Senior Counsel Payer Contracting

This position is incentive eligible.

Do you want to join an organization that invests in you as a Senior Counsel Payer Contracting? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Job Summary and Qualifications

The Senior Counsel Payer Contracting role provides legal advice regarding managed care payer agreements. This includes drafting language, identifying regulatory issues, and assisting with related operational issues on behalf of HCA and its affiliates. This role also provides pre-litigation claim support and analysis for disputes regarding rights and obligations under manage care agreements.

What you will do in this role:

• Provide legal advice and support in connection with Managed Care Agreements
• Prepare redlines of payer agreements to reflect general company/department objectives and specific business objectives
• Negotiate terms and provisions of Managed Care Agreements
• Analyze payor policies and compliance with HCA managed care agreements
• Analyze managed care agreements and arrangements for fraud and abuse and anti-trust issues and coordinate resolution of the same through outside counsel and/or operations counsel
• Manage the use of outside counsel
• Collaborate with other members of the Legal Department and Parallon Business Solutions on pre-litigation disputes related to managed care agreements
• Interact with corporate and local Communications and Government Relations departments concerning managed care-related press or legislative matters.
• Interact with Ethics and Compliance Department as necessary to ensure compliance with reporting requirements under the Corporate Integrity Agreement.
• Participate in legal training for business/operational personnel.

• More than 10 years of applicable work experience is needed for a successful candidate.
• Juris Doctorate from ABA accredited law school
• Admitted to, or qualified to be admitted to, the Tennessee Bar

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts