Attorney- Provider Contracts

3 weeks ago

Cleveland, United States Medical Mutual Full time

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.

Medical Mutual is seeking a talented Provider Contracts Attorney to join our dynamic organization. This is an exciting opportunity to be part of a team that provides exceptional legal counsel and support. As a Provider Contracts Attorney at Medical Mutual, you will play a crucial role in identifying and researching provider contracts, legal issues, analyzing, and assessing risks. Draft and review key provider contracting documents. Present clear recommendations and hands-on counsel to all levels of executive and management. Provider contract and or managed care experience preferred. The role is hybrid and location is Medical Mutual's Brooklyn, OH headquarters.

Responsibilities

Identifies and analyzes legal issues, analyzes, and assesses risk, and presents clear recommendations and hands-on counsel to all levels of executive staff and management.

Work independently to provide the corporation and its subsidiaries with legal advice, risk analysis, service, and representation in various environments, including courts, administrative hearings, and internal and external meetings and negotiations.

Develops standard documents and procedures to protect the corporation and minimize risks, and further corporate interests. Develops compliance guidelines for relevant federal, state, and local laws and regulations. Level I Requirements: Requires a J.D. degree, 3 years of law firm and or legal experience, and admission to practice law in Ohio. Law firm and provider or payer experience preferred. Must have the ability to research and apply legal principles, solve problems, and occasionally travel to offsite locations.

Level II Requirements: Requires a Juris Doctor degree, 5 years of law firm and or legal experience, and admission to practice law in Ohio. Law firm experience preferred. Experience in provider or payor contracting required. Must have the ability to research and apply legal principles, solve problems, and occasionally travel to offsite locations.

Level III Requirements: Requires a J.D. degree, at least 8 years of law firm and or legal experience, and admission to practice law in Ohio. Law firm experience preferred. 5-10 years of provider or payor contracting required. Law firm experience required. Must have the ability to research and apply legal principles, solve problems, and occasionally travel to offsite locations.

Medical Mutual is looking to grow our team We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

A Great Place to Work:

  • We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
  • Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
  • On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
  • Discounts at many places in and around town, just for being a Medical Mutual team member.
  • The opportunity to earn cash rewards for shopping with our customers.
  • Business casual attire, including jeans.
Excellent Benefits and Compensation:
  • Employee bonus program.
  • 401(k) with company match up to 4% and an additional company contribution.
  • Health Savings Account with a company matching contribution.
  • Excellent medical, dental, vision, life and disability insurance - insurance is what we do best, and we make affordable coverage for our team a priority.
  • Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
  • Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
  • After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.
An Investment in You:
  • Career development programs and classes.
  • Mentoring and coaching to help you advance in your career.
  • Tuition reimbursement up to $5,250 per year, the IRS maximum.
  • Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual:

Medical Mutual's status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

There's a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.

We're not just one of the largest health insurance companies based in Ohio, we're also the longest running. Founded in 1934, we're proud of our rich history with the communities where we live and work.

At Medical Mutual and its family of companies we celebrate differences and are mutually invested in our employees and our community. We are proud to be an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.

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