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Job Details

Legal Counsel

Experience
7-10 yrs required

Location
Newtown Square, PA, United States

Posted on
Dec 06, 2022

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Legal Counsel
The candidate will do day-to-day legal support of the company’s Medicaid managed care plans as detailed herein. Provides professional legal counsel on a variety of complex or specialized legal activities related to the company’s Medicaid managed care plans in accordance with the established standards of the legal profession to protect the organization's reputation and business interests and help ensure it complies with all relevant laws, regulations and contractual requirements. Provide legal advice within their area of expertise to functional area managers to ensure their activities, policies, business practices, and transactions comply with all relevant laws, regulations and contractual requirements. Makes recommendations to senior management on how to respond to legal issues or proposed changes in laws, regulations and contractual requirements. Drafts, reviews, and approves legal contracts, letters of agreement, policies and procedures, responses to regulatory inquiries, responses to Requests for Proposals and other documents related to a variety of operational matters to protect the organization's legal and business interests. Should have 7-10 years of relevant experience after receiving a law degree. Current license to practice law in PA or another jurisdiction. Knowledge and experience in Healthcare and laws and regulations pertaining to Medicaid managed care, Medicare, and commercial exchange, provider contracts and provider-related litigation; vendor contracts; government procurements; working/communicating with state and/or federal regulatory agencies; and/or business transactions. Experience providing legal support to Medicaid managed care organizations preferred. Strong analytical skills and written and verbal communication skills are a must. Ability to effectively manage competing priorities and collaborative style.

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