Job details
Job type full-time
Full job description
Position overview:
This role has a work from home optionThe person selected for this role must live in the sutter footprint and be availble to come into the office for meetings, etcAs requested.
The managed care counsel will support the managed care contracting team during negotiations with insurers, payers and employersCounsel will be responsible for legally appropriate strategies and responses to product and network requests and will coordinate with antitrust counsel and complex litigation counsel on disputesThis position will also provide back up and legal support to the system teams related to payer relationships, pricing, billing and complianceThe counsel will report to the assistant general counsel - managed care and work in conjunction with other members of sutter health by providing legal advice and counselThis includes performing legal research, identifying new or emerging areas of risk, and managing or providing support on specific legal projectsThe counsel role is responsible for developing new policies and procedures, and providing updates and advice on existing policies.
The counsel position will have the authority to recommend retaining outside counsel where internal resources / knowledge / capacity limits the ability to effectively manage an issue internallyIf outside counsel is retained at the recommendation of counsel, they will have the responsibility for managing outside counsel`s work and associated expenses.
Qualifications:
Education:
Must possess a juris doctor degree from an accredited law school.
Licensure:
Member in good standing with a state bar requiredMember in good standing with the state bar of ca preferred.
Experience:
The candidate must have demonstrated at least 3-5 years of significant business and/or healthcare law experience, including, primary and independent responsibility for significant transactions required.
Knowledge of laws related to not-for-profit healthcare operations requirements is preferred.
Skills and knowledge
Candidate must demonstrate excellent written and verbal communication skills as well as the ability to translate legal complexities into terms readily understood by management and line personnel.
The candidate must have demonstrated initiative and an ability to work in a fast paced complex organization.
The candidate must be able to demonstrate strong client management and project management skills and be able to work successfully both independently and within a team.
Organization: sutter health system office
Employee status: regular
Benefits: yes
Position status: exempt
Union: no
Job shift: day
Shift hours: 8 hour shift
Days of the week scheduled: monday-friday
Weekend requirements: other
Schedule: full time
Hrs per 2wk pay period: 80
Applications accepted: all applications accepted
