Senior Attorney Managed Care

Duties

• Drafting, reviewing and negotiating managed care agreements, including value based care arrangements.
• Advising on reimbursement policies and regulatory requirements for Medicare, Medicaid and commercial payers, including risk adjustment compliance.
• Advising on disputes and litigation related to payer payment and contractual issues.
• Advising on clinically Integrated Network issues and antitrust compliance.

Requirements

• Licensure / Certification / Registration: Attorney obtained prior to hire date or job transfer date required. Licensure required relevant to state in which work is performed.
• Education: Juris Doctorate degree required.
• Work Experience: 5 years of experience as licensed, practicing attorney required.

Preferences

• Experience working with provider/payer agreements.
• Experience drafting and advising on managed care payer agreements.