Senior Counsel Payer Contracting

HCA Healthcare; Nashville (TN); On-site; USD 150,000 - 190,000; Full time

Benefits offered by this job

Comprehensive benefits package

401(k) plan with matching

Tuition assistance

Job summary

HCA Healthcare is seeking a Senior Counsel Payer Contracting to provide expert legal guidance on managed care agreements. You will draft, redline, and negotiate terms while ensuring regulatory compliance and coordinating with outside counsel on disputes.

You will collaborate with the Legal Department and Parallon, support pre-litigation matters, and interact with Communications, Government Relations, and Compliance teams as needed.

Qualifications

• 10+ years of relevant legal experience with managed care or health care agreements.
• Juris Doctorate from an ABA-accredited law school.
• Admitted to, or eligible for admission to, the Tennessee Bar.

Responsibilities

• Provide legal advice on Managed Care Agreements.
• Prepare redlines to reflect business objectives.
• Negotiate terms of Managed Care Agreements.
• Analyze payor policies for compliance with agreements.
• Coordinate with outside counsel and operations counsel on disputes.
• Collaborate with the Legal Department and Parallon on pre-litigation matters.
• Interface with Communications and Government Relations on related matters.
• Engage with Ethics and Compliance to meet FDA/CIA reporting requirements.
• Participate in legal training for business personnel.

Skills

Contract negotiation

Contract drafting

Regulatory analysis

Outside counsel management

Cross-functional collaboration

Education

Juris Doctorate (ABA accredited)

Job description

This position is incentive eligible.

Do you want to join an organization that invests in you as a Senior Counsel Payer Contracting? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Job Summary And Qualifications

The Senior Counsel Payer Contracting role provides legal advice regarding managed care payer agreements. This includes drafting language, identifying regulatory issues, and assisting with related operational issues on behalf of HCA and its affiliates. This role also provides pre-litigation claim support and analysis for disputes regarding rights and obligations under manage care agreements.

What you will do in this role:

• Provide legal advice and support in connection with Managed Care Agreements
• Prepare redlines of payer agreements to reflect general company/department objectives and specific business objectives
• Negotiate terms and provisions of Managed Care Agreements
• Analyze payor policies and compliance with HCA managed care agreements
• Analyze managed care agreements and arrangements for fraud and abuse and anti-trust issues and coordinate resolution of the same through outside counsel and/or operations counsel
• Manage the use of outside counsel
• Collaborate with other members of the Legal Department and Parallon Business Solutions on pre-litigation disputes related to managed care agreements
• Interact with corporate and local Communications and Government Relations departments concerning managed care-related press or legislative matters.
• Interact with Ethics and Compliance Department as necessary to ensure compliance with reporting requirements under the Corporate Integrity Agreement.
• Participate in legal training for business/operational personnel.

Qualifications you will need:

• More than 10 years of applicable work experience is needed for a successful candidate.
• Juris Doctorate from ABA accredited law school
• Admitted to, or qualified to be admitted to, the Tennessee Bar

Benefits

HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn More About Employee Benefits

Note: Eligibility for benefits may vary by location.

We are comprised of affiliated hospitals, physician practices and other sites of care across the United States and United Kingdom. The Sarah Cannon Cancer Network is transforming cancer care through integrated services and cutting-edge technologies. Our physicians can develop leading oncology programs to advance science and patient care. Providing physician-led patient care offers our doctors access to a national network of experts. This is where multidisciplinary teams come together with a goal of delivering seamlessly coordinated, quality cancer care. Through a united network of globally recognized oncology specialists, we collaborate and share best practices. We address each aspect of the cancer journey, from screening and diagnosis through treatment and survivorship, to advance our shared mission: Above all else, we are committed to the care and improvement of human life.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

“Good people beget good people.”- Dr. Thomas Frist, Sr.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.