We are recruiting for a Division Vice President, Operations Counsel-STACH for ScionHealth.  We prefer a candidate in the Louisville, KY or Nashville, TN area, but we are open to remote arrangements.  

Summary:

Provides legal counsel and advice to management and operations personnel of the Short Term Acute Care Hospital (STACH) Division of ScionHealth, a large for-profit health care provider company.  Position advises and coordinates with management personnel, field operators, governmental regulatory and law enforcement agencies and outside counsel.  Position reports to the Company’s Deputy General Counsel – Operations. 

Essential Functions:

• Leads legal services for the STACH division.
• Serves as a strategic partner to STACH division management, providing legal guidance in connection with development, innovation and business planning.
• Anticipates, analyzes and advises on legal challenges faced by STACH division operators, including EMTALA compliance, HIPAA and state privacy law compliance, the patient consent process, grievances, end-of-life decision making and termination of life support.
• Collaborates with contract managers and division operators to prepare, review, advise on and negotiate referral source, academic affiliation, and vendor contracts across entire division. Responsible for coordination and oversight of the FMV and commercial reasonableness review process.
• Advises on compliance with federal and state fraud and abuse laws, including the False Claims Act, physician self-referral laws, anti-kickback statutes, and the Civil Monetary Penalties Law.
• Coordinates with Compliance, Quality, and Revenue Cycle on privacy and security matters, patient quality and safety concerns, Medicare and Medicaid Conditions of Participation, payor reimbursement rules, billing and coding compliance, and other similar matters.
• Manages internal and external investigations, including:  allegations of improper billing, reportable incidents, suspected patient abuse and neglect, physician disciplinary matters, scope of practice issues, and potential civil and criminal law violations.
• Counsels and guides hospitals through all aspects of the medical staff governance process, including credentialing, peer review, disciplinary actions and reporting.
• Exercises independent decisionmaking with respect to matters arising in the normal course and appropriately identifies and escalates high-impact matters posing significant risk.
• Motivates, instructs and monitors team performance to ensure high quality, consistent and collaborative legal services.
• Manages day-to-day legal services within established policies, procedures, and processes.
• Effectively manages high-impact matters, including managing outside counsel resources on such matters.
• Effectively communicates complex information to business-line leaders, facility leadership and employees.
• Skilled at presenting to diverse audiences and can negotiate, motivate and persuade others both orally and in writing. 
• Exercises discretion with confidential and sensitive information.

Knowledge/Skills/Abilities:

• Approximate percent of time required to travel - 5 percent.

Education:

• Juris Doctor degree

Licenses/Certification:

•  Admission to a State Bar

Experience:

• At least 8 years experience providing legal services in the health industry, including a minimum of 2 years in an in-house position.
• Must demonstrate advanced competency in one or more of the following areas: (1) hospital operations; (2) health care transactions; (3) health care regulatory compliance; (4) health care investigations/disputes; (5) billing compliance; and (6) medical staff matters.

Depending on Candidates qualifications, may be filled at a different level.