RCM Healthcare Services
Regulatory Affairs Lawyer / Juris Doctorate Required / Managed Care
RCM Healthcare Services, New York, New York, us, 10261
Regulatory Affairs Lawyer / Juris Doctorate Required / Managed Care
Join to apply for the
Regulatory Affairs Lawyer / Juris Doctorate Required / Managed Care
role at
RCM Healthcare Services Regulatory Affairs Lawyer / Juris Doctorate Required / Managed Care
Join to apply for the
Regulatory Affairs Lawyer / Juris Doctorate Required / Managed Care
role at
RCM Healthcare Services Get AI-powered advice on this job and more exclusive features. Large and rapidly growing MLTC program with locations around NY, is currently seeking a
Regulatory Affairs Lawyer
to be responsible for the planning, development, direction, delivery, evaluation, and coordination of activities within their Regulatory Affairs Department. This key position will focus on regulatory compliance, contracts, provider relations, audits, investigations, and other related matters.
Regulatory Affairs Lawyer (JD Required)- Hybrid Role After Probationary Period
Hybrid - 2 to 3 days a week in the office and 2 to 3 days a week remote
Key Regulatory Affairs Responsibilities
Review, draft, negotiate, and process agreements and amendments per organizational guidelines. Manage projects involving the collection and submission of data and information related to government audits, surveys, and requests. Handle provider contracting, including letters of agreement, and conduct follow-up. Review, disseminate, and handle FH notices; manage the FH calendar; conduct preparations for FHs and attend as needed. Review and handle communications and submit reports. Prepare status reports and updates on cases. Handle activities of the Special Investigation Unit (SIU), including reporting and internal investigations. Update applicable HIPAA policies and procedures in compliance with laws and regulations. Review OIG/OMIG requirements and best practices; update compliance materials, policies, and procedures to ensure adherence to regulations. Review and edit DOH and CMS plan contracts to ensure compliance with contract requirements. Review and disseminate CMS memos and DOH guidance, keeping up to date on laws and official guidance. Coordinate document requests from outside counsel for litigation matters. Maintain databases related to provider credentials and other essential information. Draft policies, procedures, manuals, and plan materials. Provide oversight and supervision of department staff.
Qualifications
Minimum 3 years of experience in managed care contracting, credentialing, and compliance. REQUIRED - Must currently possess a Juris Doctorate Strong knowledge of MLTC, MAP, Medicaid, and Medicare programs. Commensurate supervisory experience. Ability to review and analyze legal and commercial terms of agreements. Proficient in investigating incidents and recommending solutions. Highly skilled in organizational management, attention to detail, and multitasking. Excellent writing, editing, and proofreading skills.
Compensation:
$150,000 - $180,000 annually Benefits include health insurance, retirement plans, paid time off, and professional development opportunities.
#ACP
#AC1
Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
Job function Legal Industries Staffing and Recruiting Referrals increase your chances of interviewing at RCM Healthcare Services by 2x Inferred from the description for this job
Medical insurance Vision insurance 401(k) Paid maternity leave Disability insurance Get notified when a new job is posted. Sign in to set job alerts for “Regulatory Counsel” roles.
New York, NY $180,000.00-$230,000.00 3 days ago New York, NY $180,000.00-$210,000.00 2 weeks ago New York, NY $175,000.00-$190,000.00 5 days ago New York, NY $130,000.00-$165,000.00 1 week ago New York City Metropolitan Area $150,000.00-$175,000.00 1 week ago Counsel, (Mergers & Acquisitions) Business & Legal Affairs - The Orchard
New York, NY $118,000.00-$180,000.00 5 days ago Jersey City, NJ $160,000.00-$175,000.00 3 days ago New York, NY $110,000.00-$130,000.00 3 weeks ago New York, NY $180,000.00-$200,000.00 1 week ago New York City Metropolitan Area $225,000.00-$375,000.00 1 week ago New York, NY $120,000.00-$150,000.00 2 weeks ago Hoboken, NJ $160,000.00-$222,000.00 5 days ago New York, NY $175,000.00-$225,000.00 5 days ago New York, NY $136,000.00-$219,650.00 2 weeks ago New York City Metropolitan Area 2 weeks ago New York, NY $175,000.00-$195,000.00 2 weeks ago Associate Counsel, Integrity and Investigations
New York, NY $127,500.00-$178,500.00 1 month ago Assistant General Counsel, Business & Legal Affairs (Ad Product Counsel)
New York, NY $262,500.00-$285,000.00 5 days ago New York, NY $125,000.00-$185,000.00 3 weeks ago Counsel, (Mergers & Acquisitions) Business & Legal Affairs - The Orchard
New York, NY $225,000.00-$225,000.00 2 months ago New York, NY $225,000.00-$250,000.00 1 week ago New York, NY $170,000.00-$200,000.00 1 month ago New York, NY $147,000.00-$259,000.00 1 week ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr
Join to apply for the
Regulatory Affairs Lawyer / Juris Doctorate Required / Managed Care
role at
RCM Healthcare Services Regulatory Affairs Lawyer / Juris Doctorate Required / Managed Care
Join to apply for the
Regulatory Affairs Lawyer / Juris Doctorate Required / Managed Care
role at
RCM Healthcare Services Get AI-powered advice on this job and more exclusive features. Large and rapidly growing MLTC program with locations around NY, is currently seeking a
Regulatory Affairs Lawyer
to be responsible for the planning, development, direction, delivery, evaluation, and coordination of activities within their Regulatory Affairs Department. This key position will focus on regulatory compliance, contracts, provider relations, audits, investigations, and other related matters.
Regulatory Affairs Lawyer (JD Required)- Hybrid Role After Probationary Period
Hybrid - 2 to 3 days a week in the office and 2 to 3 days a week remote
Key Regulatory Affairs Responsibilities
Review, draft, negotiate, and process agreements and amendments per organizational guidelines. Manage projects involving the collection and submission of data and information related to government audits, surveys, and requests. Handle provider contracting, including letters of agreement, and conduct follow-up. Review, disseminate, and handle FH notices; manage the FH calendar; conduct preparations for FHs and attend as needed. Review and handle communications and submit reports. Prepare status reports and updates on cases. Handle activities of the Special Investigation Unit (SIU), including reporting and internal investigations. Update applicable HIPAA policies and procedures in compliance with laws and regulations. Review OIG/OMIG requirements and best practices; update compliance materials, policies, and procedures to ensure adherence to regulations. Review and edit DOH and CMS plan contracts to ensure compliance with contract requirements. Review and disseminate CMS memos and DOH guidance, keeping up to date on laws and official guidance. Coordinate document requests from outside counsel for litigation matters. Maintain databases related to provider credentials and other essential information. Draft policies, procedures, manuals, and plan materials. Provide oversight and supervision of department staff.
Qualifications
Minimum 3 years of experience in managed care contracting, credentialing, and compliance. REQUIRED - Must currently possess a Juris Doctorate Strong knowledge of MLTC, MAP, Medicaid, and Medicare programs. Commensurate supervisory experience. Ability to review and analyze legal and commercial terms of agreements. Proficient in investigating incidents and recommending solutions. Highly skilled in organizational management, attention to detail, and multitasking. Excellent writing, editing, and proofreading skills.
Compensation:
$150,000 - $180,000 annually Benefits include health insurance, retirement plans, paid time off, and professional development opportunities.
#ACP
#AC1
Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
Job function Legal Industries Staffing and Recruiting Referrals increase your chances of interviewing at RCM Healthcare Services by 2x Inferred from the description for this job
Medical insurance Vision insurance 401(k) Paid maternity leave Disability insurance Get notified when a new job is posted. Sign in to set job alerts for “Regulatory Counsel” roles.
New York, NY $180,000.00-$230,000.00 3 days ago New York, NY $180,000.00-$210,000.00 2 weeks ago New York, NY $175,000.00-$190,000.00 5 days ago New York, NY $130,000.00-$165,000.00 1 week ago New York City Metropolitan Area $150,000.00-$175,000.00 1 week ago Counsel, (Mergers & Acquisitions) Business & Legal Affairs - The Orchard
New York, NY $118,000.00-$180,000.00 5 days ago Jersey City, NJ $160,000.00-$175,000.00 3 days ago New York, NY $110,000.00-$130,000.00 3 weeks ago New York, NY $180,000.00-$200,000.00 1 week ago New York City Metropolitan Area $225,000.00-$375,000.00 1 week ago New York, NY $120,000.00-$150,000.00 2 weeks ago Hoboken, NJ $160,000.00-$222,000.00 5 days ago New York, NY $175,000.00-$225,000.00 5 days ago New York, NY $136,000.00-$219,650.00 2 weeks ago New York City Metropolitan Area 2 weeks ago New York, NY $175,000.00-$195,000.00 2 weeks ago Associate Counsel, Integrity and Investigations
New York, NY $127,500.00-$178,500.00 1 month ago Assistant General Counsel, Business & Legal Affairs (Ad Product Counsel)
New York, NY $262,500.00-$285,000.00 5 days ago New York, NY $125,000.00-$185,000.00 3 weeks ago Counsel, (Mergers & Acquisitions) Business & Legal Affairs - The Orchard
New York, NY $225,000.00-$225,000.00 2 months ago New York, NY $225,000.00-$250,000.00 1 week ago New York, NY $170,000.00-$200,000.00 1 month ago New York, NY $147,000.00-$259,000.00 1 week ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr