Senior Counsel Managed Care - HCA Healthcare

Description

Introduction

Do you want to join an organization that invests in you as a Senior Counsel, Managed Care? 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.

Benefits

HCA Healthcare offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Senior Counsel like you to be a part of our Managed Care Contracting team.

Job Summary and Qualifications

Provide legal advice regarding managed care payor agreements (including drafting language, identifying regulatory issues, and assisting with related operational issues on behalf of HCA and its affiliates in particular geographic regions (to be specified). Provide pre-litigation claim support and analysis for disputes regarding rights and obligations under manage care agreements. Supervise an assigned secretary and paralegal (who will be shared with other attorneys).

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.

Qualifications you will need:

• More than 10 years of applicable work experience is needed for a successful candidate.
• Juris Doctorate from accredited law school, top 25 schools preferred.
• Admitted to, or qualified to be admitted to, the Tennessee Bar

HCA Healthcare (Corporate), based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleled resources and opportunities to reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education and career advancement opportunities, every person has a solid foundation for success. Nashville is also home to our Executive Development Program, where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Sr Counsel opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.