Remote Health System Payer Contracts Counsel

WVU Medicine; Morgantown (WV); Hybride; USD 130 000 - 190 000; Plein temps

Résumé du poste

SYSTEM West Virginia University Health System seeks an Associate General Counsel to provide day-to-day advice on contracting and payer agreements. The role focuses on managed care, reimbursement, credentialing, and provider networks within a large health system.

The candidate will draft, negotiate, and review a broad spectrum of contracts, and advise management on regulatory and compliance matters affecting payors, networks, and value-based care initiatives.

Qualifications

• JD required.
• West Virginia Bar membership or eligibility required.

Responsabilités

• Prepares, reviews, and negotiates a wide range of payer-related agreements including managed care, reimbursement, provider network and other payor contracts.
• Provides legal guidance to management on strategic partnerships, network participation, population health arrangements and regulatory matters.
• Advises payer contracting, finance, and revenue cycle teams on compliance with applicable laws and contracting practices.
• Oversees governance matters related to the organization’s accountable care initiatives and credentialing entities.
• Maintains current knowledge of fraud, abuse, Stark, and regulatory trends relevant to health care contracting.

Connaissances

Contract drafting

Negotiation

Healthcare payor contracts

Regulatory compliance

Legal guidance

Formation

Juris Doctor

Description du poste

SYSTEM West Virginia University Health System seeks an Associate General Counsel to provide day-to-day advice on contracting and payer agreements. The role focuses on managed care, reimbursement, credentialing, and provider networks within a large health system.

The candidate will draft, negotiate, and review a broad spectrum of contracts, and advise management on regulatory and compliance matters affecting payors, networks, and value-based care initiatives.