Senior Counsel, Managed Care, Dallas, TX or Nashville, TN
Tenet Executive Search
Location: Dallas, Texas
Internal Number: 2105030798
This position offers significant responsibility, exposure and variety for a candidate with senior level experience. The candidate will have the opportunity to interact with multiple members of Tenet's legal, managed care and senior management teams, as well as outside counsel.
Additionally, the individual must be able to communicate well with the other team members, ask good questions, collaborate with various internal stakeholders and, at times, work independently. The individual must also be willing to work in a high-pressure, fast-paced environment and have the ability to juggle multiple projects at one time.
Specific requirements include the following:
A minimum of five years of experience in complex managed care litigation and arbitration management in a leading managed care company or an integrated healthcare delivery system (either for-profit or not-for-profit).
Prior experience as an associate or partner of a national healthcare law firm is preferred.
Superior contract drafting and negotiation experience is essential, including the negotiation of complex multi-year contracts.
Familiarity with the regulatory framework of health plans, including a working knowledge the California Knox-Keene Act and the insurance Laws impacting plans in California and other states.
Familiarity on statutory and regulatory compliance issues arising under the Affordable Care Act, including issues regarding medical loss ratios (MLRs), Essential Health Benefits, internal and external claims review, premium taxes, Accountable Care Organizations (ACOs), premium rate increase reviews, provider non-discrimination and health insurance exchanges.
General familiarity with other healthcare regulations, including HIPAA (privacy, security, and standard transactions); Medicare secondary payor; Anti-kickback and anti-inducement and the False Claims Act.
Demonstrated research, analytical, organizational and computer skills.
Tenet Healthcare Corporation is seeking to hire an experienced lawyer with a background in managed care/healthcare law and extensive contract negotiation skills to provide legal advice to the Companyâ��s Managed Care team in connection with payer relations contract negotiations, contract disputes, and its work with Accountable Care Organizations (ACOs).
The core job functions include the following:
Comprehension of and contribution to the managed care legal strategy.
High level and detailed agreement drafting and negotiating.
Advising on regulatory matters as they relate to managed care contract and related activities.
Managing managed care arbitration and litigation matters.
Assisting in the oversight of the administration of managed care contracts and disputes.
Professional and Personal Attributes
Must have strong communication skills, be extremely responsive and possess meticulous attention to detail and initiative.
Must be capable of negotiating and drafting in a high-energy paced team environment.
Must also possess excellent interpersonal and communication skills with the ability to brief individuals at all levels of the organization, including top executives and outside counsel, on complex contracting issues.
This position will involve handling confidential matters requiring the exercise of good judgment and discretion.
An individual of highest personal and professional integrity, principle and knowledge, earning respect and support when making difficult decisions and choices.
Juris Doctor Degree from an ABA Accredited Law School is required and fully qualified to practice in the State of Texas.
A competitive compensation program will be tailored to the selected candidate. Base salary will be supplemented by a performance bonus and comprehensive, well-rounded benefits program, which includes relocation assistance.
Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.
Job: Executive Search
Primary Location: Dallas, Texas
Facility: Tenet Executive Search
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.