Overview
The organization is seeking a Corporate Attorney to join its legal team. This attorney advises team members, providers, and partners on health care regulatory, transactional, and operational matters. The role serves as a key advisor on payor relationships, with focused responsibility for 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 either 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.
- Oversee Medicare and Medicaid enrollment, revalidation, and change of ownership filings.
- Provide legal guidance regarding Medicare and Medicaid statutes, regulations, and sub-regulatory guidance, including CMS requirements.
- Manage legal matters concerning insurance reimbursements, overpayments, self-disclosures, recoupments, and claims disputes.
- Monitor updates in healthcare legislation and advise on relevant changes.
- Conduct research on healthcare laws and related regulations.
- Communicate with government agencies and regulatory authorities. Support internal investigations and audits to ensure compliance. Collaborate with attorneys, paralegals, and support staff.
- Ensure adherence to healthcare regulations, including HIPAA, Stark Law, False Claims Act, Anti-Kickback Statute, and Medicare/Medicaid requirements.
- Provide guidance regarding patient privacy, data protection, and medical ethics.
- Apply expertise in regulatory requirements, legal procedures, and precedent to provide effective counsel.
- Offer counsel and legal services efficiently and confidentially.
- Assist in implementing and executing company policies and procedures, as needed.
- Assess risks and recommend alternative 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.
- Deep experience with government healthcare programs, managed care, commercial payors, and health care 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 on healthcare laws and regulations.
- Proficiency in providing guidance on patient privacy, data security, and medical ethics.
- Experience assisting with internal investigations and audits regarding compliance.
- Ability to collaborate effectively with attorneys, paralegals, support staff, government agencies, and regulatory bodies.
- Excellent written and verbal communication skills.
- Strong analytical and problem-solving abilities.
- High attention to detail and organizational skills.
- Professional demeanor and strong ethical standards.
Compensation & Benefits
Pay range: $132,000 -178,000 per year, based on credentials and geographic location.
Benefits package (eligible team members):
- Healthcare benefits (medical, dental, vision) for eligible team members and their families, plus additional company paid and voluntary benefit offerings.
- 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.
- Professional learning and development opportunities.
- Company paid benefits: basic life and AD&D; Maven and Health Care Advocate Work/Life Balance Program; health/dependent flexible spending.
- Voluntary benefits: long and short-term disability; pet insurance; legal; 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 the applicable plan terms.
Location
Plano, TX (remote or on-site at the corporate office, based on work arrangement).