Associate Senior Counsel- US Commercial Medical Network- Hybrid
The Associate Senior Counsel position will provide strategic legal advice and counsel for a region of the Cigna US Commercial Medical Network contracting team (anticipated to be Mid-Atlantic and Liberty Valley) on a wide variety of medical provider contracting matters while working alongside the Network Regional Directors and other National Contracting leaders to support the US Medical Network business strategy.
The Associate Senior Counsel will take ownership of issues and coordinate with other parts of Legal and the business teams to reach successful solutions.
As a member of the U.S.
Medical Network Contracting team, the Associate Senior Counsel will provide legal advice and counsel on issues related provider contracting, pre-litigation provider objections and disputes regarding various programs, policies, and contractual interpretations, and support commercial contract initiatives and commercial contract governance.
To be successful, this individual must have experience in the health care managed care/insurance industry and medical provider contracting and be able to collaborate within the business and across the broader Legal and Corporate Affairs team to drive the Network contracting strategy.
Responsibilities will include, but not be limited to:
* Lead counsel to regional U.S.
Medical Network contracting teams, support Regional Vice President, Regional Directors, and Provider Contracting Directors across multiple states to ensure strategic business goals are met.
* Provide day-to-day legal support for network management, including strategy and advice on contracting approaches and considerations, interpretation of contract terms and alternative approaches, compliance with Cigna policies, problem solving and identifying solutions and options, and assistance with review of routine documents with respect to third parties such as NDAs, requests for consent to assignment or approval of change of ownership, termination notices, marketing communications, hold harmless agreements and antitrust submissions from consultants;
* Draft, review and negotiate complex provider agreement with an understanding of understanding business implications, risks, and potential regulatory or third party contractual considerations.
* Manage provider disputes and pre-litigation matters.
Counsel business clients on potential outcomes of legal matters and assist with review, evaluation, and response to provider objections and notices of dispute in coordination with network leads, litigation and other matrix partners.
* Collaborate with key legal, compliance and business partners to address claims or contract issues, regulatory concerns, effect of new legislation, and assist with responses to regulators, clients or customers to mitigate negative effects and proactively promote alternative approaches and solutions.
* Provide support for various company initiatives, such as value-based contracting, strategic alliances, cost-savings strat...
- Rate: Not Specified
- Location: Philadelphia, US-PA
- Type: Permanent
- Industry: Management
- Recruiter: Cigna
- Contact: Recruiter Name
- Email: to view click here
- Reference: 24002511
- Posted: 2024-03-08 07:24:47 -
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