General Counsel/Chief Compliance Officer

About the role

The General Counsel serves as the chief legal officer for Trillium Health Resources (Trillium) and is a member of the Executive Team. This position provides comprehensive legal and compliance oversight of the organization and is responsible for the research, review, evaluation and analysis of Federal and State laws, rules and regulations pertaining to operations, with a particular emphasis on Medicaid managed care for BH and I/DD populations.

Responsibilities

• Appeals of agency actions by providers and members
• Providing legal oversight over all contracting with state and local agencies, providers, vendors and other entities or individuals
• Overseeing and directing all litigation or other legal disputes involving the organization
• Reviewing and revising policies, procedures, forms, templates and correspondence and monitoring Trillium compliance with the same
• Responding to inquiries from staff concerning legal issues and providing advice and counsel regarding disputes with enrollees, providers, vendors or other stakeholders that may lead to litigation
• Public policy, governmental and legislative affairs
• Internal compliance monitoring
• Vendor integration and management
• Commercial contract management

Requirements

Commensurate with experience.

Qualifications

• J.D. degree from an accredited law school
• Member in good standing of the North Carolina Bar Association
• Minimum of 10 years of relevant legal experience, preferably in healthcare or managed care organizations
• Experience in Medicaid managed care, particularly for behavioral health and IDD populations
• Strong analytical and problem-solving skills
• Excellent communication and interpersonal skills
• Ability to manage multiple priorities and deadlines

Skills

• Strong legal knowledge and understanding of healthcare regulations
• Experience with Medicaid managed care and behavioral health
• Excellent organizational and time management skills
• Ability to work collaboratively with cross-functional teams
• Strong negotiation and conflict resolution skills

Benefits

Competitive benefits and work-from-home options for most positions.

Pay

$252,000 - $352,807

Schedule

Remote within North Carolina