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Assistant General Counsel

Company: MJHS
Location: Brooklyn
Posted on: December 5, 2019

Job Description:

Our Corporate team may not provide direct care, but we still touch people's lives in a very real and substantial way. The services we provide contribute greatly to the overall patient and member experience, supporting our reputation for excellence. The Assistant General Counsel is an in-house attorney role in our legal department, located in the Bay Ridge section of Brooklyn NY, working at the direction of the MJHS General Counsel and with the Deputy General Counsel and other Associates. While this position will be responsible for providing legal advice and services to MJHS and all its affiliated entities, including MJHS Hospice and Palliative Care, MJHS Home Care, Isabella Geriatric Center and Menorah Rehabilitation and Nursing Center, a majority of the attorney's activity will be directed in support of Elderplan/Homefirst. Key areas of responsibility: • Assists the General Counsel in advising the MJHS Senior Management on a broad array of legal, regulatory and compliance matters. • Regularly provide legal advice on managed care and insurance matters, particularly as they apply to Elderplan's Medicare and Medicaid governmental programs. • Serve as a resource to business leads on operational matters including, but not limited to, drafting and negotiating managed care contracts, including provider agreements, health network contracts, administrative services agreements, management agreements, vendor and IT contracts and other business relationship matters • Assist with, and provide counsel to business leads on disputes, settlements, audits and investigations, appeals, fair hearings, administrative proceedings and small claims court actions; draft responses to audits and investigations, settlement documents related to contract disputes; provide representation at administrative hearings • Participate with outside counsel in representing MJHS and the MJHS agencies in structuring and negotiating major corporate transactions such as mergers, acquisitions, affiliations, joint ventures and the purchase of technology. • Provide legal advice to leadership and staff regarding medical-legal matters, such as informed consent, privacy, confidentiality, credentialing, regulatory requirements, and standard of care issues. • Provide day-to-day legal advice to business/operational departments to ensure compliance with applicable laws, regulations, policy, Medicare and Medicaid requirements • Provide legal counsel and prepare and review contracts for MJHS support departments including, Finance, Purchasing, IT, Human Resources, Marketing, Risk Management and Compliance. • Analyzing the impact and applicability of federal and state health care laws and regulatory requirements in relation to the clinical, strategic, and business operations of MJHS. Assist in implementation of requirements. • Keep informed regarding regulatory trends and best practices and counsel business partners on measures to avoid, reduce and mitigate risks. • Regularly attend and participate in management meetings, committees and workgroups. Attend Board and Board committee meetings on an “as needed” basis. • Perform other job-related functions, as requested.

Keywords: MJHS, New York , Assistant General Counsel, Other , Brooklyn, New York

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