General Counsel

• Provide day-to-day legal advice and counsel regarding contracting between WVUHS, the WVU clinical practice plan, commercial health insurance plans, government-sponsored health plans, managed care organizations, and other third-party payers
• Draft, negotiate, and review managed care, reimbursement, provider network, value-based care, accountable care, delegation, credentialing, and other payer agreements
• Advise managed care, finance, revenue cycle, and management teams on reimbursement arrangements, contract performance, payer disputes, compliance, and regulatory matters
• Provide oversight and legal advice on corporate governance matters related to accountable care and provider credentialing entities
• Monitor fraud and abuse, Stark, compliance, regulatory, and related legal developments
• Ensure compliance with legal trends and standards governing provider-payer contracting
• Coordinate with outside counsel for litigation, arbitration, mediation, or regulatory proceedings
• Develop agreement submission and review policies and procedures, template agreements, and updates for payer contracting teams
• Prepare and review contracts with commercial insurers, Medicare Advantage plans, Medicaid managed care organizations, and other third-party payers
• Oversee assistant general counsel and other legal services personnel, including support and training
• Provide backup coverage for the Deputy General Counsel and Chief Legal Officer
• Pursue and address the Organizations’ legal needs and contribute to departmental goals and relationships

Explore Associate General Counsel – Payer Contracting at WVU Medicine. Review requirements and application details.

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