Associate General Counsel - Regulatory, Managed Care and Population Health

Job Description

Description

Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

UNC Health is an affiliated enterprise of The University of North Carolina established to provide patient care, facilitate the education of physicians and other health care providers, conduct research collaboratively with the health sciences schools of the University of North Carolina at Chapel Hill, and render other services designed to promote the health and well-being of the citizens of North Carolina. This role offers the opportunity to join a group of highly skilled attorneys, healthcare providers, and business professionals from a variety of backgrounds, all united by their dedication to working for the benefit of all of North Carolina and its diverse people and communities. 

UNC Health seeks an experienced health law attorney to join the UNC Health Legal and Risk Department as Associate General Counsel – Regulatory, Managed Care, and Population Health. This position reports directly to a VP/Deputy General Counsel and ultimately to the Chief Legal Officer of the UNC Health. The individual in this position will play a key role as a business partner and advisor in helping UNC Health develop and implement strategies to advance the health and well-being of North Carolina’s citizens and communities. The position will primarily provide advice and counsel to UNC Health’s revenue cycle, managed care, and reimbursement functions. This position will further play a role in negotiating and drafting transactional agreements related to these functions. The position will also advise on matters relating to population health, value-based care, and health plan operations, as well as health law regulatory and compliance matters (including fraud and abuse, Stark, Antikickback, Civil Monetary Penalties law, and other federal and state health laws). In addition, the individual in this role will be assigned other areas of responsibility germane to the operations of a large health system, including general health law matters, provider contracting, medical staff matters, hospital and physician practice operations matters, transactional matters, and other legal and regulatory matters. 

Preferred candidates will have experience in some or all of the following areas: 

• Managed care, provider contracting, and governmental payer expertise, including Centers for Medicare and Medicaid Services (CMS) conditions of participation and requirements; 
• Serving as strategic counsel and business advisor in support of managed care, provider, and payer arrangements for major health systems and/or health insurance plans; 
• Population health, value-based care, and similar arrangements; 
• Complex healthcare regulatory issues relating to healthcare transactions; 
• Providing legal and strategic guidance to clients, including organizational leadership, on risk assessment and mitigation in support of strategic initiatives; and • General health law regulatory matters, including Stark and Antikickback laws, HIPAA, and EMTALA. 

Qualifications

Education Requirements:
● Juris Doctorate degree from an accredited school of law.
Licensure/Certification Requirements:
● Licensed to practice law in the state of North Carolina or be able to obtain a valid NC license to practice law within a year of hire
Professional Experience Requirements:
● Five (5) years of relevant experience in health law advising hospitals, payers, and/or physician practices on matters involving reimbursement. Experience advising, counseling, or working with health care operations teams on issues involving population health, value-based care, compliance, revenue cycle, provider contracting, and/or health plan matters is strongly preferred.
Knowledge/Skills/and Abilities Requirements: 
Strong commitment to UNC Health’s mission as an academic health system on behalf of North Carolina’s citizens and communities is required.

Job Details

Legal Employer: NCHEALTH

Entity: Shared Services

Organization Unit: Legal Office

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Schedule: Day Job

Location of Job: US:NC:Chapel Hill

Exempt From Overtime: Exempt: Yes

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email [email protected] if you need a reasonable accommodation to search and/or to apply for a career opportunity.