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Organization TypePublic Interest
Years of Experience
Date Last Verified
ProfileAssociate General Counsel The candidate will be part of the legal team –work collaboratively with legal department teammates and business partners to execute the agency’s strategy and objectives. Work closely with members of senior leadership team and other internal clients to ensure compliance with all applicable legal and regulatory requirements. Provide guidance and oversight of provider contracting and network support. Manage relationships with key internal clients. Oversee legal team assigned to provider contracting function to include delivery of legal services related to: Provider disputes; Provider terminations; Provider credentialing; Research. Work with business team to obtain all required licenses and permits. Provide strategic legal advice and guidance. Coordinate with other members of legal team to ensure seamless delivery of advice and legal work product. Oversee Holding Companies Act filings. Assist with obtaining Certificates of Authority and required approvals to operate business lines (HMOs, TPAs, etc.). Provide legal and regulatory advice and support for the company at Home. Draft and negotiate complex transactions. Provide regulatory advice and counsel. Perform any other assigned legal tasks as assigned. Juris Doctorate and 10+ years of managed care legal experience required. Extensive knowledge of managed care regulatory environment required. Experience with Federal and state fraud, waste and abuse laws and regulations required. Extensive experience and knowledge of managed care provider contracting required. Experience drafting, reviewing and negotiating agreements required. Strong analytic, organization and research skills and excellent written and oral communication skills required. Advanced Microsoft Office skills required.
Requisition Number: 17-1384