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Years of Experience
Date Last Verified
ProfileSenior Corporate Counsel The candidate will be responsible for drafting and negotiating a wide range of commercial contracts, with a concentration on provider and health plan agreements. Will lead legal negotiations with the customers and advise the Commercial team on the establishment of strategic relationships and driving profitable growth with health plans. Working closely with Vice President of Health Plans/Payors, Will handle a wide range of legal responsibilities under the supervision of the Assistant General Counsel , including participating in business, operational and strategic decisions; advising leadership of Health Plans on strategies, opportunities, issues and risk management; developing and negotiating third party payer arrangements, including government payer programs such as Medicare and Medicaid, advising on provider network development and contracting, and managing general health plan legal matters including regulatory and compliance matters. S/He will act as a strategic partner for the Vice President of Health Plans in the establishment of the group’s organizational goals. Analyze and ddevelop strategies and problem solving with clients, Compliance and Government Affairs. Work with billing and clinical franchises to support strategic opportunities to improve pricing and/or coverage.Counsel clients on a range of business and legal regulatory issues, including STARK and fraud and abuse laws- Develop training for clients and perform training for assigned areas. 7+ years of expertise in healthcare business law is required; experience with Health Plans is desired but not required- Experience in health plan operations, regulatory compliance, legal issues relating to insurance law, interpretation of various types of insurance policies. Requires the ability to lead and influence leaders on areas within subject matter expertise.
500 Plaza Dr
Secaucus, NJ 07094