Health Care Regulatory Counsel

Ensign Services, Inc. (“ESI”) is a subsidiary of The Ensign Group, Inc. whose affiliated entities are considered a national leader in the fast growing post-acute care industry. ESI provides service and support to over 300 facilities on the skilled nursing and long term care continuum that employ over 40,000 employees in more than a dozen states.ESI is known as the “Service Center” and it provides the facilities and leaders it serves with necessary “back-office” support in areas such as accounting, construction, compliance, human resources, information technology, legal, risk management, and learning management. This structure allows on-site leaders and caregivers to focus squarely on day-to-day care and business issues in their individual operations. What sets ESI apart from other companies is the quality of our most valuable resource - our people. We take our core values of Celebration, Accountability, Passion for Learning, Love One Another, Intelligent Risk Taking, Customer Second, and Ownership (CAPLICO) seriously and strive to provide a work experience that proves it!About the OpportunityThis position will provide legal guidance and support on regulatory matters, especially as related to post-acute care operations. It requires transactional based experience in implementing and operationalizing the regulations. Specifically, expertise in Medicaid and Medicare reimbursement and how the applicable regulations interface with related State and Federal healthcare regulatory laws, including OBRA, the False Claims Act, the Federal Physician Self-Referral Law ("Stark Law"), and the Anti-Kickback Statute. The role will provide business advice to assist our client business entities and Service Center partners in identifying and resolving legal and regulatory matters. In addition, the position will play a key role in drafting, reviewing and negotiating complex reimbursement arrangements, including documents related to ACOs, managed care organizations, and other similar arrangements. The position will likewise advise on compliance with Federal and State healthcare industry laws and regulations; monitor changes in relevant regulatory and reimbursement areas; and educate others on same.ResponsibilitiesKey advisor in the evaluation of regulatory issues and directives impacting their business operationConduct research into state and federal regulatory requirements across a variety of healthcare-related topics, and provide operational advice on implementation of the regulationsProvide advice and guidance around issues and initiatives existing in the post acute care industry, including reimbursement, MCOs ACOs, ISNPs, and related matters.Research, advise and provide counsel to client facilities involving the application and interpretation of health care laws, Medicare/Medicaid reimbursement regulations, and related Federal and State laws governing the delivery of care and reimbursement for services in a post-acute care settingAssess business risks based on substantive legal and regulatory supportKeep current with legislative and regulatory changes, and communicate changes to affected stakeholders, including but not limited to participation on reimbursement regulatory committeesPartner with key stakeholders on compliance matters that present legal or regulatory riskCommunicate the tactical and strategic legal needs of the operations to Service Center colleaguesProactively help ESI and its clients manage legal risk as it impacts the operation of the involved service lineServe as a business partner in contract negotiations, including but not limited to contracts related to revenue generationProfessional QualificationsJuris Doctorate degree with a minimum 8 years of legal practiceAt least one State Bar Admission and in good standingExpertise in transactional healthcare mattersSubstantial knowledge of health care laws and regulations (post acute care preferred)Strong research and analytical skillsStrong knowledge of MCO landscape and an understanding of negotiation strategies to assist internal teams when negotiating business termsAbility to manage several matters at one time in a fast-paced environmentHigh degree of maturity and professionalismExceptional presentation, writing and communication skillsPersonal CharacteristicsA servant-leader who thrives on providing excellent customer service in a high-energy and high-accountability environment and has experience leading and directing othersA disciplined and self-motivated professional with solid work habitsAn all-around team player who views no task as too large or too small, and who is passionate about the organization, its mission and the people it servesAn active listener, who displays good judgment, inspires confidence and handles confidential matters with absolute discretionA positive and energetic person with a great sense of humor and a strong desire to help others perform and growProven leadership and interpersonal skills, with a strong team orientationProfessional demeanor and executive presenceAbility to give clear direction and produce consistently outstanding resultsA culture leader who can model and teach our unique culture across the organizationCompensationESI offers an attractive compensation package including a competitive base salary and benefits, plus eligibility for bonuses.If you believe you can meet the expectations outlined above, please submit your resume with salary history/requirements along with a brief cover letter explaining why you are the right candidate for our organization.Additional InformationPosition Type: Full Time EmployeeBenefits: Medical, dental, vision, life & AD&D Insurance Plans, 401k, vacation, sick and holiday pay

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