HealthCare Operational - Counsel

Cigna   •  

Bloomfield, CT

Industry: Healthcare


5 - 7 years

Posted 246 days ago

This job is no longer available.

HealthCare Operational- Counsel


 As a member of the U.S. Business Law team, provides proactive legal advice and counsel on issues related to the dynamic CareAllies group andsupports the products and services incorporated within the CareAllies book of business including but not limited tosupporting providers in providing value-based care through  provider engagement services, ACOsupport, practice transformation, delivery of home based care services andsupport of provider organizations operating in a multi-payer environment.

Willsupport the Business in addressing legal, operational and escalated regulatory compliance issues requiring legal intervention related to CareAllies products and services, with a focus on problem solving and solution based advice; will assist with the review, analysis andediting ofcontract documents such as non-disclosure agreements, businessassociate agreements, management services agreements, practice transformation agreements, and administrative services agreements; will provide legalsupport to CareAllies business regarding  new market  and product development and company strategy, organizational business projects and fulfillment of operational and strategic goals. 

Accountable for a working knowledge and expertise of state and federal laws and regulations pertaining to management of provider entities such as IPA’s, CIN’s and physician practices, laws and regulations related to provider incentive and gain sharing arrangements, state and federal requirements related to delegated entities and downstream providernetworks, legal and regulatory requirements related to the creation and maintenance of clinically integratednetworks, fully-insured and governmental product offerings, the Affordable Care Act,  and federal and state privacy laws and regulations including the HIPAA Privacy and Security Rule; Collaborates with business, operationalrisk and compliance staff to identify known and potential regulatory, legal and businessrisks impacting CareAllies operations. 

Assist with the interpretation of federal and state laws to assess impact on CareAllies operations and strategy. 



  • Law degree; prefer at least 6-8 years corporate legal department or relevant law firm experience.
  • JD from accredited law school and Bar membership
  • Strong analytical skills required.
  • Ability to effectively develop, manage and influence relationships with business clients.
  • Preferred familiarity with managed care products and (fully insured and governmental) downstream provider networks and regulatory requirements governing such environments
  • This position requires a customer-focused and creative approach to problem solving and the ability to efficiently manage a substantial number of issues.
  • Strong drafting and contract writing skills, developed negotiating skills and the ability to work with a high degree of independence with demonstrated results. 
  • Exceptional track record of project and process management.
  • Strong verbal and written communication skills
  • Demonstrated common sense and good judgment and willingness to take on difficult projects.
  • Strong experience in measuring and analyzing process as well as results, to identify opportunities for improvement.

Strong ability to maneuver through business barriers to facilitate solutions

  • Position Location:  Negotiable