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Years of Experience
Date Last Verified
Senior Associate General Counsel II(Section Head -Health and Wellness) The candidate will provides oversight of and strategic direction to a team of attorneys and support staff, providing advice and counsel to firm's Health and Wellness Division and Health and Wellness Compliance. Substantive areas of expertise should include; Operations and Compliance in Pharmacy, Optical Services and Clinics; Health and Wellness Merchandising and Marketing; Fraud and Abuse, Anti-Kickback, Stark Law; Third Party Payer Contracting.
Qualification and Experience
The candidate should have 11+ years of post JD legal experience (of progressively responsible health law experience). Must be licensed to practice law in good standing in one state. Law degree from an accredited law school is essential. Significant supervisory experience is essential. Administrative supervisory skill is essential. An understanding of and appreciation for firmâ€™s structure and culture is essential. In-depth understanding of health care billing operations, reimbursement methodologies and third party payer contract models, including DIR and other pay for performance methodologies is essential. Must be proficient in and able to advise on a broad range of Medicare and Medicaid reimbursement and billing issues. Must have strong background in regulatory matters, including Medicare Conditions of Participation, state licensure, Stark and Anti-Kickback issues, and HIPAA privacy and security standards. Experience with the enforcement environment in which firmâ€™s Health and Wellness business operates, including to DEA, FDA, DOJ, FCC and OCR and the various state agencies with enforcement authority is essential. Must have expertise in the development of complex structured transactions and the concomittent drafting and negotiating skills. Must be experienced in advising on compliance reviews and audits.
Req ID 962093BR
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