Sr Corporate Counsel(s), Commercial & Health Plans
September 4, 2018
Secaucus, New Jersey
Full Time - Experienced
5-7 years experience
Quest Diagnostics is adding to its Corporate Counsel team in three key areas: Commercial, Health Plans, and Mergers & Acquisitions. All three positions are based at the Company’s Secaucus, NJ, headquarters.
The Senior Corporate Counsel (s) – Commercial and Health Plans is responsible for drafting and negotiating a wide range of commercial contracts, with a concentration on provider and health plan agreements. S/He will lead legal negotiations with the customers and advise the Commercial team on the establishment of strategic relationships and driving profitable growth with health plans. Working closely with Vice President of Health Plans/Payors, s/he will handle a wide range of legal responsibilities under the supervision of the Assistant General Counsel , including participating in business, operational and strategic decisions; advising leadership of Health Plans on strategies, opportunities, issues and risk management; developing and negotiating third party payer arrangements, including government payer programs such as Medicare and Medicaid, advising on provider network development and contracting, and managing general health plan legal matters including regulatory and compliance matters. S/He will act as a strategic partner for the Vice President of Health Plans in the establishment of the group’s organizational goals.
Duties and Responsibilities Include:
Analyze and ddevelop strategies and problem solving with clients, Compliance and Government Affairs
Work with billing and clinical franchises to support strategic opportunities to improve pricing and/or coverage.
Counsel clients on a range of business and legal regulatory issues, including STARK and fraud and abuse laws
Develop training for clients and perform training for assigned areas
The successful candidate for Senior Corporate Counsel will have the following attributes and/or experiences:
Minimum of 5 years of expertise in healthcare business law is required
Experience in health plan operations, regulatory compliance, legal issues relating to insurance law, interpretation of various types of insurance policies
Requires the ability to lead and influence leaders on areas within subject matter expertise
Requires excellent language and writing skills in order to draft, edit and develop contract language, policies, procedures, workforce training materials, web-based resources and other documentation
Must be duly licensed to practice law
Strong educational background including an undergraduate degree and JD are required
Strong corporate, commercial or transactional experience
An understanding of how to support the achievement of business objectives while considering the regulatory landscape
Demonstrated ability to interface effectively with all levels of staff, management and executives
Occasional travel is required
The successful candidate for Senior Corporate Counsel will demonstrate through education and experience the following competencies:
Drive for Results
Managing and Measuring Work
Motivate Others/Manage Vision
Internal Number: req6016
About Quest Diagnostics
Recognized by FORTUNE magazine as one of the “World’s Most Admired Companies,” Quest Diagnostics is the world's leading provider of diagnostic testing, information and services that doctors and patients need to make better healthcare decisions. They are pioneers in developing innovative diagnostic tests and advanced healthcare information technology solutions that help improve patient care.With corporate headquarters in Secaucus, NJ, Quest Diagnostics is a Fortune 500 company, traded on the New York Stock Exchange and included in the Dow Jones Sustainability World Index. With 2017 revenues of $7.7 Billion, and approximately 42,000 employees and 2,100 patient locations across the US, Quest Diagnostics serves half of the physicians and hospitals in the US with their large variety of products and services. The company offers the broadest access to diagnostic testing services through its network of laboratories and patient service centers, and provides interpretive consultation through its extensive medical and scientific staff. Quest Diagnostics also provides services to employers, life insurance companies, other commercial labs, clinics, health plans, government agencies, and organ...izations involved in clinical trials research.Approximately 150 million times each year, patients and their physicians rely upon Quest Diagnostics results to make important healthcare decisions. Quest Diagnostics Healthcare IT solutions connect over 165,000 physicians. Approximately one third of U.S. physicians – and many of the country’s leading hospitals and health systems – relies on Quest Diagnostics healthcare information solutions to foster better patient care and improve their business performance. Awards/Recognitions•FORTUNE magazine's "World's Most Admired Companies" list •Fortune magazine’s Fortune 500 list •Forbes Global 2000 •Barron’s 500•Member of the Dow Jones® Sustainability World Index•Consistently named one of the best places to work in U.S. business journal rankingsDiagnostic Testing ServicesQuest Diagnostics is the world’s leading provider of diagnostic testing, information and services that patients and doctors need to make better healthcare decisions. Their services range from routine blood tests — such as total cholesterol, Pap testing and white blood cell count — to complex, gene-based and molecular testing. They perform medical tests that aid in the diagnosis or detection of diseases, measure the progress or recovery from a disease or confirm that an individual is free from disease. In addition, they have specialized expertise in cancer, cardiovascular diseases, infectious diseases, and neurology. OutlookIn the $60 Billion and growing US Diagnostic Testing Market, Quest Diagnostics is the leader. Quest Diagnostics’ reputation as a leading innovator, provider of high value, low cost solutions and its financial strength and flexibility make it well positioned to capitalize on the evolving healthcare landscape. Quest Diagnostics’ long term strategy is to become the undisputed world leader in diagnostic testing, information and services. To drive this profitable growth, Quest Diagnostics plans to leverage capabilities to create differentiation:•Deliver Innovative Solutions•Leverage their Unparalleled Access and Distribution Network•Expand their relationships with large payors and health systems•Deliver Superior Patient Experiences
BACK TO TOP
MCCA Job Bank is Just One of the Benefits.
Discover what else MCCA Membership has to offer!
The job you are trying to reach from was originally posted at MCCA Job Bank.