance terminology, concepts, and processes; operational, financial, compliance, quality assurance, Information, Technology, and human resource procedures and laws, regulations, policies, and guidance; and research and corporate compliance issues and related laws, regulations, policies, and guidance.
 
EMAIL TO COLLEAGUE  PERMALINK
 
 
Texas - Counsel - Outpatient Services
Refer job# BWGC25587
 
Counsel - Outpatient Services
The candidate will oversee and assist with due diligence of target facilities. Will identify acquisition issues to report to Senior Counsel and assist in issue resolution prior to closing. Act as liaison and manage relationships with outside counsel, consultants and company personnel. Provide support to Outpatient center contracting efforts. Manage acquisition process to ensure completion of closing and pre/post-closing items. Assist Senior Counsel with operational and regulatory legal analyses for the department. Assist with licensure, accreditation, and Medicare/Medicaid enrollment matters for the department. Support OSD service line acquisition, development and on-going operations in a rapidly expanding outpatient department. Oversee and assist with due diligence of target facilities. Identify acquisition issues to report to Senior Counsel and assist in issue resolution prior to closing. Assist with review and preparation of contracts for various department service lines. Act as liaison and manage relationships with outside counsel, consultants and company personnel. Manage acquisition process to ensure completion of closing and pre/post-closing items. Assist Senior Counsel with operational and regulatory legal analyses for the department. Assist with licensure, accreditation, and Medicare/Medicaid enrollment matters for the department. Ensure compliance with Corporate Outpatient center governance requirements. Communicate with other legal counsel to ensure consistency of legal advice across the company. Coordinate with other departments as necessary in connection with on-going projects. Must have 2-5 years of experience as a healthcare attorney, preferably at a nationally recognized law firm. Transactional and licensure experience a plus. Should be licensed to practice law in one or more of the states where company conducts business.
 
EMAIL TO COLLEAGUE  PERMALINK
 

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