Description:
Description:Organization Information:
Our Legacy: Established in 1984, Equitas Health is a nonprofit healthcare system and Federally Qualified Community Health Center Look-Alike. Born from a grassroots "act of rebellion," our founders provided dignity and care when mainstream agencies shunned those living with HIV/AIDS. Today, we have evolved into one of the nation's largest LGBTQ+ healthcare organizations, serving tens of thousands of Ohioans annually through primary care, pharmacy services, behavioral health, dentistry, and specialized social services.
Our Mission & Vision: We believe healthcare is a human right. Our work is guided by a commitment to collaboration and health equity:
- Mission: Increasing access to affirming care. Working with the communities we serve. Getting better together.
- Vision: Our work continues until good health no longer depends on race or class, education or zip code, gender identity, or sexual orientation.
- Our Future: Through our strategic plan, Better Together, Equitas Health prioritizes eliminating barriers to care and advancing specialty services in LGBTQ+ health, the opioid epidemic, and infectious disease treatment. Designed for long-term sustainability, our model ensures we remain a beacon of hope and a champion for the dignity of our patients, who are co-creators of their own path to wellness.
Social Enterprise & Requirements The Equitas Health Pharmacy operates as a social enterprise; 100% of profits are reinvested back into the organization's programs. Equitas Health requires employees to be fully vaccinated for COVID-19 as defined by the CDC, subject to applicable, verified accommodation requests.
For more information, visit equitashealth.com or find us on social media.
Position Summary:
The General Counsel manages the organization's legal and corporate governance department. The General Counsel must ensure high quality legal production supporting corporate compliance and services at Equitas Health. The General Counsel oversees compliance with laws and regulations related to employment and labor, licensure and healthcare operations, contracts, real estate, insurance and claims management, and any other local, state, and/or federal statuary and regulatory requirements. The executive manages the limited use of outside counsel, risk management, and strategy related to property and casualty insurance and other needed protections. The General Counsel will partner with Executive Leaders, Senior Leaders and Directors in developing, implementing, and managing the legal aspects of the organization. This position is required to use independent discretion and professional legal judgment with respect to supervisory and management decisions and recommendations. This position requires departmental leadership skills to assist in creating an environment/culture to enable Equitas Health to fulfill its mission and meet or exceed its goals in a legally and compliant manner. This position reports to the President and Chief Executive Officer (CEO).
Essential Job Functions:
Essential functions of the job include, but are not limited to, exercising legal and professional judgment; traveling, driving or having reliable transportation; written communication; relationship building; utilizing a computer for typing and research; attending meetings; and presenting to small groups.
Major Areas of Responsibilities:
General Counsel:Provide Legal Advice to Officers and Management, Including Assessing Compliance/legal Risks and Identifying and Interpreting Applicable Laws and Regulations, Including Those Related to Privacy, Medicare, Medicaid, Ryan White and Other Government Programs, Federally Qualified Health Center Compliance, Fraud and Abuse, Physician Self-Referral and Anti-Kickback Laws. the General Counsel Will Escalate High-Level or High-Priority Legal Advice to The Ceo for Review.
Department Leadership & Supervision
Directly Supervises and Manages the Legal Department Staff, Specifically the Associate General Counsel, Associate Director of Corporate Governance, and Legal Operations Specialist. Responsible for Assigning Workflows, Overseeing Professional Development, and Conducting Performance Evaluations to Ensure the Department Meets the Organization's Strategic Goals.
Directly Supervises and Manages the Legal Department Staff, Specifically the Associate General Counsel, Associate Director of Corporate Governance, and Legal Operations Specialist. Responsible for Assigning Workflows, Overseeing Professional Development, and Conducting Performance Evaluations to Ensure the Department Meets the Organization's Strategic Goals.
Contracts Management
Review, Negotiate, and Approve Contracts at Equitas Health. Play a Significant Role in Simplifying Contracts of General Application. Appropriately Delegate Contracts to Internal or External Subject Matter Experts when Appropriate. Negotiate with Vendors to Ensure Favorable Contracts for Equitas Health. Ensure Finance Approves Each Contract (when Necessary) and Signatories Review, Approve, and Sign Contracts. Communicate Contract Monitoring Plan with Employee Responsible for Contract. Appropriately Store Contracts in A Way that Makes Them Easily Accessible to Employees Searching for Them.
Review, Negotiate, and Approve Contracts at Equitas Health. Play a Significant Role in Simplifying Contracts of General Application. Appropriately Delegate Contracts to Internal or External Subject Matter Experts when Appropriate. Negotiate with Vendors to Ensure Favorable Contracts for Equitas Health. Ensure Finance Approves Each Contract (when Necessary) and Signatories Review, Approve, and Sign Contracts. Communicate Contract Monitoring Plan with Employee Responsible for Contract. Appropriately Store Contracts in A Way that Makes Them Easily Accessible to Employees Searching for Them.
Risk Management & Incident Oversight
Manage Organizational Insurance and Risk Management Program, Including Ensuring that Equitas Heath Has Appropriate Coverage, Practices, and Limits. Identify Legal Issues, Anticipate Potential Legal Issues and Propose Solutions to Complex Situations in A Professional and Appropriate Manner. Collaborate with Compliance Program Staff to Investigate Allegations of Noncompliance by Monitoring or Leading Investigations Into Claims that Are Brought to Legal or Compliance. Assist to Develop and Ensure Implementation of Corrective Action Plan. Allegations and All Significant Incident Reports Must Be Escalated to The Chief Executive Officer.
Manage Organizational Insurance and Risk Management Program, Including Ensuring that Equitas Heath Has Appropriate Coverage, Practices, and Limits. Identify Legal Issues, Anticipate Potential Legal Issues and Propose Solutions to Complex Situations in A Professional and Appropriate Manner. Collaborate with Compliance Program Staff to Investigate Allegations of Noncompliance by Monitoring or Leading Investigations Into Claims that Are Brought to Legal or Compliance. Assist to Develop and Ensure Implementation of Corrective Action Plan. Allegations and All Significant Incident Reports Must Be Escalated to The Chief Executive Officer.
Pharmacy/340 B Management
Outside Counsel Management
Responsible for Managing Outside Counsel Activities and Spending. General Counsel Must Escalate to The Chief Executive Officer Any Work Product Deficiencies or Billing Discrepancies with Outside Counsel and Work Collaboratively to Resolve the Issue.
Financial & Revenue Accountability
The General Counsel Must Be Financially Literate on General Issues of Accounting, Finance, and Revenue at Equitas Health in Order to Provide Appropriate Oversight/compliance Functions. the General Counsel Must Escalate to The Chief Executive Officer and Chief Financial Officer Significant Issues Regarding Finance, Revenue, and Financial Issues that May Affect Equitas Health's Short- and Long-Term Goals. Additionally, the General Counsel Must Provide to The Revenue and Compliance Teams Practical Guidance on Billing, Coding, and Other Reimbursement Matters for Compliance with Government and Commercial Health Plan Requirements.
Corporate Governance
Maintain a Close and Collaborative Relationship with Senior Leaders and Key Administrative Staff (finance, Human Resources, and Operations). Implement Effective Policies and Procedures to Identify, Maintain, and Preserve Information as Required by Law and The Organization.
Strategy
Developing and Leading Corporate Legal Strategy for All Aspects of The Organization to Promote and Protect the Organization's Mission Utilizing Innovative Thinking in A Rapidly Changing Industry to Mitigate Risk, Basing Decision-Making on Ethics and Integrity. Anticipating Issues and Estimating and Navigating Risks Strategically.
- Advise the Chief Pharmacy Officer and Pharmacy Directors on Legal Matters Pertaining to The 340 B Drug Pricing Program
- Seek Appropriate Outside Legal Counsel when Necessary to Interpret 340 B Statute as It Relates to Equitas Health
- Advise the Chief Pharmacy Officer in Regards to Pharmacy Benefits Manager Contract Relationships and Risk Mitigation
Responsible for Managing Outside Counsel Activities and Spending. General Counsel Must Escalate to The Chief Executive Officer Any Work Product Deficiencies or Billing Discrepancies with Outside Counsel and Work Collaboratively to Resolve the Issue.
Financial & Revenue Accountability
The General Counsel Must Be Financially Literate on General Issues of Accounting, Finance, and Revenue at Equitas Health in Order to Provide Appropriate Oversight/compliance Functions. the General Counsel Must Escalate to The Chief Executive Officer and Chief Financial Officer Significant Issues Regarding Finance, Revenue, and Financial Issues that May Affect Equitas Health's Short- and Long-Term Goals. Additionally, the General Counsel Must Provide to The Revenue and Compliance Teams Practical Guidance on Billing, Coding, and Other Reimbursement Matters for Compliance with Government and Commercial Health Plan Requirements.
Corporate Governance
Maintain a Close and Collaborative Relationship with Senior Leaders and Key Administrative Staff (finance, Human Resources, and Operations). Implement Effective Policies and Procedures to Identify, Maintain, and Preserve Information as Required by Law and The Organization.
- Business Partner.
- Be an Integral Part of Planning and Decision Making in The Organization. Communicate Effectively, Both in Writing and Orally, with The Officers, and Directors on Legal Matters. Facilitate Legal and Compliance Solutions to Address Organizational Challenges. Undertake Any Project as Directed by The Ceo, Coo, Cfo, and Any Other Officers.
Developing and Leading Corporate Legal Strategy for All Aspects of The Organization to Promote and Protect the Organization's Mission Utilizing Innovative Thinking in A Rapidly Changing Industry to Mitigate Risk, Basing Decision-Making on Ethics and Integrity. Anticipating Issues and Estimating and Navigating Risks Strategically.
Board Communications
Advising the Board of Trustees on A Variety of Issues Both Related to Legal and Business Matters and Risk, Evaluating and Weighing Multiple Inputs and Impacts of Any Decision or Course of Action and Advising Based on The Same.
Advising the Board of Trustees on A Variety of Issues Both Related to Legal and Business Matters and Risk, Evaluating and Weighing Multiple Inputs and Impacts of Any Decision or Course of Action and Advising Based on The Same.
Character & Reputation
- General Counsel Must Have a Strong Sense of Independence and Work in The Organization's Best Interest, Both Inside and Outside the Organization. Inside the Organization, the General Counsel Must Maintain the Credibility and Trust with The Ceo, and Senior Leaders. Outside the Organization, the General Counsel Must Maintain a Professional Reputation on Health Law and Corporate Matters to Bolster Equitas Health's Reputation.
- Collaborate with External Auditors Whenever Necessary.
- Education/licensure:
- Requires a J.D. from An Accredited Law School; Health Law And/or Healthcare Compliance Certification Preferred.
- Knowledge, Skills, Abilities and Other Qualifications:
- Must Have at Least 7 Years of In-House or Law Firm Health Law Experience, or 5 Years of Experie
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