USA Healthcare Counsel (69842)

Sanitas; Miami (FL); On-site; USD 140,000 - 190,000; Full time

Job summary

Sanitas is seeking an experienced legal professional to support its healthcare law function in Miami. The role focuses on Anti-Kickback Statute, Stark Law, False Claims Act, HIPAA, Medicare Advantage, Medicaid, CMS, OIG Guidance, and value-based arrangements.

The attorney will provide broad-based legal advice, review and negotiate health care contracts, and collaborate with compliance and external counsel to manage regulatory risk and business objectives across Medicare Advantage, behavioral

Qualifications

• JD degree from an ABA-approved law school; bar admission in at least one state.
• Minimum of 5 years of healthcare-related legal experience.
• Knowledge of FDA advertising and promotional regulations; Anti-Kickback Statute; Stark Law; False Claims Act; HIPAA; Medicare Advantage; Medicaid; CMS; OIG Guidance; value-based contracts.

Responsibilities

• Provide broad-based advice to support the healthcare law function, including topics like Anti-Kickback Statute, Stark Law, False Claims Act, HIPAA, Medicare Advantage, Medicaid, CMS, OIG Guidance, DHHS.
• Provide transactional and general legal support to commercial, development, clinical, and medical affairs areas.
• Interact with company leaders, government agencies, law firms, trade organizations, and external agencies.
• Review and oversee a variety of contracts in commercial, clinical, and operational areas.
• Identify legal risks and balance legal issues with business objectives.
• Support legal due diligence for healthcare M&A activities.

Skills

Verbal and written communication

Contract drafting

Negotiation

Regulatory compliance

Attention to detail

Education

JD degree

Job description

Job Details: Job Location: Miami Dade - Corporate - Doral, FL, Position Type: Full Time, Salary Range: Undisclosed, Travel Percentage: Up to 5%, Job Shift: On Site, Job Category: Legal, Risk & Compliance, Sanitas is a global healthcare organization expanding across United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive to attract professionals who believe in our mission, vision and are dedicated to the service of our patients and their families creating a memorable experience through compassion, respect, and kindness.

Position Summary

Provide broad-based advice to support the healthcare law function mainly regarding Anti-Kickback Statue, Stark Law, the False Claims Act, HIPAA, Medicare Advantage, Medicaid, CMS, OIG Guidance, DHHS, health care services reimbursement, share saving and value-based agreements and related topics.

Essential Job Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Provide broad-based advice to support the healthcare law function mainly regarding Anti-Kickback Statue, Stark Law, the False Claims Act, HIPAA, Medicare Advantage, Medicaid, CMS, OIG Guidance, DHHS, health care services reimbursement, share saving and value-based agreements and related topics.
• Responsible for providing transactional and general legal support to the commercial, development, clinical and medical affairs areas.
• Interact with key company leaders, government agencies, law firms, trade organizations and other external agencies.
• Review and provide oversight on a variety of commercial, clinical, and operational contracts.
• Be an informed and accessible resource regarding new laws, regulations and industry trends affecting the company and the healthcare provider sector.
• Identify business and legal risks and work with the business to provide solutions which balance legal issues and business objectives.
• Provide support to legal due diligence in connection with healthcare M&A activities.
• Collaborate with compliance staff to facilitate compliance related investigations.
• Provide general commercial and contract support across all lines of business (Medicare Advantage, behavioral health, institutional pharmacy, home health, hospice, and nurse practitioner services, palliative care).
• Review, draft, and negotiate health care and health insurance related agreements and contracts; including but, not limited to, network provider agreements, payor agreements, business associate agreements, nondisclosure agreements, consulting agreements, and data use and transfer agreements.
• Manage relationships with outside counsel on various projects, including litigation.
• Support build out of legal affairs policy, process, and recordkeeping.
• Partner with the Information Security team to address legal considerations for HIPAA security rules and data security generally.
• Provide legal support to Compliance relating to policies, trainings, corrective actions and applicable federal/state transparency reporting.

Qualifications: Required Education and Experience

• JD degree from a nationally recognized ABA approved law school, admission to the bar in at least one state, registered/eligible for Florida in-house counsel.
• Minimum of 5 years of legal experience with a healthcare-related law firm, regulatory agency, or a life sciences or pharmaceutical company counseling on legal issues relating to advertising and promotion, scientific exchange, patient support programs, interactions with healthcare professionals, reimbursement, and privacy.
• Attorney should possess knowledge and experience working with laws and regulations relating to FDA advertising and promotional regulations, the Anti-Kickback Statue, Stark Law, the False Claims Act, HIPAA, Medicare Advantage, OIG Guidance, health care services reimbursement and value-based contracts, share saving agreements and related topics.

Knowledge, Skills and Abilities:

• Excellent verbal and written communication skills, including the ability to communicate substantive legal advice and actionable risk assessment.
• Contract drafting and negotiation skills.
• Outstanding interpersonal and organizational skills to manage a fast-paced workload entrepreneurial environment and complete multiple projects in a timely manner.
• Strong team orientation, great attitude and adaptability
• Ability to deal with a broad range of legal and business matters.
• Ability to work both independently and collaboratively.
• Ability to work in a multicultural and fast paced company.