Description:

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthcare cost management solutions.

Our commitment to diversity, inclusion and belonging are part of the fabric of our company. We strive to create a workplace that fosters mutual respect and collaboration, where every talent individual can participate and perform their best work. We are MultiPlan and we are where bright people come to shine!

Job Summary:
This role provides counsel to the Subrogation Team and assisting in supporting all aspects of the organization's Subrogation operations. .

Job Roles and Responsibilities:
  • Possesses current knowledge of any and all relevant State and Federal, including Medicare and Medicaid, laws impacting healthcare subrogation and proactively monitor legislative and judicial legal developments.
  • Builds and maintains strong internal stakeholder and external client relationships
  • Evaluates, develops, and executes strategies for the successful litigation of subrogation claims.
  • Conducts discovery and oversees outside counsel in connection with subrogation litigation claims; attends court hearings and mediations as necessary to advocate for clients' position on legal issues.
  • Negotiates settlements with third-party defendants, third-party insurance carriers, and attorneys
  • Proactively identifies and communicates risk to internal and/or external stakeholders and provides recommendations on how to mitigate that risk.
  • Provides counsel to recovery team on complex subrogation legal issues
  • Coordinate recovery activities and provide legal research and counsel for recovery team members
  • Prepares and conducts training sessions for the subrogation departments as required.
  • Draft of generate any and all settlement documents needed to conclude payment on files and closure of same
  • Collaborate, coordinate, and communicate across disciplines and departments.
  • Ensure compliance with HIPAA regulations and requirements.
  • Demonstrate Company's Core Competencies and values held within.
  • Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role.
  • The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

Job Scope:
This individual works independently under minimal supervision and with considerable discretion to make decisions that affect Subrogation operations within the Company. The incumbent applies comprehensive knowledge of principles, practices, and procedures to complete job responsibilities. The incumbent acts as a resource for Subrogation Department staff. Work requires basing decisions on sound logic and rationale; advancing problems or issues toward resolution when encountering ambiguity or uncertainty; choosing the best alternative based on consideration of pros, cons, tradeoffs, timing and available resources; making timely decisions on problems and issues requiring immediate attention; and making sound decisions on complex functional issues and problems. An incumbent may have direct subordinates but will generally provide work direction to others who do not directly report to this job.

The salary range for this position is $110-115K. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.

Requirements
Job Requirements (Education, Experience, and Training):
  • Candidate must possess a law degree from an ABA accredited law school
  • Minimum five (5) years' as an attorney and/or a minimum of three (3) years' in medical claims, subrogation, and/or medicare/medicade law as an attorney.
  • The successful candidate must be licensed to practice law. Admission in multiple jurisdictions is preferable.
  • Outstanding academic credentials, a strong work ethic, and excellent verbal, writing and research skills
  • Knowledge of the legal elements of the causes of action and theories of subrogation that form the bases of subrogation claims.
  • Knowledge of statutes and case law that govern issues specific to healthcare subrogation claims.
  • Knowledge of procedural rules and common practices for conducting discovery, settlement negotiations, hearings and trials.
  • Knowledge of legal research principles.
  • Knowledge of computers and job-related software programs.
  • Skill in negotiating with other attorneys, mediators, and adjusters.
  • Skill in drafting court pleadings.
  • Skill in analyzing and applying legal standards.
  • Skill in the delegation of responsibility and authority.
  • Skill in decision making and problem solving.
  • Skill in interpersonal relations and in dealing with the public.
  • Skill in oral and written communication. Excellent attention to detail and analytical skills
  • Effective communication skills, written, oral, and listening
  • Ability to orchestrate large volumes of data and meet critical deadlines
  • Strong internal and external client service skills
  • Must be very motivated and have a strong work ethic
  • Must be proficient in MS Office Applications
  • Must be able to work independently and as an effective team member
  • Required licensures, professional certifications, and/or Board certifications as applicable
  • Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone

Benefits
We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.

Your benefits will include:
  • Medical, dental and vision coverage with low deductible & copay
  • Life insurance
  • Short and long-term disability
  • 401(k) + match
  • Generous Paid Time Off
  • Paid company holidays
  • Tuition reimbursement
  • Flexible Spending Account
  • Employee Assistance Program
  • Summer Hours

EEO Statement
MultiPlan is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status.