Assistant General Counsel - Managed Care Reimbursement

Overview:

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation’s leading health systems with nearly 50,000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

The successful candidate will have substantial experience working with managed care plans on reimbursement issues. This may include resolving disputed claims through mediation, arbitration, and litigation. This may also include payor relations efforts through joint operations committees or experience with managed care contracts.

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EDUCATION, EXPERIENCE, TRAINING

Required qualifications:

1. A law degree from an ABA accredited law school.
2. A license to practice law.
3. At least 7 years of experience, preferably at a reputable law firm or in-house legal department.
4. Exceptional written and verbal communication skills.
5. Substantial experience with managed care plans and reimbursement work.
6. Prior experience representing either providers or payors in reimbursement disputes.