VP, General Counsel - Health P

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Essential Functions: Reporting to the Chief Legal Officer, the Vice President, General Counsel - Health Plan and Value-Based Care Operations, is a mission critical, General Counsel position dedicated to the oversight and delivery of legal services supporting BSWH's Health Plan and Value-Based Care operations on an enterprise-wide basis. BSWH The VP, General Counsel Health Plan and Value-Based Care Operations: Oversees and manages the following core legal functions of the enterprise: Insurance Regulation and Coverage, including all aspects of state insurance regulation, licensure, insurance form filings, extraterritorial compliance, audits and investigations, and coverage disputes. Governmental Programs and Health Insurance Exchange, including Medicare Advantage, managed Medicaid and Medicaid procurement processes, Medicare shared savings and bundled payments, Medicare Direct Contracting, state and federal government accounts, and audits and investigations regarding compliance with government program requirements. Support for provider or member disputes. Health Plan Contracting, including delegation agreements, intercompany agreements, pharmacy benefits management, third-party administrator, utilization review, vendor contracts, and reinsurance and stop loss. Commercial and Direct-To-Employer Contracting, including risk contracting arrangements. Accountable Care Organization regulation and participation in risk arrangements with employers or governmental bodies Clinically integrated networks Counsel to the value-based care platform, including antitrust and data sharing and privacy in collaboration with the Regulatory Operations family. Has core legal and subject matter expertise in one or more of the substantive areas of oversight. Performs substantive legal work in his/her core areas of expertise while also overseeing and managing a team of attorneys and legal support staff. Provides practical advice and counsel to the business as a general counsel. Serves as a legal point person to business leaders and navigator to address legal issues impacting complex business problems or strategies. Oversees substantive legal projects within the Health Plan and Value-Based Care Operations family, coordinating with and supervisi
Essential Functions: Reporting to the Chief Legal Officer, the Vice President, General Counsel - Health Plan and Value-Based Care Operations, is a mission critical, General Counsel position dedicated to the oversight and delivery of legal services supporting BSWH's Health Plan and Value-Based Care operations on an enterprise-wide basis. BSWH The VP, General Counsel Health Plan and Value-Based Care Operations: Oversees and manages the following core legal functions of the enterprise: Insurance Regulation and Coverage, including all aspects of state insurance regulation, licensure, insurance form filings, extraterritorial compliance, audits and investigations, and coverage disputes. Governmental Programs and Health Insurance Exchange, including Medicare Advantage, managed Medicaid and Medicaid procurement processes, Medicare shared savings and bundled payments, Medicare Direct Contracting, state and federal government accounts, and audits and investigations regarding compliance with government program requirements. Support for provider or member disputes. Health Plan Contracting, including delegation agreements, intercompany agreements, pharmacy benefits management, third-party administrator, utilization review, vendor contracts, and reinsurance and stop loss. Commercial and Direct-To-Employer Contracting, including risk contracting arrangements. Accountable Care Organization regulation and participation in risk arrangements with employers or governmental bodies Clinically integrated networks Counsel to the value-based care platform, including antitrust and data sharing and privacy in collaboration with the Regulatory Operations family. Has core legal and subject matter expertise in one or more of the substantive areas of oversight. Performs substantive legal work in his/her core areas of expertise while also overseeing and managing a team of attorneys and legal support staff. Provides practical advice and counsel to the business as a general counsel. Serves as a legal point person to business leaders and navigator to address legal issues impacting complex business problems or strategies. Oversees substantive legal projects within the Health Plan and Value-Based Care Operations family, coordinating with and supervisi
Contacte al anunciante