OverviewProtects the interests of VNS Health and its affiliates by providing actionable legal advice and counsel that enables the enterprise to comply with applicable healthcare and privacy laws. Advises on the impact of health care and privacy statutes, regulations, and rules for current or prospective health care and health plan lines of business, services, programs, transactions, partnerships, and affiliations. Reviews and interprets newly enacted or amended laws and regulations to ensure legal compliance and identify risk areas. Serves as the primary liaison to outside regulatory counsel. Works within the Chief Legal and Risk Officer Organization ("CLRO") under general direction of Vice President, Associate General Counsel.

Compensation Range:$109,900.00 - $146,500.00 Annual

What We Provide

• Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays

• Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life Disability

• Employer-matched retirement saving funds

• Personal and financial wellness programs 

• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care  

• Generous tuition reimbursement for qualifying degrees

• Opportunities for professional growth and career advancement 

• Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities  

• Referral bonus opportunities

  What You Will Do

• Counsels on a range of healthcare and privacy legal issues affecting the operations of VNS Health including but not limited to HIPAA, HITECH, 42 CFR Part 2, the Social Security Act, Medicare and Medicaid regulations, the False Claims Act, the Anti-Kickback Statute, and state laws governing the operation of Article 44 health insurers and the delivery of home health care, hospice care, mental health care, substance use disorder treatment, and care management services.

• Assures compliance by analyzing legal issues and drafting internal memos, policy documents, opinions, and other key documents that clearly summarize legal rules, risks, and related recommendations.

• Reviews and evaluates new regulations and related operational practices; Recommends updates to VNS Health policies and procedures as necessary and appropriate.

• Collaborates with cross-functional teams, including Operations, Quality, IT, Compliance, Government Affairs, and Risk, to ensure healthcare and privacy regulatory requirements are met.

• Advises VNS Health leadership, management, and staff on sub-regulatory agency guidance including model contracts, consents, authorizations, and other government forms applicable to health plans, insurance products, and health care provider services.

• Serves as a healthcare and privacy regulatory subject-matter expert and supports other members of the CLRO with regulatory matters.

• Advises on permissible data sharing between and among VNS Health affiliates and/or external entities.

• Directs privacy and security investigations, as needed, and remediation of security incidents.

• Conducts privacy risk assessments and audits and develops strategies to mitigate identified risks.

• Represents VNS Health in interactions with regulatory agencies and external stakeholders.

• Provides training and education to employees on privacy and regulatory compliance matters.

• Counsels staff on regulatory matters related to member enrollment, patient admission and discharge, and difficult-to-serve patients/members; Works with staff and outside counsel with respect to regulations governing fair hearings, care coordination, service delivery, and termination of enrollment.

• Counsels staff on regulatory matters related to member enrollment, patient admission and discharge, and difficult-to-serve patients/members; Works with staff and outside counsel with respect to regulations governing fair hearings, care coordination, service delivery, and termination of enrollment.

• Participates in special projects and performs other duties as assigned.

Qualifications

Licenses and Certifications:

• Currently admitted and registered to practice law in the State of New York required

Education:

• Juris Doctor (JD) degree from an accredited law school required

Work Experience:

• Minimum 1 year experience practicing law in New York and demonstrated experience with health care and privacy law required

• Excellent communication and interpersonal skills required

• Strong analytical, organizational, and problem-solving skills required

• Exceptional attention to detail required

• Ability to work independently and as part of a team required

CAREERS AT VNS Health

The future of care begins with you. Together, we will revolutionize health care in the home and community. When you join VNS Health, you become a part of something bigger. For generations, we’ve been a recognized leader and innovator in patient-centered and community-focused health care. At VNS Health, you’ll have the opportunity to meaningfully impact lives. Including yours. Discover your next role at VNS Health.