5-10 years of legal experience in healthcare and hospital law.
Proven experience in contract administration and regulatory matters.
Strong background in Medicare/Medicaid reimbursement, fraud, and abuse regulations.
Responsibilities
Direct legal strategies for system-wide hospital operations under the Chief Legal Officer.
Serve as lead counsel for hospital operations, patient care, and contract administration.
Provide legal advice on compliance, regulatory litigation, and payment issues.
Liaise with the System Quality Review Committee and other governance bodies.
Analyze and resolve complex legal issues affecting hospital management and operations.
Benefits
Collaborative and dynamic team environment.
Opportunities for professional growth and development.
Involvement with innovative legal topics in healthcare.
Engagement with a diverse range of senior leadership.
Access to comprehensive legal resources and support.
Full Job Description
Hours of Work : Full Time; 8 - 5 Days Of Week : Monday - Friday Work Shift :
Job Description :
POSITION OVERVIEW The Assistant General Counsel - Hospital Services represents MHS and its wholly owned affiliates and operating divisions and leads and implements the legal strategies as assigned for system-wide hospital operations. MHS is a large, dynamic, and growing organization, with seven acute care hospitals, a medical group, jointly owned surgical hospitals and ambulatory surgical centers, as well as numerous additional affiliations and operating divisions. The Assistant General Counsel partners strategically with leaders across the system, including those in the areas of system-wide hospital operations, revenue cycle and care management, health information management, litigation support related to operations and regulatory matters, medical staff services, pharmacy, marketing, and supply chain. This is an outstanding opportunity to join a high-performing in-house legal team and work in a positive, open, and responsive team environment. The Assistant General Counsel must be a strategic division leader, capable of cross-functional leadership and creating clarity in complex situations, visible, credible, and accessible, as well as an individual of the highest integrity. The ability to listen, communicate effectively (verbally and in writing) and work collaboratively is essential.
POSITION RESPONSIBILITIES
Essential Functions.
The Assistant General Counsel - Hospital Services (ACG) works under the direction and supervision of the Chief Legal Officer, reporting directly to the Chief Legal Officer. The ACG is a strategic leader of this division of the Office of Legal Affairs, also leading and directing contract administration for system operations and supply chain.
The AGC is lead counsel (responsible for strategic analysis and day-to-day legal analysis and problem solving) on the following (working with the Assistant General Counsel - Compliance and Privacy Officer, if applicable):
Hospital operations and patient care
Referral source agreements and FMV matters
System contract administration
Revenue cycle; payment and billing issues
Regulatory matters and regulatory litigation
Governmental investigations
Policy support
Pharmacy
This position leads the provision of accurate and timely legal advice and analysis to leaders on a variety of legal issues including, but not limited to, state specific health care laws and regulations, Medicare/Medicaid rules, fraud and abuse including Stark and anti-kickback laws and regulations, patient rights, quality of care issues, informed consent, and billing and reimbursement issues.
The AGC is the Office of Legal Affairs liaison to the System Quality Review Committee, a committee of the MHS Board, and other committees, congresses, and task forces.
The ACG will undertake other duties as assigned.
Job Specific and Unique Knowledge, Skills and Abilities.
Full technical proficiency in the principles and practices of representing hospital management and counseling senior leadership regarding hospital operations and physician relationships.
Experience in leading strategic, complex projects and initiatives. Demonstrated track record in leading legal aspects of and innovating legal concepts related to hospital operations.
Outstanding analytical, negotiating, and drafting ability. Pragmatic business acumen with the ability to recognize the broader implications of legal advice.
Demonstrated excellence in oral and written communication. Innovative thinking that adds value; finds creative solutions to complex legal issues.
Interpersonal skills that foster successful interaction with a diverse array of legal and operational colleagues, clients, and leaders at all levels.
Demonstrated ability to manage multiple tasks and initiatives; prioritizing and working independently in a highly collegial and high performing environment. High degree of personal integrity, sound judgment, and a commitment to accountability.
Extensive knowledge of federal and state laws relating to healthcare, including but not limited to Medicare/Medicaid reimbursement, HIPAA, AKS, self-referral prohibitions, and fraud and abuse.
Excellent working knowledge of the key operational and strategic issues and challenges currently affecting hospitals, health systems, providers, health care delivery organizations, and/or integrated delivery systems.
