Associate General Counsel - Litigation/Payor Relations

Beth Israel Lahey Health; Boston (MA); Hybrid; USD 187,000 - 229,000; Full time

Job summary

Beth Israel Lahey Health (BILH) in Charlestown, MA, seeks an experienced Associate General Counsel with seven years of litigation experience, focused on healthcare payor disputes. The role offers a hybrid schedule with at least one day on-site weekly and reports to the Divisional Deputy General Counsel.

You will provide legal services to BILH entities, negotiate contracts, advise on regulatory changes, collaborate with outside counsel, and help steer pre-litigation and litigation strategies to

Qualifications

• Seven+ years of litigation experience with healthcare payor disputes.
• Minimum of 5 years in health care law.

Responsibilities

• Provide legal services to BILH academic medical centers, hospitals, physician groups and entities.
• Negotiate and draft provider arrangements, services and supplier agreements.
• Advise on regulatory developments and legislative changes impacting BILH.
• Collaborate with outside counsel and coordinate with internal stakeholders.
• Support the corporate compliance program and risk management.
• Deliver trainings and presentations on relevant legal issues.

Education

J.D. degree

Massachusetts Bar admission

Job description

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Beth Israel Lahey Health (BILH) is seeking an experienced attorney with a minimum of seven years of litigation experience, and specifically, experience with healthcare payor disputes. Based in Charlestown, this position offers a hybrid schedule with a minimum of one day per week on-site.

Reporting to the Divisional Deputy General Counsel, the Associate General Counsel will provide legal support to Beth Israel Lahey Health and its subsidiaries ("BILH") in pre-litigation and litigation matters, with a primary emphasis on disputes involving healthcare payors. The role will be responsible for identifying, evaluating, and pursuing claims related to reimbursement, claim denials, and other payor-related issues, while partnering with internal stakeholders and outside counsel. The Associate General Counsel will also support the organization in other litigation and dispute resolution matters as needed to protect and advance BILH's legal and business interests.

Job Description

Essential Duties & Responsibilities

• Directly provide legal services to certain of BILH’s academic medical centers, community hospitals, physician groups, behavioral health or senior health businesses and oversee the allocation of internal and external resources for legal services.
• Provide legal support to the business unit boards, management teams, and various physicians and faculty members in relation to relevant legal matters, regulatory and legal developments, contractual relationships, and other legal-related matters.
• Provide legal services across the BILH enterprise in the area(s) of the incumbent’s substantive legal expertise. Serve as a department expert and leader in the designated area(s) of expertise.
• Negotiate and draft contracts and agreements including provider arrangements, and services and supplier agreements.
• Maintain current knowledge of relevant law and advise clients about the impact of recent regulatory and legislative changes and guidance.
• Participate in committees and assist in the development of BILH policies and procedures that raise relevant legal issues and affect BILH’s various business units.
• Support the corporate compliance program and providing legal advice related to compliance matters affecting relevant affiliates and clients.
• Make presentations both inside and outside BILH and conduct teaching sessions for medical and professional staffs and other employees regarding relevant legal issues.
• Work directly with outside counsel on issues requiring specialized legal consultation and serves as liaison with outside counsel on referred legal matters.
• Responsible for working collaboratively with the BILH legal group to ensure consistent delivery of legal services across the system.
• Perform other duties as assigned consistent with a lawyer with 5 or more years of experience in health care law and management.

Minimum Qualifications

• J.D. degree from an accredited institution and proven ability to manage staff and matters with minimum oversight.

Licensure, Certification & Registration

• Admitted to practice law in the Commonwealth of Massachusetts. Member in good standing.

Experience

• Minimum of 5 years of practice of health care law.

Skills, Knowledge & Abilities

• Proven ability to manage legal matters with minimum oversight.

Preferred Qualifications & Skills

• Law firm experience.

Pay Range

$187,200.00 USD - $228,800.00 USD

The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled