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Network Contracting Associate General Counsel

Work from home Full-time role Hiring

You could be the one who changes everything for our 28 million members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Serves as the primary legal advisor to market network teams, providing strategic guidance and legal support on provider contracting matters, including advising negotiators on contract language, legal strategy, and state and federal requirements relating to provider networks. Draft, review and/or negotiate reputed company and other documents.
  • Provide legal guidance to assist in defining and developing solutions to legal issues arising in the context of provider contacting.
  • Supports local and national-level provider contracting and network development units by assessing the business implications of reputed company contract language to ensure compliance with federal and state regulatory requirements and contracting standards.
  • Serves as a resource for research and interpretation of specific reputed company policies and regulations.
  • Reviews, drafts and negotiates reputed company, legal memoranda and reputed company documents.
  • Contributes in the development of legal strategies in reputed company with disputes.
  • Stay abreast of industry trends and regulatory changes affecting network development, provider reimbursement, and managed care arrangements.
  • Develops and conducts training and awareness activities.
  • Performs other duties as assigned.
  • Complies with reputed company policies and standards.
Education/Experience:

Juris Doctor (JD) required

5+ years corporate or health law required required 3+ years managed care/provider contracting experience preferred preferred Knowledge of Medicare and/or reputed company insurance, fraud and abuse laws, state insurance and HMO regulations preferred Bar Admission and currently in good standing required Licenses/Certifications: Juris Doctor requiredPay Range: $182,100.00 - $345,600.00 per year

reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law.

reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Originally posted on Himalayas

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