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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.
 
 

Health Care Attorney

Boca Raton FL Health Care Attorney The Candidate will be responsible for policy papers writing. Legal review of CMS statutory and regulatory authority conducting. Statutory and regulatory authority legal. Regulatory proposals reviewing, analyzing, and commenting on. Policy solutions and advocacy positions developing. Advocating with Congress and Executive Branch policymakers. Providing counsel on laws and regulations and risks governing consulting, technology, and outsourcing services provided to health insurance clients and healthcare provider clients. Coordinating physician group compliance in a hospital environment. Payment issues advising, including Medicare and Medicaid. Corresponding with clients and opposing counsel. Attorneys and staff supporting within the practice groups department. Client transactions within a corporate environment reviewing, drafting, and negotiating. Advising the company leadership on legal risks associated with such transactions. Strategizing with company executives prior to client negotiations. Structuring the most advantageous client transactions from a legal and business perspective. Staying up-to-date with legal developments affecting the company, its clients, and industries. Junior transactional attorneys overseeing, counseling, guiding, training, and supporting. Researching and providing legal advice to clients. Advising and representing health care providers and entities in the purchase, sale, and formation of health care entities. Advising and representing providers in interactions with federal and state agencies, including regulatory investigations and eligibility issues. Providers documents reviewing and drafting such as compliance plans, vendor service agreements, employment & independent contractor agreements, and confidentiality agreements. Clients assisting with the collection of debts. Presenting to clients and community group seminars on health care law. Researching and analyzing complex legal issues relating to healthcare, FDA law, employment law, or general corporate law.

The candidate should be licensed attorney with 3+ years of experience or 2+ years of healthcare compliance experience or 3+ years of transactional experience in consulting, systems integration, and/or outsourcing areas in roles with increasing responsibility. Must be in good standing and an active member of the Bar of the state. Knowledge of regulators and agency authority. In the house, and government combination of AmLaw 100, the experience is preferred. HIPAA compliance with patient privacy rules experience. Strong familiarity with due diligence. Experience in Government procurement (State/Local, Federal/Provincial) is desired. Experience in independently managing and drafting transactional documents and correspondence is preferred. Understanding of basic principles of Finance, Accounting, Marketing, and Management is preferred.
Legal 3 - 0 Part_time 2021-01-01

Part-Time Health Care Attorney

Orlando FL Part-Time Health Care Attorney Duties: Policy papers writing. Legal review of CMS statutory and regulatory authority conducting. Statutory and regulatory authority legal Regulatory proposals reviewing, analyzing, and commenting on. Policy solutions and advocacy positions developing. Advocating with Congress and Executive Branch policymakers. Providing counsel on laws and regulations and risks governing consulting, technology, and outsourcing services provided to health insurance clients and healthcare provider clients. Coordinating physician group compliance in a hospital environment. Payment issues advising, including Medicare and Medicaid. Corresponding with clients and opposing counsel. Attorneys and staff supporting within the practice groups department. Client transactions within a corporate environment reviewing, drafting, and negotiating. Advising the company leadership on legal risks associated with such transactions. Strategizing with company executives prior to client negotiations. Structuring the most advantageous client transactions from a legal and business perspective. Staying up-to-date with legal developments affecting the company, its clients, and industries. Junior transactional attorneys overseeing, counseling, guiding, training, and supporting. Researching and providing legal advice to clients. Advising and representing health care providers and entities in the purchase, sale, and formation of health care entities. Advising and representing providers in interactions with federal and state agencies, including regulatory investigations and eligibility issues. Providers documents reviewing and drafting such as compliance plans, vendor service agreements, employment & independent contractor agreements, and confidentiality agreements. Clients assisting with the collection of debts. Presenting to clients and community group seminars on health care law. Researching and analyzing complex legal issues relating to healthcare, FDA law, employment law, or general corporate law.

Qualifications: Licensed attorney with 3+ years of experience. 2+ years of healthcare compliance experience. 3+ years of transactional experience in consulting, systems integration, and/or outsourcing areas in roles with increasing responsibility. Must be in good standing and an active member of the Bar of the state. Knowledge of regulators and agency authority. In the house, and government combination of AmLaw 100, the experience is preferred Excellent oral, written, and interpersonal skills. Ability to thrive in a dynamic, high-pressure environment, prioritize tasks, and adapt to quick changes while remaining diligent through each task performed. HIPAA compliance with patient privacy rules experience. Strong familiarity with due diligence. Attention to detail and the ability to follow standard procedures is a requirement. Experience in Government procurement (State/Local, Federal/Provincial) is desired. Experience in independently managing and drafting transactional documents and correspondence is preferred. Understanding of basic principles of Finance, Accounting, Marketing, and Management is preferred. Ability to anticipate and understand the challenges that clients face. Ability to work collaboratively with a team. Willingness to take on direct client responsibilities and learn about clients, both their businesses and as individuals.
Legal 3 - 0 Part_time 2021-01-01

Health Care Attorney

Deland FL Health Care Attorney Duties: Policy papers writing. Legal review of CMS statutory and regulatory authority conducting. Statutory and regulatory authority legal Regulatory proposals reviewing, analyzing, and commenting on. Policy solutions and advocacy positions developing. Advocating with Congress and Executive Branch policymakers. Providing counsel on laws and regulations and risks governing consulting, technology, and outsourcing services provided to health insurance clients and healthcare provider clients. Coordinating physician group compliance in a hospital environment. Payment issues advising, including Medicare and Medicaid. Corresponding with clients and opposing counsel. Attorneys and staff supporting within the practice groups department. Client transactions within a corporate environment reviewing, drafting, and negotiating. Advising the company leadership on legal risks associated with such transactions. Strategizing with company executives prior to client negotiations. Structuring the most advantageous client transactions from a legal and business perspective. Staying up-to-date with legal developments affecting the company, its clients, and industries. Junior transactional attorneys overseeing, counseling, guiding, training, and supporting. Researching and providing legal advice to clients. Advising and representing health care providers and entities in the purchase, sale, and formation of health care entities. Advising and representing providers in interactions with federal and state agencies, including regulatory investigations and eligibility issues. Providers documents reviewing and drafting such as compliance plans, vendor service agreements, employment & independent contractor agreements, and confidentiality agreements. Clients assisting with the collection of debts. Presenting to clients and community group seminars on health care law. Researching and analyzing complex legal issues relating to healthcare, FDA law, employment law, or general corporate law.

Qualifications: Licensed attorney with 3+ years of experience. 2+ years of healthcare compliance experience. 3+ years of transactional experience in consulting, systems integration, and/or outsourcing areas in roles with increasing responsibility. Must be in good standing and an active member of the Bar of the state. Knowledge of regulators and agency authority. In the house, and government combination of AmLaw 100, the experience is preferred Excellent oral, written, and interpersonal skills. Ability to thrive in a dynamic, high-pressure environment, prioritize tasks, and adapt to quick changes while remaining diligent through each task performed. HIPAA compliance with patient privacy rules experience. Strong familiarity with due diligence. Attention to detail and the ability to follow standard procedures is a requirement. Experience in Government procurement (State/Local, Federal/Provincial) is desired. Experience in independently managing and drafting transactional documents and correspondence is preferred. Understanding of basic principles of Finance, Accounting, Marketing, and Management is preferred. Ability to anticipate and understand the challenges that clients face. Ability to work collaboratively with a team. Willingness to take on direct client responsibilities and learn about clients, both their businesses and as individuals.
Legal 3 - 0 Part_time 2021-01-01

Part-time Health Care Attorney

Ocala FL Part-Time Health Care Attorney Duties: Policy papers writing. Legal review of CMS statutory and regulatory authority conducting. Statutory and regulatory authority legal Regulatory proposals reviewing, analyzing, and commenting on. Policy solutions and advocacy positions developing. Advocating with Congress and Executive Branch policymakers. Providing counsel on laws and regulations and risks governing consulting, technology, and outsourcing services provided to health insurance clients and healthcare provider clients. Coordinating physician group compliance in a hospital environment. Payment issues advising, including Medicare and Medicaid. Corresponding with clients and opposing counsel. Attorneys and staff supporting within the practice groups department. Client transactions within a corporate environment reviewing, drafting, and negotiating. Advising the company leadership on legal risks associated with such transactions. Strategizing with company executives prior to client negotiations. Structuring the most advantageous client transactions from a legal and business perspective. Staying up-to-date with legal developments affecting the company, its clients, and industries. Junior transactional attorneys overseeing, counseling, guiding, training, and supporting. Researching and providing legal advice to clients. Advising and representing health care providers and entities in the purchase, sale, and formation of health care entities. Advising and representing providers in interactions with federal and state agencies, including regulatory investigations and eligibility issues. Providers documents reviewing and drafting such as compliance plans, vendor service agreements, employment & independent contractor agreements, and confidentiality agreements. Clients assisting with the collection of debts. Presenting to clients and community group seminars on health care law. Researching and analyzing complex legal issues relating to healthcare, FDA law, employment law, or general corporate law.

Qualifications: Licensed attorney with 3+ years of experience. 2+ years of healthcare compliance experience. 3+ years of transactional experience in consulting, systems integration, and/or outsourcing areas in roles with increasing responsibility. Must be in good standing and an active member of the Bar of the state. Knowledge of regulators and agency authority. In the house, and government combination of AmLaw 100, the experience is preferred Excellent oral, written, and interpersonal skills. Ability to thrive in a dynamic, high-pressure environment, prioritize tasks, and adapt to quick changes while remaining diligent through each task performed. HIPAA compliance with patient privacy rules experience. Strong familiarity with due diligence. Attention to detail and the ability to follow standard procedures is a requirement. Experience in Government procurement (State/Local, Federal/Provincial) is desired. Experience in independently managing and drafting transactional documents and correspondence is preferred. Understanding of basic principles of Finance, Accounting, Marketing, and Management is preferred. Ability to anticipate and understand the challenges that clients face. Ability to work collaboratively with a team. Willingness to take on direct client responsibilities and learn about clients, both their businesses and as individuals.
Legal 3 - 0 Part_time 2021-01-01

Part-time/full-time Health Care Attorney

Tallahassee FL Part-time Health Care Attorney Duties: Policy papers writing. Legal review of CMS statutory and regulatory authority conducting. Statutory and regulatory authority legal Regulatory proposals reviewing, analyzing, and commenting on. Policy solutions and advocacy positions developing. Advocating with Congress and Executive Branch policymakers. Providing counsel on laws and regulations and risks governing consulting, technology, and outsourcing services provided to health insurance clients and healthcare provider clients. Coordinating physician group compliance in a hospital environment. Payment issues advising, including Medicare and Medicaid. Corresponding with clients and opposing counsel. Attorneys and staff supporting within the practice groups department. Client transactions within a corporate environment reviewing, drafting, and negotiating. Advising the company leadership on legal risks associated with such transactions. Strategizing with company executives prior to client negotiations. Structuring the most advantageous client transactions from a legal and business perspective. Staying up-to-date with legal developments affecting the company, its clients, and industries. Junior transactional attorneys overseeing, counseling, guiding, training, and supporting. Researching and providing legal advice to clients. Advising and representing health care providers and entities in the purchase, sale, and formation of health care entities. Advising and representing providers in interactions with federal and state agencies, including regulatory investigations and eligibility issues. Providers documents reviewing and drafting such as compliance plans, vendor service agreements, employment & independent contractor agreements, and confidentiality agreements. Clients assisting with the collection of debts. Presenting to clients and community group seminars on health care law. Researching and analyzing complex legal issues relating to healthcare, FDA law, employment law, or general corporate law.

Qualifications: Licensed attorney with 3+ years of experience. 2+ years of healthcare compliance experience. 3+ years of transactional experience in consulting, systems integration, and/or outsourcing areas in roles with increasing responsibility. Must be in good standing and an active member of the Bar of the state. Knowledge of regulators and agency authority. In the house, and government combination of AmLaw 100, the experience is preferred Excellent oral, written, and interpersonal skills. Ability to thrive in a dynamic, high-pressure environment, prioritize tasks, and adapt to quick changes while remaining diligent through each task performed. HIPAA compliance with patient privacy rules experience. Strong familiarity with due diligence. Attention to detail and the ability to follow standard procedures is a requirement. Experience in Government procurement (State/Local, Federal/Provincial) is desired. Experience in independently managing and drafting transactional documents and correspondence is preferred. Understanding of basic principles of Finance, Accounting, Marketing, and Management is preferred. Ability to anticipate and understand the challenges that clients face. Ability to work collaboratively with a team. Willingness to take on direct client responsibilities and learn about clients, both their businesses and as individuals.
Legal 3 - 0 Part_time 2021-01-01

Part-Time Health Care Attorney

Tampa FL Part-Time Health Care Attorney Duties: Policy papers writing. Legal review of CMS statutory and regulatory authority conducting. Statutory and regulatory authority legal Regulatory proposals reviewing, analyzing, and commenting on. Policy solutions and advocacy positions developing. Advocating with Congress and Executive Branch policymakers. Providing counsel on laws and regulations and risks governing consulting, technology, and outsourcing services provided to health insurance clients and healthcare provider clients. Coordinating physician group compliance in a hospital environment. Payment issues advising, including Medicare and Medicaid. Corresponding with clients and opposing counsel. Attorneys and staff supporting within the practice groups department. Client transactions within a corporate environment reviewing, drafting, and negotiating. Advising the company leadership on legal risks associated with such transactions. Strategizing with company executives prior to client negotiations. Structuring the most advantageous client transactions from a legal and business perspective. Staying up-to-date with legal developments affecting the company, its clients, and industries. Junior transactional attorneys overseeing, counseling, guiding, training, and supporting. Researching and providing legal advice to clients. Advising and representing health care providers and entities in the purchase, sale, and formation of health care entities. Advising and representing providers in interactions with federal and state agencies, including regulatory investigations and eligibility issues. Providers documents reviewing and drafting such as compliance plans, vendor service agreements, employment & independent contractor agreements, and confidentiality agreements. Clients assisting with the collection of debts. Presenting to clients and community group seminars on health care law. Researching and analyzing complex legal issues relating to healthcare, FDA law, employment law, or general corporate law.

Qualifications: Licensed attorney with 3+ years of experience. 2+ years of healthcare compliance experience. 3+ years of transactional experience in consulting, systems integration, and/or outsourcing areas in roles with increasing responsibility. Must be in good standing and an active member of the Bar of the state. Knowledge of regulators and agency authority. In the house, and government combination of AmLaw 100, the experience is preferred Excellent oral, written, and interpersonal skills. Ability to thrive in a dynamic, high-pressure environment, prioritize tasks, and adapt to quick changes while remaining diligent through each task performed. HIPAA compliance with patient privacy rules experience. Strong familiarity with due diligence. Attention to detail and the ability to follow standard procedures is a requirement. Experience in Government procurement (State/Local, Federal/Provincial) is desired. Experience in independently managing and drafting transactional documents and correspondence is preferred. Understanding of basic principles of Finance, Accounting, Marketing, and Management is preferred. Ability to anticipate and understand the challenges that clients face. Ability to work collaboratively with a team. Willingness to take on direct client responsibilities and learn about clients, both their businesses and as individuals.
Legal 3 - 0 Part_time 2021-01-01

Health Care Operations Attorney

Miami FL Health Care Operations Attorney The candidate will report directly to the General Counsel. should have 3-6 years of in-house or law firm experience representing the general operations of group practice and network providers (IPA, MSO, ACO, etc). Experience should include drafting and reviewing a variety of agreements including physician participation agreements, managed care agreements, MSO and IPA agreements, vendor contracts, licensing agreements, real property leases, space sharing agreements, employment agreements, services agreements. Provide advice and direction to managers and employees on operational issues including, scope of practice, quality of care, informed consent, termination of care, continuity of care and regulatory compliance. Analyze and draft complex transactions including but not limited to asset purchases, physician referral source arrangements, purchases of practices. Regulatory work, including researching and interpreting federal and state laws, regulations, interpretive guidelines, advisory opinions and court cases for corporate and health care issues, including but not limited to HIPAA, fraud and abuse, Stark, anti-kickback. Draft and review company policies for legal sufficiency. Address credentialing, medical staff, peer review and network provider issues. Review, evaluate and render legal determinations concerning internal programs or projects and the implementation of state, federal, and local government requirements. Review inquiries/complaints from local, federal administrative, regulatory and other governmental or accreditation agencies, perform necessary research of the law and internal practices, coordinate, draft, and negotiate the response and/or reviewing responses to the government agency. Draft and present training programs on legal topics. Conduct internal investigations. Must have experience and familiarity with the foregoing described duties gained from at least 3-6 years of significant health care operations experience. Must possess a Juris Doctor degree from an accredited law school and must be a member in good standing with the bar. Legal 3 - 6 Full-time 2020-12-21

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
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Director of Compliance
In-House,Digital Medical Technologies, LLC
Location : New York City New York United States

About the Role: The Director of Compliance will lead AdhereTech?s overall compliance program and will be responsible for ensuring all requirements are met through ongoing development and expansion of our current program, including compliance with HI... + read more

dec 31, 2020


Attorney (Health Care)
In-House,Healthpartners, Inc
Location : Bloomington, MN, United States

Attorney (Health Care) Duties: Provide in-depth analysis and legal advice to clients in select business units, consistent with the organization?s risk tolerance. Conduct factual inquiries and identify legal issues. Conduct legal research and analysi... + read more

sep 27, 2020


 1 2 3 
 
Health Care Attorney
Refer job# GSYW154297
 
Health Care Attorney The Candidate will be responsible for policy papers writing. Legal review of CMS statutory and regulatory authority conducting. Statutory and regulatory authority legal. Regulatory proposals reviewing, analyzing, and commenting on. Policy solutions and advocacy positions developing. Advocating with Congress and Executive Branch policymakers. Providing counsel on laws and regulations and risks governing consulting, technology, and outsourcing services provided to health insurance clients and healthcare provider clients. Coordinating physician group compliance in a hospital environment. Payment issues advising, including Medicare and Medicaid. Corresponding with clients and opposing counsel. Attorneys and staff supporting within the practice groups department. Client transactions within a corporate environment reviewing, drafting, and negotiating. Advising the company leadership on legal risks associated with such transactions. Strategizing with company executives prior to client negotiations. Structuring the most advantageous client transactions from a legal and business perspective. Staying up-to-date with legal developments affecting the company, its clients, and industries. Junior transactional attorneys overseeing, counseling, guiding, training, and supporting. Researching and providing legal advice to clients. Advising and representing health care providers and entities in the purchase, sale, and formation of health care entities. Advising and representing providers in interactions with federal and state agencies, including regulatory investigations and eligibility issues. Providers documents reviewing and drafting such as compliance plans, vendor service agreements, employment & independent contractor agreements, and confidentiality agreements. Clients assisting with the collection of debts. Presenting to clients and community group seminars on health care law. Researching and analyzing complex legal issues relating to healthcare, FDA law, employment law, or general corporate law.

The candidate should be licensed attorney with 3+ years of experience or 2+ years of healthcare compliance experience or 3+ years of transactional experience in consulting, systems integration, and/or outsourcing areas in roles with increasing responsibility. Must be in good standing and an active member of the Bar of the state. Knowledge of regulators and agency authority. In the house, and government combination of AmLaw 100, the experience is preferred. HIPAA compliance with patient privacy rules experience. Strong familiarity with due diligence. Experience in Government procurement (State/Local, Federal/Provincial) is desired. Experience in independently managing and drafting transactional documents and correspondence is preferred. Understanding of basic principles of Finance, Accounting, Marketing, and Management is preferred.
 
EMAIL TO COLLEAGUE  PERMALINK
 
Part-Time Health Care Attorney
Refer job# JJGT154298
 
Part-Time Health Care Attorney Duties: Policy papers writing. Legal review of CMS statutory and regulatory authority conducting. Statutory and regulatory authority legal Regulatory proposals reviewing, analyzing, and commenting on. Policy solutions and advocacy positions developing. Advocating with Congress and Executive Branch policymakers. Providing counsel on laws and regulations and risks governing consulting, technology, and outsourcing services provided to health insurance clients and healthcare provider clients. Coordinating physician group compliance in a hospital environment. Payment issues advising, including Medicare and Medicaid. Corresponding with clients and opposing counsel. Attorneys and staff supporting within the practice groups department. Client transactions within a corporate environment reviewing, drafting, and negotiating. Advising the company leadership on legal risks associated with such transactions. Strategizing with company executives prior to client negotiations. Structuring the most advantageous client transactions from a legal and business perspective. Staying up-to-date with legal developments affecting the company, its clients, and industries. Junior transactional attorneys overseeing, counseling, guiding, training, and supporting. Researching and providing legal advice to clients. Advising and representing health care providers and entities in the purchase, sale, and formation of health care entities. Advising and representing providers in interactions with federal and state agencies, including regulatory investigations and eligibility issues. Providers documents reviewing and drafting such as compliance plans, vendor service agreements, employment & independent contractor agreements, and confidentiality agreements. Clients assisting with the collection of debts. Presenting to clients and community group seminars on health care law. Researching and analyzing complex legal issues relating to healthcare, FDA law, employment law, or general corporate law.

Qualifications: Licensed attorney with 3+ years of experience. 2+ years of healthcare compliance experience. 3+ years of transactional experience in consulting, systems integration, and/or outsourcing areas in roles with increasing responsibility. Must be in good standing and an active member of the Bar of the state. Knowledge of regulators and agency authority. In the house, and government combination of AmLaw 100, the experience is preferred Excellent oral, written, and interpersonal skills. Ability to thrive in a dynamic, high-pressure environment, prioritize tasks, and adapt to quick changes while remaining diligent through each task performed. HIPAA compliance with patient privacy rules experience. Strong familiarity with due diligence. Attention to detail and the ability to follow standard procedures is a requirement. Experience in Government procurement (State/Local, Federal/Provincial) is desired. Experience in independently managing and drafting transactional documents and correspondence is preferred. Understanding of basic principles of Finance, Accounting, Marketing, and Management is preferred. Ability to anticipate and understand the challenges that clients face. Ability to work collaboratively with a team. Willingness to take on direct client responsibilities and learn about clients, both their businesses and as individuals.
 
EMAIL TO COLLEAGUE  PERMALINK
 
Health Care Attorney
Refer job# SLZQ154299
 
Health Care Attorney Duties: Policy papers writing. Legal review of CMS statutory and regulatory authority conducting. Statutory and regulatory authority legal Regulatory proposals reviewing, analyzing, and commenting on. Policy solutions and advocacy positions developing. Advocating with Congress and Executive Branch policymakers. Providing counsel on laws and regulations and risks governing consulting, technology, and outsourcing services provided to health insurance clients and healthcare provider clients. Coordinating physician group compliance in a hospital environment. Payment issues advising, including Medicare and Medicaid. Corresponding with clients and opposing counsel. Attorneys and staff supporting within the practice groups department. Client transactions within a corporate environment reviewing, drafting, and negotiating. Advising the company leadership on legal risks associated with such transactions. Strategizing with company executives prior to client negotiations. Structuring the most advantageous client transactions from a legal and business perspective. Staying up-to-date with legal developments affecting the company, its clients, and industries. Junior transactional attorneys overseeing, counseling, guiding, training, and supporting. Researching and providing legal advice to clients. Advising and representing health care providers and entities in the purchase, sale, and formation of health care entities. Advising and representing providers in interactions with federal and state agencies, including regulatory investigations and eligibility issues. Providers documents reviewing and drafting such as compliance plans, vendor service agreements, employment & independent contractor agreements, and confidentiality agreements. Clients assisting with the collection of debts. Presenting to clients and community group seminars on health care law. Researching and analyzing complex legal issues relating to healthcare, FDA law, employment law, or general corporate law.

Qualifications: Licensed attorney with 3+ years of experience. 2+ years of healthcare compliance experience. 3+ years of transactional experience in consulting, systems integration, and/or outsourcing areas in roles with increasing responsibility. Must be in good standing and an active member of the Bar of the state. Knowledge of regulators and agency authority. In the house, and government combination of AmLaw 100, the experience is preferred Excellent oral, written, and interpersonal skills. Ability to thrive in a dynamic, high-pressure environment, prioritize tasks, and adapt to quick changes while remaining diligent through each task performed. HIPAA compliance with patient privacy rules experience. Strong familiarity with due diligence. Attention to detail and the ability to follow standard procedures is a requirement. Experience in Government procurement (State/Local, Federal/Provincial) is desired. Experience in independently managing and drafting transactional documents and correspondence is preferred. Understanding of basic principles of Finance, Accounting, Marketing, and Management is preferred. Ability to anticipate and understand the challenges that clients face. Ability to work collaboratively with a team. Willingness to take on direct client responsibilities and learn about clients, both their businesses and as individuals.
 
EMAIL TO COLLEAGUE  PERMALINK
 
 
Part-time Health Care Attorney
Refer job# RZHC154300
 
Part-Time Health Care Attorney Duties: Policy papers writing. Legal review of CMS statutory and regulatory authority conducting. Statutory and regulatory authority legal Regulatory proposals reviewing, analyzing, and commenting on. Policy solutions and advocacy positions developing. Advocating with Congress and Executive Branch policymakers. Providing counsel on laws and regulations and risks governing consulting, technology, and outsourcing services provided to health insurance clients and healthcare provider clients. Coordinating physician group compliance in a hospital environment. Payment issues advising, including Medicare and Medicaid. Corresponding with clients and opposing counsel. Attorneys and staff supporting within the practice groups department. Client transactions within a corporate environment reviewing, drafting, and negotiating. Advising the company leadership on legal risks associated with such transactions. Strategizing with company executives prior to client negotiations. Structuring the most advantageous client transactions from a legal and business perspective. Staying up-to-date with legal developments affecting the company, its clients, and industries. Junior transactional attorneys overseeing, counseling, guiding, training, and supporting. Researching and providing legal advice to clients. Advising and representing health care providers and entities in the purchase, sale, and formation of health care entities. Advising and representing providers in interactions with federal and state agencies, including regulatory investigations and eligibility issues. Providers documents reviewing and drafting such as compliance plans, vendor service agreements, employment & independent contractor agreements, and confidentiality agreements. Clients assisting with the collection of debts. Presenting to clients and community group seminars on health care law. Researching and analyzing complex legal issues relating to healthcare, FDA law, employment law, or general corporate law.

Qualifications: Licensed attorney with 3+ years of experience. 2+ years of healthcare compliance experience. 3+ years of transactional experience in consulting, systems integration, and/or outsourcing areas in roles with increasing responsibility. Must be in good standing and an active member of the Bar of the state. Knowledge of regulators and agency authority. In the house, and government combination of AmLaw 100, the experience is preferred Excellent oral, written, and interpersonal skills. Ability to thrive in a dynamic, high-pressure environment, prioritize tasks, and adapt to quick changes while remaining diligent through each task performed. HIPAA compliance with patient privacy rules experience. Strong familiarity with due diligence. Attention to detail and the ability to follow standard procedures is a requirement. Experience in Government procurement (State/Local, Federal/Provincial) is desired. Experience in independently managing and drafting transactional documents and correspondence is preferred. Understanding of basic principles of Finance, Accounting, Marketing, and Management is preferred. Ability to anticipate and understand the challenges that clients face. Ability to work collaboratively with a team. Willingness to take on direct client responsibilities and learn about clients, both their businesses and as individuals.
 
EMAIL TO COLLEAGUE  PERMALINK
 
Part-time/full-time Health Care Attorney
Refer job# KVAC154301
 
Part-time Health Care Attorney Duties: Policy papers writing. Legal review of CMS statutory and regulatory authority conducting. Statutory and regulatory authority legal Regulatory proposals reviewing, analyzing, and commenting on. Policy solutions and advocacy positions developing. Advocating with Congress and Executive Branch policymakers. Providing counsel on laws and regulations and risks governing consulting, technology, and outsourcing services provided to health insurance clients and healthcare provider clients. Coordinating physician group compliance in a hospital environment. Payment issues advising, including Medicare and Medicaid. Corresponding with clients and opposing counsel. Attorneys and staff supporting within the practice groups department. Client transactions within a corporate environment reviewing, drafting, and negotiating. Advising the company leadership on legal risks associated with such transactions. Strategizing with company executives prior to client negotiations. Structuring the most advantageous client transactions from a legal and business perspective. Staying up-to-date with legal developments affecting the company, its clients, and industries. Junior transactional attorneys overseeing, counseling, guiding, training, and supporting. Researching and providing legal advice to clients. Advising and representing health care providers and entities in the purchase, sale, and formation of health care entities. Advising and representing providers in interactions with federal and state agencies, including regulatory investigations and eligibility issues. Providers documents reviewing and drafting such as compliance plans, vendor service agreements, employment & independent contractor agreements, and confidentiality agreements. Clients assisting with the collection of debts. Presenting to clients and community group seminars on health care law. Researching and analyzing complex legal issues relating to healthcare, FDA law, employment law, or general corporate law.

Qualifications: Licensed attorney with 3+ years of experience. 2+ years of healthcare compliance experience. 3+ years of transactional experience in consulting, systems integration, and/or outsourcing areas in roles with increasing responsibility. Must be in good standing and an active member of the Bar of the state. Knowledge of regulators and agency authority. In the house, and government combination of AmLaw 100, the experience is preferred Excellent oral, written, and interpersonal skills. Ability to thrive in a dynamic, high-pressure environment, prioritize tasks, and adapt to quick changes while remaining diligent through each task performed. HIPAA compliance with patient privacy rules experience. Strong familiarity with due diligence. Attention to detail and the ability to follow standard procedures is a requirement. Experience in Government procurement (State/Local, Federal/Provincial) is desired. Experience in independently managing and drafting transactional documents and correspondence is preferred. Understanding of basic principles of Finance, Accounting, Marketing, and Management is preferred. Ability to anticipate and understand the challenges that clients face. Ability to work collaboratively with a team. Willingness to take on direct client responsibilities and learn about clients, both their businesses and as individuals.
 
EMAIL TO COLLEAGUE  PERMALINK
 
Part-Time Health Care Attorney
Refer job# FPBJ154302
 
Part-Time Health Care Attorney Duties: Policy papers writing. Legal review of CMS statutory and regulatory authority conducting. Statutory and regulatory authority legal Regulatory proposals reviewing, analyzing, and commenting on. Policy solutions and advocacy positions developing. Advocating with Congress and Executive Branch policymakers. Providing counsel on laws and regulations and risks governing consulting, technology, and outsourcing services provided to health insurance clients and healthcare provider clients. Coordinating physician group compliance in a hospital environment. Payment issues advising, including Medicare and Medicaid. Corresponding with clients and opposing counsel. Attorneys and staff supporting within the practice groups department. Client transactions within a corporate environment reviewing, drafting, and negotiating. Advising the company leadership on legal risks associated with such transactions. Strategizing with company executives prior to client negotiations. Structuring the most advantageous client transactions from a legal and business perspective. Staying up-to-date with legal developments affecting the company, its clients, and industries. Junior transactional attorneys overseeing, counseling, guiding, training, and supporting. Researching and providing legal advice to clients. Advising and representing health care providers and entities in the purchase, sale, and formation of health care entities. Advising and representing providers in interactions with federal and state agencies, including regulatory investigations and eligibility issues. Providers documents reviewing and drafting such as compliance plans, vendor service agreements, employment & independent contractor agreements, and confidentiality agreements. Clients assisting with the collection of debts. Presenting to clients and community group seminars on health care law. Researching and analyzing complex legal issues relating to healthcare, FDA law, employment law, or general corporate law.

Qualifications: Licensed attorney with 3+ years of experience. 2+ years of healthcare compliance experience. 3+ years of transactional experience in consulting, systems integration, and/or outsourcing areas in roles with increasing responsibility. Must be in good standing and an active member of the Bar of the state. Knowledge of regulators and agency authority. In the house, and government combination of AmLaw 100, the experience is preferred Excellent oral, written, and interpersonal skills. Ability to thrive in a dynamic, high-pressure environment, prioritize tasks, and adapt to quick changes while remaining diligent through each task performed. HIPAA compliance with patient privacy rules experience. Strong familiarity with due diligence. Attention to detail and the ability to follow standard procedures is a requirement. Experience in Government procurement (State/Local, Federal/Provincial) is desired. Experience in independently managing and drafting transactional documents and correspondence is preferred. Understanding of basic principles of Finance, Accounting, Marketing, and Management is preferred. Ability to anticipate and understand the challenges that clients face. Ability to work collaboratively with a team. Willingness to take on direct client responsibilities and learn about clients, both their businesses and as individuals.
 
EMAIL TO COLLEAGUE  PERMALINK
 
 
Health Care Operations Attorney
Refer job# KDAZ154108
 
Health Care Operations Attorney The candidate will report directly to the General Counsel. should have 3-6 years of in-house or law firm experience representing the general operations of group practice and network providers (IPA, MSO, ACO, etc). Experience should include drafting and reviewing a variety of agreements including physician participation agreements, managed care agreements, MSO and IPA agreements, vendor contracts, licensing agreements, real property leases, space sharing agreements, employment agreements, services agreements. Provide advice and direction to managers and employees on operational issues including, scope of practice, quality of care, informed consent, termination of care, continuity of care and regulatory compliance. Analyze and draft complex transactions including but not limited to asset purchases, physician referral source arrangements, purchases of practices. Regulatory work, including researching and interpreting federal and state laws, regulations, interpretive guidelines, advisory opinions and court cases for corporate and health care issues, including but not limited to HIPAA, fraud and abuse, Stark, anti-kickback. Draft and review company policies for legal sufficiency. Address credentialing, medical staff, peer review and network provider issues. Review, evaluate and render legal determinations concerning internal programs or projects and the implementation of state, federal, and local government requirements. Review inquiries/complaints from local, federal administrative, regulatory and other governmental or accreditation agencies, perform necessary research of the law and internal practices, coordinate, draft, and negotiate the response and/or reviewing responses to the government agency. Draft and present training programs on legal topics. Conduct internal investigations. Must have experience and familiarity with the foregoing described duties gained from at least 3-6 years of significant health care operations experience. Must possess a Juris Doctor degree from an accredited law school and must be a member in good standing with the bar.
 
EMAIL TO COLLEAGUE  PERMALINK
 
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
 

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