Senior Corporate Counsel - Managed Care Contracting

Full-Time
Day Shift
Department
CSS-Legal
Shift Details
Day Shift, Monday-Friday; 8:00a-5:30p
Job ID
wd-JR135196
Posted

Senior Corporate Counsel - Managed Care Contracting

Join a team that delivers excellence.

Lehigh Valley Health Network (LVHN) is home to nearly 23,000 colleagues who make up our talented, vibrant and diverse workforce.

Join our team and experience firsthand what it's like to be part of a health care organization that's nationally recognized, forward-thinking and offers plenty of opportunity to do great work.

Imagine a career at one of the nation's most advanced health networks.


Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.


LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.


Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.


Summary
Provide comprehensive legal support with particular emphasis on LVHN's Population Health, Managed Care, and Payor Contracting efforts. This Counsel position will serve as a trusted business partner and problem solver on a wide range of strategic, operational, corporate and compliance matters. This position will collaborate and work closely with LVHN senior leaders, management, operational, and other staff. Additionally, as a member of the LVHN legal team, the Counsel Position will help lead the fast-paced and wide-ranging legal services and affairs of LVHN and its affiliates.

Job Duties

  • Counsel the operational teams and executive leadership for Population Health, revenue cycle, managed care and other contracting and operational efforts. Collaborates with key stakeholders to identify and manage risk across Population Health, Revenue Cycle, Managed Care and Payor Contracting business teams.
  • Directly support the following business teams: Population Health, Revenue Cycle, Managed Care, Payor Contracting, Populytics, MSO functions, Revenue Cycle, TPA functions and other teams, as assigned.
  • Provides comprehensive legal counsel, representation, and oversight on the wide range of legal matters affecting LVHN related to the full range of managed care transactions
  • Provide legal and operational support for the development and oversight of the strategic monitoring plan for evaluating the performance of the Population Health, Revenue Cycle, Managed Care, Payor Contracting and other contracting and operational functions. Works with program leaders to identify and resolve regulatory and contractual compliance related risks and vulnerabilities. Provides recommendations for risk mitigation strategies and solutions to senior leadership.
  • Provide legal and operational support for the development, implementation and periodic review and updating of the Population Health entities and any winddown of corporate structures or operational functions to be assumed by the Population Health.


Minimum Qualifications

  • Juris Doctor from an ABA-approved law school, be an active member in good standing of the Bar
  • 8 years healthcare law experience with regulatory, managed care and contract drafting, review and negotiation experience.
  • Knowledge of clinical regulatory requirements, accreditation processes, commercial payors and federal/state managed care and Medicare and Medicaid
  • Licensed Attorney - State of Pennsylvania within 180 Days


Preferred Qualifications

  • Regulatory Experience


Physical Demands
Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.


Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.

https://youtu.be/GD67a9hIXUY

Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.

Discover more about our mission and values on our about page.

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