Description:

A Leading Precision Oncology Company has an exciting new opportunity for an Associate Director, Healthcare Compliance, to join our Commercial Legal & Compliance team to support our new Screening Division. This new position will have dual responsibilities serving as a legal counsel overseeing day-to-day contract matters and as a compliance advisor to stakeholders within the Screening Division. The position will work closely with the Chief Compliance Officer, the Privacy Officer, and a lean compliance team in ensuring compliance with all applicable legal and regulatory requirements for the promotion and sale of medical services to primary care practices.

What we are looking for:
Experience in a healthcare organization providing legal advice on contractual arrangements with referral sources for designated health services (DHS). Specific prior experience in the development/deployment of compliance programs including all seven elements of the OIG recommended program for clinical laboratories. The successful candidate will have:

Extensive knowledge of federal and state laws (False claims act, Starks Law, EKRA, Antikickback statute, anti-bribery and corruption) and industry requirements for the diagnostics/device laws and experience implementing suitable policies tailored for compliance with these laws
Experience drafting, reviewing and negotiating commercial payor agreements, laboratory services agreements, phlebotomy services agreements, clinical trial agreements, and professional services agreements with health care providers
Solid understanding of industry best practices for ethics and compliance risk within the healthcare diagnostics industry
Proven track record in driving awareness and deploying risk mitigation strategies

Essential Duties and Responsibilities:

Provide specialized legal counsel and strategic advice on a wide range of compliance issues to support the development and commercialization of cancer screening test products
Review, revise and negotiate commercial contracts, laboratory services agreements and other business agreements
Developing a keen awareness of risks associated with the marketing and sale of cancer diagnostic products to proactively address issues and identify opportunities for process improvements
Provide guidance with an eye towards problem-solving to business partners and key stakeholders through all stages of the product life cycle
Draft, implement and maintain relevant policies, procedures, work instructions, and training plans related to risk areas
Maintain current and accurate knowledge of existing and emerging trends, enforcement actions, industry best practices and laws and regulations regarding healthcare compliance and interactions with healthcare professionals
Advice on legal issues throughout the medical device lifecycle related to clinical research, market access and reimbursement, product launches, commercialization, advertising and promotion, social media, patient access and financial assistance programs
Review promotional and educational materials as part of a cross-functional team
Perform routine teaching audits of high-risk functional areas to assess and improve training effectiveness
Assist with internal investigations, as required, to promote a culture of zero tolerance for non-compliance, with heightened focus on timely follow up on incoming inquiries and complaints
Manage the lifecycle of corrective actions and remediation plans that address compliance-related deficiencies in processes, procedures, and other operational activities
Assist with special projects and follow up, as needed, under the direction of the VP, Commercial Legal & Chief Compliance Officer

Qualifications:

J.D. with a minimum of 5 years of progressively responsible experience in a legal department of a healthcare organization and/or law firm setting
Certification in Healthcare Fraud & Abuse Law Compliance preferred
Working knowledge of clinical laboratory, diagnostic, and medical device industries and designated health services and enforcement of associated federal and state regulations
Strong contract negotiation and drafting skills and familiarity with various types of commercial arrangements in the healthcare space
Strong research, analytical and problem-solving skills
Knowledge of Medicare, Medicaid requirements, medical necessity and coding rules and guidelines preferred
Demonstrated ability to advise and collaborate with business leaders and key stakeholders on compliance issues, facilitating risk assessment and developing practical business solutions
Training and presentation experience in various settings including live audience and video conferencing
Excellent strategic and analytical skills with the ability to help business partners identify compliant solutions to novel issues
Ability to articulate risk without being an “alarmist”
Excellent verbal and written communication skills
Knowledge of privacy laws (GDPR, HIPAA, APPI and others) a plus