Overview
A healthcare organization is seeking a Corporate Attorney to join their legal team. This role involves advising team members, providers, and partners on a wide range of healthcare regulatory, transactional, and operational matters. The attorney will serve as a key advisor on payor relationships, focusing on commercial contracting and participation in federal and state healthcare programs, including Medicare and Medicaid.
This is a full-time position with flexible work arrangements and can be performed remotely or on-site at the corporate office in Plano, TX.
Responsibilities
- Draft, review, and negotiate contracts with commercial payors and managed care organizations.
- Oversee government program participation agreements and supervise PSAO relationships.
- Manage Medicare and Medicaid enrollment, revalidation, and change of ownership filings.
- Provide legal guidance on Medicare and Medicaid statutes, regulations, and CMS requirements.
- Handle legal matters related to insurance reimbursements, overpayments, self-disclosures, recoupments, and claims disputes.
- Monitor healthcare legislation updates and advise on relevant changes.
- Conduct legal research on healthcare laws and regulations.
- Communicate with government agencies and regulatory authorities.
- Support internal investigations and audits to ensure compliance.
- Collaborate with attorneys, paralegals, and support staff.
- Ensure compliance with healthcare regulations including HIPAA, Stark Law, False Claims Act, Anti-Kickback Statute, and Medicare/Medicaid requirements.
- Provide guidance on patient privacy, data protection, and medical ethics.
- Apply expertise in regulatory requirements and legal procedures to provide effective counsel.
- Offer confidential legal services and counsel efficiently.
- Assist in implementing and executing company policies and procedures.
- Assess risks and recommend strategies to mitigate potential transaction risks.
- Perform asset and corporate-level due diligence as requested.
- Advise on employment-related legal issues and inquiries.
- Perform additional duties as assigned.
Requirements
- Juris Doctor (JD) degree from an accredited law school.
- Active license to practice law in at least one U.S. jurisdiction.
- Minimum of 3-5 years of experience in healthcare law.
- Extensive experience with government healthcare programs, managed care, commercial payors, and healthcare transactions.
- Strong knowledge of healthcare regulations including HIPAA, Stark Law, False Claims Act, Anti-Kickback Statute, and Medicare/Medicaid.
- Expertise in drafting and reviewing healthcare policies, procedures, and contracts.
- Skilled in negotiating contracts and settlements.
- Excellent legal research skills related to healthcare laws and regulations.
- Proficiency in providing guidance on patient privacy, data security, and medical ethics.
- Experience assisting with internal investigations and compliance audits.
- Ability to collaborate effectively with legal teams, government agencies, and regulatory bodies.
- Excellent written and verbal communication skills.
- Strong analytical, problem-solving, organizational skills, and attention to detail.
- Professional demeanor and strong ethical standards.
Compensation & Benefits
- Salary range: $132,000 - $178,000 per year, based on credentials and geographic location.
- Comprehensive healthcare benefits including medical, dental, and vision coverage for eligible employees and their families.
- Six company-paid holidays and three personal floating holidays.
- Paid time off (PTO) and paid leaves including two weeks paid parental leave, bereavement, sick leave, time to vote, and jury duty.
- Award recognition program and professional learning and development opportunities.
- Company-paid benefits: basic life and AD&D insurance, work/life balance programs.
- Voluntary benefits: long and short-term disability, pet insurance, legal insurance, accident, hospital indemnity, critical illness, whole and supplementary life insurance, identity theft protection.
- 401(k) retirement savings plan with company match.
All benefits are subject to applicable plan terms.
Location
This position can be performed remotely or on-site at the corporate office located in Plano, Texas.