Senior Counsel - Healthcare Law Medicare Advantage

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Senior Counsel
The candidate will be providing legal advice and support for Medicare Advantage lines of business. Advising on Medicare program laws, regulations, anti-kickback laws, and other health care fraud and abuse laws. Responding to disputes with health care providers, negotiating settlements, drafting responses as part of the CMS administrative appeal process, and attending ALJ hearings. Drafting contract provisions to address Medicare regulatory concerns; and Collaborating and consulting with leaders throughout the company in order to ensure full compliance with applicable laws and regulations, and protection against external risk. Should have Juris Doctorate, with licensing in at least one state. Should have 3 years of experience in health law at a law firm or in-house health care organization. Should have experience in Medicare, Medicaid, or similar regulatory work. Should have experience negotiating contracts and settlement agreements. Demonstrated knowledge of Medicare Advantage Program is preferred.

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