Skip to main content
Corporate Functions & Operations
WellCare - Legal Careers

National Provider Corporate Counsel Lead Job

Full Job Title: National Provider Corp Counsel Lead

Job Number: 1704589

Locations:
Tampa, FL
Chicago, IL
Manhattan, NY
Louisville, KY
Newark, NJ
Atlanta, GA
Houston, TX
Dallas, TX
Lawrenceville, NJ

Date Posted: 2-28-2018

LOCATION: Tampa Preferred - Highly qualified candidates in other areas where WellCare has offices, are encouraged to apply.

DEPARTMENT: Legal

REPORTING TO: VP Asst General Counsel

National practice group leader forming and leading a Legal team working on all aspects of legal support for WellCare's health care provider network issues, including sophisticated contracting, strategic partnerships/ACOs, payment systems and quality, credentialing, medical economics, terminations and regulatory and reporting regimes applicable to provider relationships (e.g., prompt pay, anti-kickback, etc).

Essential Functions:

  • Supporting WellCare's regional/state lawyers and business clients across the U.S. on all aspects of provider contracting, including ensuring compliance with government program rules applicable to provider relationships
  • Providing legal counsel on federal and state regulatory regimes applicable to provider relationships
  • Supporting strategic WellCare-provider partnerships and alliances (e.g., ACOs)
  • Providing legal advice around economic initiatives impacting providers
  • Monitoring and reporting on relevant developments and trends
  • Assisting where needed on provider disputes and litigation, including payments, credentialing and terminations
  • Facilitating a cross-functional internal Legal practice group of subject matter experts on a range of provider-related issues

Additional Responsibilities:

#LI-SM2

Candidate Education:
  • Required Other JD from accredited law school
Candidate Experience:
  • Required 8 years of experience in Legal experience, heavily focused on health care provider issues, including sophisticated contracting, strategic partnerships/ACOs, payment systems and quality, medical economics and regulatory and reporting regimes applicable to provider relationships (e.g., prompt pay, anti-kickback, etc)
  • Required 8 years of experience in Experience in this capacity with or on behalf of a multi-market MCO, and government programs experience, strongly preferred
  • Required 8 years of experience in Strong financial acumen related to MCO and provider payment model economics is also strongly preferred.
Candidate Skills:
  • Advanced Ability to communicate and make recommendations to upper management
  • Advanced Ability to drive multiple projects
  • Advanced Ability to effectively present information and respond to questions from peers and management
  • Advanced Ability to work in a fast paced environment with changing priorities
  • Advanced Ability to work in a matrixed environment
  • Advanced Demonstrated analytical skills
  • Advanced Demonstrated leadership skills
  • Advanced Demonstrated problem solving skills
  • Advanced Demonstrated negotiation skills
  • Advanced Ability to influence internal and external constituents
  • Advanced Ability to work as part of a team
  • Advanced Ability to work independently
  • Advanced Knowledge of healthcare delivery
Licenses and Certifications:
A license in one of the following is required:
  • Required Other Licensed to practice law in state of office residence or get licensed
Technical Skills:
  • Preferred Intermediate Microsoft Excel
  • Preferred Intermediate Microsoft PowerPoint
  • Required Advanced Microsoft Outlook
  • Preferred Intermediate Other Emptoris or other contracting systems
  • Required Intermediate Microsoft Word
Languages:

Back to top

Join Our
Talent Network

and receive job alerts
Click Here
Last Updated On: 12/9/2015