Description:
Overview:The Associate Counsel – Healthcare Delivery is responsible for representing An Health Care to The Underserved and Uninsured in Travis in legal matters and providing legal advice and counsel to the organization and its leaders related to healthcare delivery operations, compliance, contracting for healthcare services and An Health Care to The Underserved and Uninsured in Travis's practice of medicine and related operations as directed by the Chief Legal Counsel – Healthcare Delivery.
The Associate Counsel will support the development of An Health Care to The Underserved and Uninsured in Travis's Medical Executive Board and its P&T, credentialing, quality, peer review and clinical service line subcommittees and the health care compliance and risk components of the organization. The Associate Counsel will also advise on and support the ongoing operation of An Health Care to The Underserved and Uninsured in Travis's practice of medicine and its clinical operations, including matters that warrant consideration or awareness by the Medical Executive Board. The Associate Counsel will develop and implement programs, systems, policies and procedures to help prevent and mitigate both legal and compliance risks associated with An Health Care to The Underserved and Uninsured in Travis's functions as a health care organization. This positional role will work closely with operations, strategy, clinical services, finance, privacy, compliance, technology and HR departments as well as clinical, legal and operations leadership of the An Health Care to The Underserved and Uninsured in Travis enterprise. Responsibilities include supervision of department staff and others as assigned.
This position is considered Hybrid, which means that individuals in this position may work both at an approved offsite location and onsite at a primary location or multiple locations based on business needs and as directed by the Chief Legal Counsel – Healthcare Delivery.
Responsibilities:
Essential Duties:
- Perform under general guidance and supervision with accountability for specific organizational and individual goals
- Support organizational goals and objectives to optimize the health of the covered population, reduce health disparities, and improve clinical outcomes, health equity, patient experience and costs of care throughout the delivery system
- Participate in the development, deployment and management of effective, efficient, and equitable clinical services to Central Health's covered population through a variety of methods including contracted services, clinical services oversight, clinical support infrastructure development and oversight of direct service delivery
- Collaborate with others to build systems of care that provide adequate access to high quality care that meets or exceeds community clinical priorities and standards of care across all clinical service lines
- Support and advise others on the development of Central Health's compliance and risk departments including development and maintenance of Central Health's clinical and billing practices, medical staff governance and bylaws, pharmacy and therapeutics, network credentialing, privileging and other sub-committee functions of the medical executive board
- Participate in and advise on the planning and development of Central Health's local indigent coverage plan structures and service offerings with an emphasis on population health management, medical necessity and the most effective use of limited resources in accordance with applicable laws and regulations
- Work collaboratively with others to support Central Health's healthcare services annual contracting activities including contract renewals, periodic amendments, performance management, notices, and terminations as applicable
- Support Central Health contracting efforts for technology, professional services, equipment and supplies and other areas related to healthcare delivery including drafting, revising and negotiating a wide variety of complex documents including professional services agreements, educational and other affiliations, data sharing agreements, vendor contracts and healthcare provider employment arrangements.
- Collaborate with Vice President of Compliance and other compliance professionals who oversee compliance related to financial screening, eligibility and enrollment, provider credentialing and payment operations, vendor relations, service delivery contract performance management, benefit design, data privacy and security, medical case management and clinical services.
- Advise on and support the development of Central Health's practice of medicine and clinical enterprise in accordance with applicable laws and regulations
- Research and review federal, state and local laws and regulations, including healthcare law, procurement and contract law, administrative law including applicable proposed legislation as needed to advise clinical and operational leadership fully and effectively
- Collaborate with other legal, procurement and compliance leaders and contractors supporting Central Health to ensure a coordinated approach to Central Health, compliance, legal matters and an efficient use of time and resources
- Serve as a liaison to various additional stakeholders including partner agencies, community healthcare providers, governing bodies, elected officials, public engagements, media outlets and others as assigned.
- Directly supervise and lead department paralegal and legal support staff as assigned
- Support the creation and implementation of programs, policies, operational processes and controls that build a culture of compliance with applicable laws and regulations
- Research, apply and promote healthcare industry best practices and recommend opportunities for better compliance and improvement
- Supervise additional staff as assigned
- Perform other duties as assigned
Knowledge/Skills/Abilities:
- Ability to lead a team of paralegals and support staff in the achievement of specific departmental goals
- Ability to thrive in a complex and dynamic work environment with multidisciplinary, cross-functional teams and matrixed team structures
- Demonstrated ability to prioritize multiple complex projects with varying deadlines and limited resources
- Ability to assess, advise and support the rapid development healthcare services
- Ability to effectively understand legal considerations related to service delivery and the practice of medicine
- Ability to apply critical thinking to generate and assess potential legal and practical solutions and to anticipate client needs in advance
- Ability to manage competing objectives in an ambiguous, fast-moving environment to achieve results
- Knowledge of best practice and industry standards for health care compliance, practice of medicine, healthcare operations, and safety-net healthcare policies and procedures
- Knowledge of laws, regulations and Central Health policies concerning county indigent healthcare programs, practice of medicine, healthcare contracting, data privacy, public procurement and existing Central Health agreements and affiliations
- Knowledge of data, measurement concepts, measurement tools and systems used to monitor and report clinical quality metrics, healthcare safety and other healthcare outcomes
- Compliance with data confidentiality and security laws, regulations, policies and standard operating procedures
- Ability to manage employees and interact with colleagues in a respectful, supportive fashion which encourages employee's personal and professional growth
- High level skill at building relationships within the organization and with external partners
- Exceptional interpersonal skills with ability to interface effectively internally and externally with a wide range of people including colleagues, physicians, healthcare executives, community organizations and assigned staff
- Ability to persuade others to approach topics and ideas differently
- Strong attention to detail and accuracy
- Excellent verbal and written communications skills
- Ability to communicate complex ideas clearly and effectively through both writing and speaking
- Demonstrated ability to perform complex operations in Microsoft Office Suite
- Advanced skills in the area of project management, planning investigations and implementing initiatives
People Management/Department Management/Business Unit Management:
- Supports and models the vision, mission and values of Central Health
- Supervises and manages, either directly or indirectly, department staff as assigned
- Serves to support legal functions impacting clinical services and healthcare delivery operations
- Develops and maintains working relationships with Central Health colleagues that promote a desirable workplace and a culture of collaboration, professionalism and respect
- Uses problem solving, leadership, conflict management, and team building skills to ensure a productive work environment and achievement of goals
- Maintains a productive and motivated workforce through effective hiring, training, professional development, delegation and employee interaction
- Supports complex organizational change efforts
- Responds in timely manner to needs and concerns of colleagues, providers, staff and other stakeholders
- Develops and maintains a culture of compliance, collaboration, courtesy, customer service and professionalism
- Directs, supports, develops, coaches and ackno
Similar Jobs
