Senior Corporate Counsel - Managed Care Contracting

Lehigh Valley Health Network • Allentown, PA

2d • Onsite

About The Position

Imagine a career at one of the nation's most advanced health networks. Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work. LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day. Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network. Summary Provide comprehensive legal support with particular emphasis on LVHN's Clinical Integration Network (CIN), Managed Care, and Payor Contracting efforts. This Counsel position will serve as a trusted business partner and problem solver on a wide range of strategic, operational, corporate and compliance matters. This position will collaborate and work closely with LVHN senior leaders, management, operational, and other staff. Additionally, as a member of the LVHN legal team, the Counsel Position will help lead the fast-paced and wide-ranging legal services and affairs of LVHN and its affiliates.

Requirements

• Juris Doctor from an ABA-approved law school, be an active member in good standing of the Bar
• 10 years healthcare law experience with regulatory, managed care and contract drafting, review and negotiation experience.
• Knowledge of clinical regulatory requirements, accreditation processes, commercial payors and federal/state managed care and Medicare and Medicaid
• Licensed Attorney - State of Pennsylvania within 180 Days

Nice To Haves

• Regulatory Experience

Responsibilities

• Counsel the operational teams and executive leadership for CIN, managed care and other contracting and operational efforts.
• Collaborates with key stakeholders to identify and manage risk across CIN, Managed Care and Payor Contracting business teams.
• Directly support the following business teams: Clinical Integration Network (CIN), Managed Care, Payor Contracting, Populytics, MSO functions, TPA functions and other teams, as assigned.
• Provides comprehensive legal counsel, representation, and oversight on the wide range of legal matters affecting LVHN related to the full range of managed care transactions
• Provide legal and operational support for the development and oversight of the strategic monitoring plan for evaluating the performance of the CIN, Managed Care, Payor Contracting and other contracting and operational functions.
• Works with program leaders to identify and resolve regulatory and contractual compliance related risks and vulnerabilities.
• Provides recommendations for risk mitigation strategies and solutions to senior leadership.
• Provide legal and operational support for the development, implementation and periodic review and updating of the CIN and any winddown of corporate structures or operational functions to be assumed by the CIN.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Ph.D. or professional degree