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Health Care Regulatory Associate General Counsel

Ensign Services

  • San Juan
  • 14 days ago

    Highlights

    Research, advise and provide counsel to client facilities involving the application and interpretation of health care laws, Medicare/Medicaid reimbursement regulations, and related Federal and State laws governing the delivery of care and reimbursement for services in a post-acute care setting. ESI is known as the “Service Center” and provides the facilities and leaders it serves with “back-office” support in areas such as accounting, construction, compliance, human resources, information technology, learning and development, legal and risk management and recruiting.

    Numbers & Facts

    LocationSan Juan
    Websiteensignbenefits.com

    Description

    Health Care Regulatory Associate General Counsel
     
     
    Position Type: Full Time, Exempt Employee
    Salary Range:  $100,000 - $150,000 annually, DOE; may be eligible for bonus. Compensation will be based on the candidate’s experience, qualifications, and geographic location.
    Location: This position based onsite at the Service Center in San Juan Capistrano, CA. Ability to travel up to 20% of the time, as business needs require.
     
    About the Company
    Ensign Services, Inc. (“ESI”) is a subsidiary of The Ensign Group, Inc., which is a national leader in the operation of skilled nursing, senior living, rehabilitation, home health, hospice, and other healthcare services. ESI is known as the “Service Center” and provides the facilities and leaders it serves with “back-office” support in areas such as accounting, construction, compliance, human resources, information technology, learning and development, legal and risk management and recruiting.
     
    We seek individuals who thrive in a dynamic environment, embrace continuous learning, and are passionate about making a meaningful impact. We take our core values of Celebration, Accountability, PassionforLearning, LoveOneAnother, IntelligentRiskTaking, CustomerSecond, and Ownership (“CAPLICO”) seriously.  We want an individual in this role who will demonstrate these values through actions and words.
     
    About the Opportunity
    The Health Care Regulatory Associate General Counsel will provide legal guidance and support on regulatory matters, especially as related to post-acute care operations. It requires transactional based experience in implementing and operationalizing the regulations.  Specifically, expertise in Medicaid and Medicare reimbursement and how the applicable regulations interface with related State and Federal healthcare regulatory laws, including OBRA, the False Claims Act, the Federal Physician Self-Referral Law ("Stark Law"), and the Anti-Kickback Statute.  In this role, you will provide business advice to assist our client business entities and Service Center partners in identifying and resolving legal and regulatory matters. In addition, the position will play a key role in drafting, reviewing and negotiating complex reimbursement arrangements, including documents related to ACOs, managed care organizations, and other similar arrangements. In addition, you will likewise advise on compliance with Federal and State healthcare industry laws and regulations; monitor changes in relevant regulatory and reimbursement areas; and educate others on same.
     
    Job Duties and Responsibilities include, but are not limited to:
    • Serve as a key advisor in evaluating regulatory issues and directives that may impact business operations.
    • Conduct research into state and federal regulatory requirements across a variety of healthcare-related topics, and provide operational advice on implementation of the regulations.
    • Provide advice and guidance around issues and initiatives existing in the post acute care industry, including reimbursement, MCOs ACOs, ISNPs, and related matters.
    • Research, advise and provide counsel to client facilities involving the application and interpretation of health care laws, Medicare/Medicaid reimbursement regulations, and related Federal and State laws governing the delivery of care and reimbursement for services in a post-acute care setting.
    • Assess business risks based on substantive legal and regulatory support.
    • Keep current with legislative and regulatory changes, and communicate changes to affected stakeholders, including but not limited to participation on reimbursement regulatory committees.
    • Partner with key stakeholders on compliance matters that present legal or regulatory risk
    • Communicate the tactical and strategic legal needs of the operations to Service Center colleagues.
    • Proactively help ESI and its clients manage legal risk as it impacts the operation of the involved service line.
    • Serve as a business partner in contract negotiations, including but not limited to contracts related to revenue generation.
    Position Requirements:
    • Juris Doctor (J.D.) degree and 0-3 years of legal practice experience.
    • At least one State Bar Admission and in good standing.
    • Strong research and analytical skills.
    • Ability to manage several matters at one time in a fast-paced environment.
    • High degree of maturity and professionalism.
    • Exceptional presentation, writing and communication skills
    • Support additional tasks and special ad hoc projects as assigned.
    • Ability to travel up to 20% of the time, as business needs require.
    Personal Characteristics
    • Servant-leader mindset with a commitment to providing excellent customer service in a high-energy, high-accountability environment.
    • Disciplined, self-motivated professional with strong work habits and the ability to follow through on commitments.
    • Collaborative team player who is willing to support work at all levels and is passionate about the organization, its mission, and the people it serves.
    • Active listener who demonstrates sound judgment, inspires confidence, and handles confidential matters with discretion.
    • Positive, approachable, and solutions-oriented professional with a strong desire to support others and contribute to team success.
    • Proven leadership and interpersonal skills, with a strong team orientation.
    • Professional demeanor and executive presence.
    • Ability to provide clear direction and consistently deliver high-quality results.
    • Culture leader who can model, support, and reinforce the organization’s values across the organization.
    Physical Requirements:
    Standard Office Environment
    More than 50% of the time:
    • Sit, stand, walk.
    • Repetitive movement of hands, arms and legs.
    • See, speak and hear to be able to communicate.
    Less than 50% of the time:
    • Stoop, kneel or crawl.
    • Climb and balance.
    • Carry and lift 10-20 lbs.
    Additional Information
    Any offer of employment may be contingent upon the successful completion of job-related post-offer requirements, which may include background checks, reference checks, and/or other screenings or examinations as permitted by applicable law.
     
    What We Offer
    We are committed to providing a competitive benefits and compensation package which includes medical/dental/vision coverage, company-provided life insurance, 401(k) with company match, and sick/vacation plans. Additionally, enjoy access to our fully equipped onsite gym (San Juan Capistrano office location).  We also believe in supporting our employee’s professional growth and development through our Learning Management System as well as training sessions and seminars. Take a look at these benefits (and more!) at www.ensignbenefits.com 
     
    Ensign Services, Inc. is an equal opportunity employer.  If you need assistance or accommodation during the application process, please contact us at 888-659-3616. 
     
    Job ID: 1728

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