Overview
This role provides a full range of legal advice and services across matters of moderate to substantial scope and complexity. The Senior Counsel serves as a legal generalist and/or provides counsel across a combination of disciplines, exercising independent judgment and decision-making with minimal supervision.
Focus areas include:
- Supporting senior-focused primary care operations
- Supporting merger & acquisition activity
Responsibilities
- Provide guidance on the application of fraud, waste, and abuse laws, including:
- Anti-Kickback Statute
- Stark Law
- Beneficiary Inducement Statute
as applied to primary care delivery and operations
- Assist with health care regulatory diligence for potential merger & acquisition activity
- Coordinate and address legal issues during post-closing integration
- Collaborate and consult with organizational leaders to support full compliance with applicable laws and regulations
- Protect against external legal risk
- Advise executives on development of functional strategies (often segment-specific) for matters of significance
Requirements
- Juris Doctorate degree from an ABA accredited school law school
- 5–10 years of relevant experience
- Active membership in a state bar association
- Strong legal writing and analytical skills
- Ability to work independently under general supervision and in team settings
- Passion for contributing to an organization focused on continuously improving consumer experiences
- Experience in Medicare, Medicaid, or similar regulatory work
Preferred Qualifications
- Demonstrated knowledge of Original Medicare and Medicare Advantage
- Demonstrated knowledge of health care provider operations
- Merger & acquisition experience
- Familiarity with Medicare risk adjustment and related billing and coding requirements
Compensation & Benefits
- Pay range: $168,000 - $231,000 per year
- This job is eligible for a bonus incentive plan based on company and/or individual performance
- Benefits may include medical, dental, and vision; 401(k) retirement savings plan; time off (including paid time off, company and personal holidays, paid parental and caregiver leave); short-term and long-term disability; life insurance; and other opportunities
Location
- Remote position
- Occasional travel to company offices for training or meetings may be required
Work-at-Home Requirements
- Self-provided internet service must meet minimum criteria:
- Download speed: at minimum 25 Mbps
- Upload speed: at minimum 10 Mbps
- Wireless, wired cable or DSL connection is suggested
- In certain roles, the minimum recommended internet speed may not be sufficient for business needs; the employer reserves the right to require associates to upgrade internet service if necessary
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Schedule
Application Deadline
Equal Opportunity
The employer is an equal opportunity employer and does not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or protected veteran status. The employer also takes affirmative action in compliance with Section 503 of the Rehabilitation Act and VEVRAA.