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Operations and Regulatory Counsel

Emerus Holdings, Inc.
$0 - 0
Posted Feb 06
Full Time

About Us

Emerus is the nation’s first and largest operator of small-format hospitals, also known as community or neighborhood hospitals. Emerus’ leading national health system partners include Allegheny Health Network, Ascension, Baptist Health System, Baylor, Scott & White Health, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS and MultiCare. Our state-of-the-art hospitals are fully accredited and provide highly individualized care. From the moment a patient walks through the door, a team of exceptional medical professionals takes charge, treating patients with speed, compassion and expertise. Emerus’ distinctive level of care earned the Guardian of Excellence Award for Superior Patient Experience in six of the past seven years. More information is available at www.emerus.com .

Position Overview

The Emerus Legal Department is hiring an Operations and Regulatory Counsel to provide guidance on the many and varied legal affairs of Emerus Holdings, Inc. and its subsidiaries. The Emerus Legal Department collectively addresses the full range of legal issues, including but not limited to, Stark/AKS analysis, fraud and abuse, EMTALA, HIPAA, reimbursement issues, contracting, risk management, patient relations, medical staff issues, corporate transactions and governance, real estate, intellectual property and labor and employment issues.

Essential Job Functions

  • Negotiates, drafts, and reviews contracts and other legal documents, including corporate transaction documents, vendor agreements, purchasing agreements, joint venture agreements, physician services agreements, licenses and other intellectual property agreements.
  • Performs legal and factual research necessary to draft and analyze various contracts, policies, and other documents and to advise internal clients.
  • Provides counsel on health care laws including those on privacy, Medicare, Medicaid and other government programs, fraud and abuse, physician self-referral and anti-kickback, and EMTALA.
  • Provides guidance on revenue cycle matters, including collection and third-party liability issues.
  • Provides guidance on billing, coding, and other reimbursement matters for compliance with government and commercial health plan requirements.
  • Develops legal policies and procedures, and works closely with compliance and risk to investigate and resolve compliance and risk concerns.
  • Responds to patient and external institutional issues as assigned.
  • Provides counsel on medical staff matters, including bylaws, medical staff corrective action, peer review, and disciplinary actions of medical staff.
  • Provides counsel for legal aspects of patient care, including informed consent, medical records/privacy issues, and patients' rights issues.
  • Assists in promoting efficiency of the legal department by preparing templates, forms, outlines, instructional materials, and other tools and resources.
  • Serves on committees, and work groups as assigned.
  • Performs other duties as assigned.

Basic Qualifications

  • Juris Doctorate
  • At least three to five years of experience advising health care providers on a broad range of legal matters
  • Corporate transactional experience
  • Experience with Medicare/Medicaid billing issues and appeal.
  • Extensive knowledge of laws and accreditation standards governing the delivery of healthcare by providers and suppliers, including hospitals and physicians
  • Knowledge of legal issues pertaining to antitrust, acquisitions and other transactions, real estate, tax, and intellectual property
  • Experience in fraud and abuse, physician self-referral, anti-kickback, privacy, billing and reimbursement, and patient care issues
  • Ability to work independently and with minimal supervision.
  • Effective human relations abilities
  • Ability to effectively collaborative alliances and promote teamwork
  • Ability to ensure a high level of customer satisfaction both internally and externally
  • Effective persuasion and negotiation skills
  • Effective interpersonal skills including the ability to work closely with healthcare providers and all levels of management, administration, and leadership
  • Effective leadership skills which demonstrate the ability to participate in innovation and change, strategic thinking, and problem solving
  • Superior communication skills in both written and verbal presentation, including all aspects of legal writing technique and procedure, and the ability to convey complex legal concepts to non-lawyers
  • Ability to function effectively and complete projects in a timely manner in a fast-paced and changing environment with multiple priorities and objectives
  • Position requires fluency in English; written and oral communication