Sr Counsel, Regulatory and Compliance, Office of Counsel
Rochester, NY
Responsibilities
SUPERVISED BY:
Vice President & General Counsel of the University of Rochester and General Counsel of the Medical Center
SPECIFIC RESPONSIBILITIES:
With independent judgment and initiative (similar to the responsibility of a law firm counsel or partner) provides legal services and advice with respect to the areas of specific responsibility outlined below.
Provides regulatory compliance advice including, but not limited to, Stark Law, Fraud and Abuse Laws, Medicare and Medicaid billing regulations (including CMS, Medicare Advantage and New York State Medicaid). Manages disputes, risks and projects related to regulatory compliance and legal transactions. Analyzes fraud and abuse issues and provides guidance on the Stark, Anti-Kickback, and False Claims Act, patient inducement and other statutes and regulations.
Serves as legal liaison to and works in collaboration with the Medical Center’s billing compliance office. Assists with self- disclosures, audit responses and legal challenges to payor overpayment and adverse payment determinations. Coordinates with regulatory agencies and responds to governmental regulatory initiatives.
Serves as subject matter expert for the Medical Center and affiliates on telehealth and telemedicine; delegated credentialing, and on discrete billing issues including but not limited to compliance with federal provider based billing requirements.
Provides legal assistance and guidance to the “340B” drug discount and related pharmaceutical programs operated by the University and its affiliates, including contract negotiations with 340B vendors and contract pharmacies. Provides guidance on legal issues arising relating to reimbursement for pharmaceuticals and compliance with pharmacy regulations.
Provide legal support to the Medical Center and its regional affiliates, including hospitals, long term care facilities, home health agencies, providers, and independent living communities, pertaining to state and federal laws and regulations, medical staff matters, policies, corporate transactions, board and corporate issues, contracts and other legal issues.
Reviews and drafts faculty employment offers with a general understanding of employment law. Maintains familiarity with routine provider related topics such as physiciancompensation,tenure and faculty handbook rights,termination, and covenants not to compete.
Negotiates, reviews and drafts contracts including physician service agreements, locum tenens agreements, confidentiality agreements, and business associate agreements.
Has in-depth knowledge regarding other specialty health care topics, such as research compliance; not-for-profit tax issues; New York corporate structures and arrangements; general healthcare (consents, patient management, medical staff credentialing, and withdrawal of treatment); human subjects or animal research; Stark/Anti-Kickback laws; HIPAA; or graduate medical education.
Delivers consistent superior quality, timely, ethical and efficient legal services for the University and its affiliates. Demonstrates ability to work collaboratively in a collegial environment; serves on University and affiliate committees, reviews policies and provides advice to Medical Center leadership and Medical Center administrators as requested. Conducts legal educational presentations for faculty and staff.
Undertakes such other duties as may be assigned by the General Counsel of the University or of the Medical Canter or as may be requested by senior administrators.
REQUIREMENTS :
J.D. degree New York State bar admission or immediate eligibility for “in-house counsel” designation, and at least 10 years of relevant experience with demonstrated knowledge in fields of law relevant to the needs of the University; or an equivalent combination of education and experience.
NOTE: This document describes typical duties and responsibilities and is not intended to limit management from assigning other work as required.
The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion to advance the University’s mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.
How To Apply
All applicants must apply online.
EOE Minorities/Females/Protected Veterans/Disabled
Location: Health Sciences
Full/Part Time: Full-Time
Opening: Full Time 40 hours Grade 057 Office of Counsel - URMC & SH