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Job Description

Job Description - Assistant General Counsel, MassHealth Litigations (240000LJ)

Assistant General Counsel, MassHealth Litigations - ( 240000LJ )

Description

The Office of the General Counsel within the Executive Office of Health and Human Services (EOHHS) seeks a dynamic individual to serve as Assistant General Counsel, MassHealth Litigation. The EOHHS General Counsel’s Office is directly responsible for legal support for the MassHealth program, the core functions that are centrally managed at the secretariat level and coordination and management of legal issues throughout the Secretariat through the General Counsels of the EOHHS constituent agencies. The legal issues related to MassHealth and other EOHHS activities are complex, requiring knowledge of many applicable federal and state laws. In addition, EOHHS attorneys provide advice on the full array of legal issues faced by any large organization, including, but by no means limited to, public procurement and contracting, litigation, trusts and estates, privacy and security, and information technology (IT).

The General Counsel's Office Functions As EOHHS In-house Counsel. The Assistant General Counsel Will Perform a Wide Range Of Complex Legal Activities Generally Described Below

Duties and Responsibilities (these duties are a general summary and not all-inclusive):

• Represent MassHealth in state and federal court and before administrative bodies, including the MassHealth Board of Hearings and the Division of Administrative Law Appeals.
• Defend MassHealth agency actions regarding eligibility and medical necessity determinations in state and federal courts.
• Partner with the Attorney General’s Office (AGO) whenever they provide representation.
• Support MassHealth's relationship with the Medicaid Fraud Division of the AGO.
• Support MassHealth’s estate recovery and casualty recovery programs, including litigation in probate and superior court (and appellate courts when necessary)
• Litigate MassHealth overpayment and audit recovery cases before the Board of Hearings and on appeal to superior court.
• Provide internal legal advice, drafting and review of EOHHS regulations, policies, procedures, and other initiatives.
• Other duties as assigned.

Required Qualifications

• Knowledge of theory, principles and practices of law including methods and ability to conduct legal research and technical report writing.
• Understanding and knowledge of procedures followed in courtroom and administrative proceedings.
• Ability to read and interpret legal documents and apply the law, rules and regulations governing agency operations.
• Communicate effectively both verbally and in writing, to clearly and concisely express thoughts and develop ideas in a logical manner as well as exercise discretion and sound judgment.
• Strong interpersonal and communication skills, the ability to effectively manage multiple projects simultaneously and effectively with diverse groups of people.
• Experience and ability to use a computer to conduct research, manage databases, and produce written documents.

Preferred Qualifications

• Professional experience in the practice of law or in a position requiring membership in the Bar
• Excellent academic background
• Significant experience in counseling clients, legal research and analysis, oral and written advocacy, and creative problem-solving.
• Strong interpersonal skills and the desire to work in a collaborative legal office.
• Prior experience working with state and federal government, health and administrative law, health care issues and public policy.

About EOHHS And MassHealth

The mission of the Executive Office of Health and Human Services (EOHHS) is to provide effective leadership in the delivery of health and human services that promote health, resilience, and independence to improve the quality of life for individuals, families, and communities throughout the Commonwealth. EOHHS oversees expenditures of over $31 billion annually and is the largest secretariat in the Executive Branch of state government with 12 state agencies, 2 Soldiers’ Homes, and the MassHealth Program. EOHHS administers the Commonwealth’s Medicaid program, known as MassHealth. MassHealth is a cooperative state and federal program that provides health care benefits and premium assistance for uninsured families, disabled individuals, children, long-term unemployed adults, and seniors. The mission of MassHealth is to help the financially needy obtain high-quality, affordable health care, promote independence, and provide customer satisfaction. MassHealth benefits include hospitals, physicians, nursing facilities, prescription drugs, and other health and long-term care services. MassHealth’s delivery systems currently include a variety of accountable care organizations, managed care plans, and an extensive network of fee-for-service providers that contract directly with MassHealth.

To know more about the EOHHS and MassHealth please visit: https://www.mass.gov/orgs/executive-office-of-health-and-human-services , https://www.mass.gov/topics/masshealth

Pre-Hire Process

A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori

Education, licensure, and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines.

Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth’s website.

If you require assistance with the application/interview process and would like to request an ADA accommodation, please click on the link and complete the Reasonable Accommodation Online Request Form

For questions regarding this requisition, please contact the Executive Office of Health and Human Services Human Resources at 1-800- 510-4122 Ext. #4.

Qualifications

First consideration will be given to those applicants that apply within the first 14 days.

Minimum Entrance Requirements

Applicants must have a Juris Doctor (JD) degree, admission to the Massachusetts Bar and (A) at least three years of full-time, or equivalent part-time, professional experience in the practice of law.

Incumbents may be required to have a current and valid Motor Vehicle Drivers License at a Class level specific to assignment.

Comprehensive Benefits

When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.

Want the specifics? Explore our Employee Benefits and Rewards!

An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.

The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.

Official Title : Counsel II

Primary Location : United States-Massachusetts-Boston-1 Ashburton Place

Job : Legal Services

Agency : Exec Office Of Health and Human Services

Schedule : Full-time

Shift : Day

Job Posting : Jan 25, 2024, 2:04:42 PM

Number of Openings : 1

Salary : 84,243.38 - 122,903.04 Yearly

If you have Diversity, Affirmative Action or Equal Employment Opportunity questions or need a Reasonable Accommodation, please contact Diversity Officer / ADA Coordinator : Diane Randolph Jones(Interim) / Diane.RandolphJones@mass.gov - 6173485067

Bargaining Unit : 06-NAGE - Professional Admin.

Confidential : No

Potentially Eligible for a Hybrid Work Schedule : Yes

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