Health Care Regulatory Attorney

Profile

Job Overview

A law firm seeks a Virginia-licensed attorney with 3-5 years of experience to defend health care practitioners in licensing and credentialing matters in Virginia. The role involves working with the Department of Health Professions, the DEA, DMAS/CMS, third-party payors, hospital systems, and other related entities.

Duties

• Provide legal representation for practitioners in licensing Board investigations through resolution, including informal and formal administrative hearings.
• Represent clients in matters related to DEA certificates of registration and show cause hearings.
• Manage audits and appeals involving DMAS, CMS, and third-party payers.
• Assist with credentialing by third-party payers and hospital medical staffs.
• Advise on credentialing issues and peer review processes.
• Ensure compliance with relevant laws and regulations, including risk management, medical record documentation, HIPAA, and cybersecurity concerns.

Requirements

• Demonstrated experience in administrative law and administrative hearings.
• Ability to handle sensitive issues with professionalism and discretion.
• General knowledge of medical terminology.
• Proficiency in handling an independent caseload.
• Skillful communication with clients.
• Strong writing ability.

Education

• Juris Doctor (JD) degree.

Certifications

• Licensed to practice law in Virginia.

Skills

• Direct knowledge of the federal and state laws and regulations governing health care providers.
• Experience with False Claims Act issues, Stark/Anti-Kickback compliance.
• Prior experience in medical-related representation.
• Law firm or government agency experience.

Benefits

Company info

BCG Attorney Search
1629 K ST NW, Suite 300
Washington
District of Columbia
United States 20006
Phone : (202) 955-5585
Fax : (213) 895-7306