Health Care - General Attorney in Phoenix, AZ

In-House

Phoenix, AZ

Health Care - General Attorney in Phoenix, AZ

Attorney

Min 2 yrs required

No

Job Title: Healthcare Counsel

Job Responsibilities:
- Support the Office of General Counsel in advising and producing attorney work products for healthcare-related departments including Provider Services, Medical Management, Program Integrity, and Claims.
- Draft, review, and negotiate contracts with providers and other organizations to achieve acceptable risk levels.
- Support legal and regulatory communications with providers and external parties.
- Participate in litigation management and legal and regulatory research.
- Prioritize candidates with experience in healthcare regulatory matters, including Medicare and Medicaid, anti-kickback laws, self-referral laws, HIPAA, and transactional matters for healthcare providers.
- Identify and analyze legal issues, present clear recommendations, and ensure legal compliance.
- Investigate, research, and provide general legal advice on a broad range of issues arising from healthcare operations.
- Review and negotiate documents and contracts including provider agreements, business associate agreements, and transactions involving electronic health records and telehealth.
- Assist in providing legal advice on health law issues including fraud and abuse, privacy and security, and peer review privilege.
- Draft and review miscellaneous legal documents and correspondence.
- Research current issues and developments related to government healthcare programs, health insurance, and healthcare regulations.
- Perform legal research and prepare memoranda on other legal issues as assigned.
- Assist with the development and monitoring of internal regulatory compliance procedures.
- Review marketing materials, responses to grievances, routine and priority correspondence, and internal and external communications documents.
- Support legal functions related to peer review, quality, and credentialing programs.
- Review and revise company policies and procedures as required.
- Ensure company employees and committee members are aware of and comply with applicable laws and regulations.
- Educate staff and committee members on legal requirements as appropriate.
- Advise leadership on the legal ramifications of past and proposed company actions.
- Perform other duties as assigned.
- Regular and reliable attendance is required.

Education and Experience Information:
- Required: Juris Doctor degree from an accredited law school.
- License to practice law in the state where legal services will be primarily provided.
- . Citizen.
- Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation.
- 2+ years of healthcare regulatory/transaction legal experience.
- Excellent written and verbal communication skills.
- Experience advising managed care administrators, health plans, or healthcare providers.
- Familiarity with HIPAA, False Claims Act, Stark, Anti-Kickback, and other healthcare-related laws and regulations.

- Preferred: Familiarity with government-funded healthcare programs.
- Familiarity with VA and DoD healthcare programs.
- Prior experience with federal government contracting.
- Experience reviewing, drafting, and negotiating provider agreements.

Salary Information:
- The position typically pays approximately $158,600 per year.

Benefits:
- Tuition reimbursement.
- AD&D insurance.
- 401(k) with matching.
- Health insurance.
- Paid time off.
- Vision insurance.
- Medical, Dental, and Vision Coverage.
- Generous paid time off.
- 401(k) Retirement Savings Plan.
- Short-term and long-term disability, basic life, and accidental death and dismemberment insurance.
- Paid volunteer time.

Equal Employment Opportunity:
- Company is an equal employment opportunity employer.
- Committed to creating an inclusive work environment that supports diversity.
- Candidates from all backgrounds are encouraged to apply.
- Applicants are considered based on merit without discrimination based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other consideration made unlawful by applicable laws.