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Form of workJob Summary
Supports and help lead the fast-paced and wide-ranging legal services and affairs of Lehigh Valley Health Network and its affiliates with particular emphasis on LVHN’s Clinical Integration efforts, Managed Care and other payor contracting, and data releases with payors and others. Working closely leadership, plays an integral role in advising on a wide variety of strategic and regulatory matters, as well as serving as a critical business partner to support business operations and clinical care delivery.
Essential Functions
•Provides practical legal advice and directly support Payor Contracting, Clinical Integration Network (CIN), Managed Care, LVPHO, Populytics, MSO functions, TPA functions and other teams, as assigned.
•Advises management in connection with strategic initiatives and priorities through the provision of high quality legal advice and guidance.
•Analyzes federal and state healthcare and other laws and regulations that apply to and impact LVHN, as well as providing practical guidance and advice on such requirements.
•Drafts, reviews, and negotiates a wide variety of contracts, especially related to professional services, strategic alliances, and payor contracting.
• Provides comprehensive legal counsel, representation, and oversight on the wide range of legal matters affecting LVHN related to the full range of Managed Care transactions
•Conducts and/or oversees internal investigations and fact finding when needed.
•Conducts legal research and interpreting laws, rules, and regulations, including on a wide variety of healthcare topics, including reimbursement, telehealth, and professional licensure/oversight.
•Works collaboratively with the Compliance Department and providing guidance to ensure organizational compliance with all applicable laws and regulatory requirements in a complex and healthcare environment.
•Works collaboratively with colleagues to identify and manage risk across CIN, Managed Care and Payor Contracting business teams and providing advice and guidance to align efforts, improve decision making by departments, reduce risks, improve quality outcomes, and support healthcare operations.
•Provide legal and operational support for the development and oversight of the strategic monitoring plan for evaluating the performance of the CIN, Managed Care, Payor Contracting and other contracting and operational functions. Works with program leaders to identify and resolve regulatory and contractual compliance related risks and vulnerabilities.
Additional Responsibilities
•Provides advice and guidance concerning the development and maintenance of organizational policies related to CIN, Managed Care, Payor Contracting.
•Designs and delivers training as needed for management.
•Supporting department based goals that contribute to the success of the organization.
•Promoting individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency.
•Support the work of the Legal Department as a whole and leads other iniatives as required.
•Stay current on emerging legal and policy changes that impact compliance in the fields clinical integration, Managed Care, payor and other contracting and other fields as necessary.
•As directed, consult with external attorneys to assess and respond to identified risks.
Education - Required
•Bachelor's Degree in Arts or Sciences and
•Juris Doctor from ABA approved law school
Experience - Required
•3 years experience in the practice of law in applicable areas preferred.
Knowledge, Skills and Abilities - Required
•Strong team building skills, including relationship management, interpersonal, communication (both written and spoken), and negotiation and organizational skills.
Licenses - Required
• Attorney in the Commonwealth of Pennsylvania Upon Hire
Physical Demands/Working Conditions
Sedentary Very light energy level Lift and carry 7 lbs., continuous sitting >67%, frequent keyboard use/repetitive motion, frequent fin
