Job description
Thank you for considering a career at Ensemble Health Partners!
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference
The Opportunity:
The Legal Counsel I – Regulatory – will provide guidance on healthcare regulatory matters within the regulatory team in the Ensemble Legal Department. This position requires the associate to complete a wide variety of legal projects and legal research in support of the current and future growth plans for Ensemble.
Preferred candidates will have experience advising not-for-profit and for-profit health systems, physician groups, and other affiliated entities on complex state and federal healthcare fraud and abuse laws and regulations, billing and reimbursement matters, and conducting compliance investigations.
This position reports to the Associate General Counsel – Regulatory and will be responsible for understanding the daily operations of our client health systems, physician groups, and their affiliates and will be providing review and advice on statutory and regulatory issues, fraud and abuse considerations, compliance matters, government investigations, and reimbursement. Travel required.
Job Competencies
- Valuing Differences - Works effectively with individuals of diverse cultures, interpersonal styles, abilities, motivations, or backgrounds; seeks out and uses unique abilities, insights, and ideas. Considers the collective.
- Collaboration - Works cooperatively within teams and partners with others, both internally and externally as needed, to achieve success; focuses on the results of the team, not the achievements of one person. It’s “All for One and One for All”.
- Accountability - Accepts personal responsibility and/or consequences of failure and successes, delivering on commitments and refocusing effort when needed. Someone who is willing to step up and own it.
- Time Management - Effectively manages personal time and resources to ensure that work is completed efficiently.
- Developing Trust - Gains others’ confidence by acting with integrity and following through on commitments; treats others and their ideas with respect and supports them in the face of challenges.
- Takes Initiative - Takes prompt action to accomplish goals and achieve results beyond what is required; is proactive and pursues relentlessly.
- Delegation - Successfully shares authority and responsibilities with others to move decision making and accountability downward through the organization while accomplishing strategic priorities; maintains personal ownership of outcomes.
- Communication - Clearly and succinctly conveys information and ideas; communicates in a focused and compelling way that captures and holds others’ attention (appropriate, impactful, and clear).
- Program/Project Management - Demonstrates high accountability and responsibility for projects and programs from inception through completion/implementation.
Essential Job Functions
- Experience advising not-for-profit and for-profit health care systems, physician groups, and affiliated entities in matters relating to the False Claims Act, Civil Monetary Penalties Law, HIPAA, Hi-Trust, Anti-Kickback Statute, billing and reimbursement, and related matters.
- Excellent communication, drafting and writing skills, superior legal and practical problem-solving skills.
- Capable of handling complex, novel, high-value projects with broad organizational impact.
- Proficient in researching statutes, regulations, caselaw, administrative guidelines, notices and hearings as needed to produce sound, comprehensive and creative legal arguments.
- Provides advice and assistance to the AGC-Regulatory on corporate, legal and regulatory matters within the scope of the attorney's job.
- Regularly review government agency statements, reports, interim final rules, regulatory guidelines, and pending federal and state legislation for application and/or impact to revenue cycle.
- Articulate complex issues and provide education and/or advisement that is clear, concise, and actionable.
- Assesses and mitigates risk; reports any identified business exposure and associated risks as well as mitigation techniques being utilized.
- Frequently interacts with other internal legal, compliance, and business stakeholders across functional groups, as well as specialized outside counsel.
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation.
Employment Qualifications
- JD
Other Preferred Knowledge, Skills and Abilities
- At least 1 year of healthcare regulatory and compliance experience
- Active license to practice law in good standing in at least one state
- 1-3 years relevant experience
- Exceedingly detail oriented, organized, and self-motivated
- Confidence to respond to inquiries from clients, senior leadership, and other partners in line with the requirements of individual scopes of work
- Strong interpersonal skills with the ability with work with other attorneys, operators, and representatives of clients
- Internal drive to succeed and motivate those around them
- Adaptability to rapid growth and progressing environment within a corporate setting
- Understanding of revenue cycle management
#LI-JC1
#LI-REMOTE
Join an award-winning company
Three-time winner of “Best in KLAS” 2020-2022
2022 Top Workplaces Healthcare Industry Award
2022 Top Workplaces USA Award
2022 Top Workplaces Culture Excellence Awards
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Innovation
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Work-Life Flexibility
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Leadership
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Purpose + Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
- Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
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Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
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Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
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Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact
TA@ensemblehp.com
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