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Associate General Counsel - Hospital Operations

Prime Healthcare Ontario, CA Full-Time
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Responsibilities

The Associate General Counsel-Hospital Operations (“AGC”) is a senior member of the Prime legal team.
Provide legal and strategic advice and counsel to hospital C-suites, Corporate Department Heads and Senior Management, and reviews and drafts documents related to the highly-regulated business of healthcare.
Must be able to work in a fast paced, high pressure environment, and meet high priority/short turn-around time deadlines as they arise.
Expected to supervise, mentor and develop more junior members of the legal department as assigned by the General Counsel.
Possess in-depth knowledge of and facility with complex laws and regulations, including, but not limited to the Stark Law, the Antikickback Statute (and various state-law equivalents), EMTALA, Medicare, the Medicaid State Operations Manual, HIPAA/HiTech, etc.
Works closely with the Corporate Compliance Officer as needed to ensure the smooth and efficient operation of the Corporate Compliance Plan and the Code of Conduct.
Conducts investigations as directed by the General Counsel, and leads ad hoc teams as needed.
Structures and reviews physician arrangements to comply with applicable laws (although the AGC is not required to be an employment law expert, the AGC must be sensitive to employment law related issues when negotiating/drafting physician/midlevel and other provider employment and/or independent contractor agreements, and will work closely with in-house and outside employment law counsel on such matters.)
Appropriately supervise outside counsel when referring work thereto; the AGC is expected to refer out only such matters that warrant referral (whether due to special expertise, economy/efficiency issues, or the need for high priority/rapid turn-around time handling during times of high work volume).
Assists in promoting efficiency by developing and drafting template forms, policies, instructional materials and other tools and resources.
Provides training presentations to hospital and corporate personnel as requested by other department heads or at the direction of the General Counsel.
 
#LI-WG1



Qualifications

  • Degree from an ABA accredited law school
  • Admission in good standing to the bar of the highest court of at least one State; if not admitted in California, eligible for CA Registered In House Counsel status.
  • At least three (3) years (Assistant) five (5) years (Senior Assistant) and/or eight (8) years (Associate) of progressively more responsible experience providing legal and regulatory advice and counsel to hospital and healthcare facility clients.
  • In-depth knowledge of and facility with complex laws and regulations, including, but not limited to the Stark Law, the Antikickback Statute (and various state-law equivalents), EMTALA, Medicare, the Medicaid State Operations Manual, HIPAA/HiTech, etc.
  • Substantial understanding of hospital and physician reimbursement mechanisms.
  • Significant experience in negotiating, drafting and reviewing agreements with physicians, physician groups, and/or the immediate family members of physicians, as well as other business partners (i.e., hospitals, nursing homes, SNFs, lab service providers, imaging centers, ambulance services, etc.)
  • Understanding of healthcare revenue cycle matters, including collection and third-party liability issues
  • Understanding of medical staff matters, including bylaws, medical staff corrective action, and peer review.
  • Excellent oral, written and interpersonal communication skills essential.
  • Strong client relations and team building skills.
  • Ability to work both individually with a minimum of supervision, and within a team.

 
We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.  EEO is the Law: [ Link removed ] - Click here to apply to Associate General Counsel - Hospital Operations

 

Recommended skills

Vicarious Liability
Hospitals
Medicaid
Medicare
Management
Investigation
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Job ID: 2020-41990

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