Associate General Counsel - Litigation/Payor Relations

Beth Israel Lahey Health

7d•$187,200 - $216,000•Hybrid

About The Position

Beth Israel Lahey Health (BILH) is seeking an experienced attorney to provide legal support to BILH and its subsidiaries in pre-litigation and litigation matters, with a primary emphasis on healthcare payor disputes. Based in Charlestown, the position has a hybrid schedule with at least one day per week on-site. The Associate General Counsel identifies, evaluates, and pursues claims involving reimbursement, claim denials, and other payor-related issues, partnering with internal stakeholders and outside counsel. The role also supports other litigation and dispute-resolution matters as needed to protect and advance BILH’s legal and business interests. The attorney provides legal services to designated BILH entities and advises business-unit boards, management teams, physicians, and faculty on legal matters, regulatory developments, contractual relationships, and other legal issues. The role provides legal services across the enterprise in the attorney’s areas of expertise, negotiates and drafts contracts, supports compliance and policy development, and collaborates with the BILH legal group and outside counsel. The position reports to the Divisional Deputy General Counsel.

Requirements

J.D. degree from an accredited institution.
Admitted to practice law in the Commonwealth of Massachusetts and a member in good standing.
At least 5 years of practice in healthcare law.
Ability to manage legal matters with minimum oversight.
The introductory description seeks an attorney with at least 7 years of litigation experience, specifically including healthcare payor disputes.

Nice To Haves

Law firm experience.

Responsibilities

Provide legal services to designated BILH academic medical centers, community hospitals, physician groups, behavioral health or senior health businesses, and oversee allocation of internal and external legal resources.
Advise business-unit boards, management teams, physicians, and faculty on legal matters, regulatory and legal developments, contractual relationships, and related issues.
Provide legal services across the BILH enterprise in areas of substantive legal expertise and serve as a department expert and leader in those areas.
Identify, evaluate, and pursue claims related to reimbursement, claim denials, and other healthcare payor issues.
Negotiate and draft contracts and agreements, including provider arrangements and services and supplier agreements.
Maintain current knowledge of relevant law and advise clients about the impact of regulatory and legislative changes and guidance.
Participate in committees and assist with developing BILH policies and procedures that raise legal issues and affect business units.
Support the corporate compliance program and provide legal advice on compliance matters affecting relevant affiliates and clients.
Give presentations and conduct teaching sessions for medical and professional staffs and other employees on relevant legal issues.
Work with outside counsel on matters requiring specialized legal consultation and serve as liaison on referred matters.
Collaborate with the BILH legal group to support consistent delivery of legal services across the system.
Support other litigation and dispute-resolution matters as needed and perform other duties consistent with an experienced healthcare lawyer.