healthcare attorney

Silver Hill Hospital

<div>We are seeking an experienced and dedicated General Counsel to join our team at Silver Hill Health. The individual in this role will provide comprehensive legal support to the Silver Hill Health system, acting as a general resource and coordinator for a wide range of areas in which legal expertise is needed. This includes but is not limited to employment law (e.g., hiring, terminations, benefits, employee relations), contracts with external vendors (e.g., drafting, editing, and vetting), contracts with insurance company payers, non-profit corporate governance and board practices, corporate structure including merges and acquisitions, brand licensing, healthcare licensing and regulation, healthcare privacy and record keeping, medical malpractice, insurance, tax, neighbor relations, and real-estate. The attorney will also oversee all management and tracking of legal documents. While the attorney should have some degree of familiarity with all these areas, they will be encouraged to reach out to enlist focused expertise where needed, e.g., on regulatory matters with our long-standing external counsel. The ideal candidate will have a strong background in healthcare law. Experience in behavioral health or addiction services is preferred, though not a requirement.
Duties/Responsibilities:
<ul><li>Provide legal advice and support to hospital administration, clinical staff, and various departments on a wide range of issues, including (but not limited to) privacy, malpractice torts/patient complaints, personnel matters, mergers acquisitions &amp; affiliations, and insurance policies.
</li><li>Ensure the hospital&rsquo;s operations comply with federal and state regulations, including (but not limited to) HIPAA, mental health laws, STARK/Anti-Kickback, and licensing requirements. Develop and implement policies to ensure ongoing compliance.
</li><li>Acts as a subject matter expert with a strong understanding of the business, legal, financial, and technical requirements of the transactions related to Silver Hill Health's lines of business.
</li><li>Negotiates contractual provisions to reflect business requirements that meet company needs and maximize revenue, flexibility and potential, while minimizing exposure and liability
</li><li>Negotiates, structures, drafts, and manages contractual documents that establish the terms and conditions of the business relationships and pricing with vendors, customers and/or partners
</li><li>Negotiates contracts, drafts terms and conditions using original text/language, and redlines contracts
</li><li>Responsible for developing and maintaining client/vendor relationships, interacting with all levels of management, and may participate in vendor management
</li><li>Responsible for creating standard, template agreements for new services and software products
</li><li>Leads the contract negotiation process and coordinates the process across several departments and areas within the organization.
</li><li>Documents issues arising during contract negotiations and recommends a viable resolution to internal management
</li><li>Provides accurate, detailed, and timely information with regards to business, legal, financial, and technical requirements to assist management in making informed business decisions
</li><li>Consults and advises senior management
</li><li>Determines and produces appropriate documents (e.g., non-disclosure agreements, trial agreements, letters of intent, agreements, schedules, BAAs etc.) as required
</li><li>Manage any legal disputes involving the hospital, working closely with outside counsel when necessary. Partner with Quality and Experience Department on management of grievances and disputes. Provide guidance on risk management and mitigation strategies.
</li><li>Conduct training sessions for staff on legal compliance, ethical issues, and best practices in healthcare law.
</li><li>Collaborate with hospital leadership to develop, implement, and review hospital policies and procedures that align with legal standards and best practices.
</li><li>Liaise with regulatory bodies, legal professionals, and other healthcare organizations to represent the hospital&rsquo;s interests and ensure best practices.
</li><li>Acquisitions, Mergers, and Affiliations.
</li><li>Privacy laws and requirements.
</li><li>Quality and Compliance of the hospital.
</li><li>Risk management, Insurance.
</li><li>Malpractice.
</li><li>Tax issues.
</li><li>Municipal issues.
</li><li>Real estate.
</li><li>Employee matters pertaining to their employment with SHH.
</li><li>General Corporate matters.
</li><li>By-Laws, Board documents, Resolutions, etc.
</li><li>Supporting outside counsel on all matters they are assigned so we can develop internal capacity.
</li></ul>Required Skills/Abilities:
<ul><li>Excellent communication, negotiation, and interpersonal skills.
</li><li>Proven ability to work collaboratively in a multidisciplinary environment.
</li><li>Strong analytical and problem-solving skills.
</li></ul>Education and Experience:
<ul><li>Juris Doctor (JD) from an accredited law school.
</li><li>Admission to the Connecticut Bar.
</li><li>At least 5 years of experience drafting, negotiating, managing and advising on matters related to contracts, including service agreements, license agreements and other transactional agreements.
</li><li>Must have familiarity with healthcare or privacy and security in relation to healthcare i.e. HIPAA Minimum of 5 years of legal experience, with a focus on healthcare law or related fields. Experience or familiarity with behavioral health law is a plus.
</li><li>Strong knowledge of federal and state healthcare regulations, including mental health statutes.
</li><li>Experience with software solutions, software licensing, intellectual property, or healthcare privacy and security a plus.
</li><li>Business process outsourcing experience a plus.
</li><li>Certified in healthcare compliance a plus.
</li></ul>Physical Requirements:
<ul><li>Occasionally lift and move up to 25 pounds.
</li><li>Ability to travel as required.
</li></ul>Silver Hill Hospital (&ldquo;SHH&rdquo;) is fully committed to equal employment and advancement opportunities for all present employees as well as for applicants in all phases of the employment process (recruitment, hiring, assignment, conditions of employment, compensation, benefits, training, promotion, transfer, discipline and termination). Therefore, except in any cases of bona fide occupational qualification or need, SHH will act without regard to race, color, religion, national origin, age, sex, marital status, status as a protected veteran, sexual orientation, gender identity or expression, pregnancy, past/present history of mental disorder, intellectual disability, physical or learning disability, genetic information or any other characteristics protected by applicable law, (unless it is shown by supervisory personnel that a disability prevents performance of the work involved or may result in undue hardship) in all aspects of the employment process and relationship. This policy is based on the understanding that an applicant is able to handle the job requirements. Employment decisions will be based on merit, qualifications and abilities.</div>

General Counsel

Coral LTC

<div>Position Overview:

We are seeking a dynamic and experienced attorney to serve as our In-House Counsel. The ideal candidate will have a strong background in Texas employment law, healthcare regulations, contract law, and litigation. This position offers the opportunity to play a key role in ensuring compliance, managing legal risks, and promoting the wellbeing of our residents and staff. 


Responsibilities:

&Oslash; Provide legal advice and support on a wide range of legal matters, with a focus on Texas employment law, healthcare regulations, contracts, and litigation.

&Oslash; Advise management and staff on compliance with state and federal laws and regulations governing employment practices and healthcare operations.

&Oslash; Review, draft, and negotiate contracts, agreements, and other legal documents related to the operation of the facility, including vendor contracts, provider agreements, and employment contracts.

&Oslash; Conduct legal research and stay informed about developments in Texas employment law, healthcare law, litigation trends, and related areas.

&Oslash; Represent the organization in legal proceedings, including administrative hearings, regulatory investigations, and litigation, as needed.

&Oslash; Develop and deliver training programs on legal issues affecting the organization, including employee relations, risk management, and compliance. 


Qualifications:

&Oslash; Juris Doctor (JD) degree from an accredited law school.

&Oslash; Admission to the State Bar of Texas.

&Oslash; Minimum of 5 years of experience practicing law, with expertise in Texas employment law, healthcare regulations, contract law, and litigation.

&Oslash; Strong knowledge of state and federal laws and regulations applicable to the long-term care industry.

&Oslash; Excellent analytical, communication, and negotiation skills.

&Oslash; Ability to work effectively both independently and collaboratively in a fast-paced environment.

&Oslash; Prior experience working in the long-term care industry or healthcare law is preferred but not required. 


Benefits:

&Oslash; Competitive salary commensurate with experience.

&Oslash; Comprehensive benefits package, including paid medical insurance, unlimited paid time off and free T-Mobile 5G cellular phone.

&Oslash; Opportunity for professional growth and development.

&Oslash; Meaningful work that contributes to the well-being of our residents and staff. 


Coral LTC is an equal opportunity employer and is committed to diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.</div>

Attorney (Long Term Care Facilities)

Sonic Healthcare

<div>Job Functions, Duties, Responsibilities and Position Qualifications:
We're not just a workplace - we're a Great Place to Work certified employer!
Proudly certified as a Great Place to Work, we are dedicated to creating a supportive and inclusive environment. At Sonic Healthcare USA, we emphasize teamwork and innovation. Check out our job openings and advance your career with a company that values its team members!
Hybrid | Austin, TX or Dallas, TX (3 days onsite)
Sonic Healthcare USA is seeking a seasoned Senior Counsel to play a pivotal role inside a fast-moving healthcare organization. This role sits at the intersection of strategy, operations, and risk, partnering closely with executive leadership and business teams across the enterprise.
You will serve as a trusted legal advisor on complex commercial transactions, regulatory compliance, corporate governance, and litigation management, all within a highly regulated, multi-state healthcare and laboratory environment. This is a role for an attorney who enjoys autonomy, values collaboration, and knows how to balance legal rigor with practical business judgment.
What You&rsquo;ll Do<ul><li>
Serve as a primary legal advisor to business leaders across sales, operations, HR, compliance, billing and reimbursement, procurement, privacy, laboratory and pathology services, and executive leadership.</li><li>
Draft, negotiate, and manage complex commercial agreements, including laboratory and pathology services agreements, professional services agreements, hospital contracts, vendor agreements, sales agreements, and confidentiality arrangements.</li><li>
Advise on healthcare regulatory matters, including Stark Law, Anti-Kickback Statute, False Claims Act, Eliminating Kickbacks in Recovery Act, Medicare and Medicaid reimbursement, and broader healthcare compliance obligations.</li><li>
Support corporate transactions, including due diligence for mergers, acquisitions, and strategic partnerships.</li><li>
Provide guidance on employment and employee relations matters, including investigations, policy interpretation, and compliance with federal and state labor laws.</li><li>
Manage litigation matters and outside counsel, partnering with the Chief Legal Officer to control costs, ensure efficiency, and oversee legal budgets and invoicing.</li><li>
Advise on data privacy and security matters, including HIPAA compliance, breach response, subpoenas, and records requests.</li><li>
Develop and deliver training, policies, and procedures to strengthen compliance and risk mitigation across the organization.</li><li>
Act as a subject matter expert within the Legal Department, mentoring colleagues and contributing to the evolution of legal processes, tools, and best practices.</li></ul>
What We&rsquo;re Looking For<ul><li>
Juris Doctor required; licensed to practice law in at least one U.S. jurisdiction, with Texas licensure strongly preferred.</li><li>
A minimum of seven (7) years of legal experience in-house or at a law firm, with significant exposure to healthcare, life sciences, hospitals, laboratories, medical devices, or anatomic pathology.</li><li>
Deep experience with healthcare contracts, regulatory compliance, and fraud and abuse laws.</li><li>
Strong command of Medicare, Medicaid, and third-party reimbursement frameworks.</li><li>
Proven ability to translate legal risk into clear, practical guidance for business leaders.</li><li>
Experience supporting complex, regulated operations across multiple states.</li><li>
Excellent legal research, writing, and problem-solving skills.</li><li>
Confident communicator who can engage effectively with executives, operational leaders, outside counsel, and cross-functional partners.</li></ul>
Why Join Sonic Healthcare USA:
At Sonic Healthcare USA, the Legal team is a true business partner, not a back-office function. You&rsquo;ll work alongside thoughtful, driven leaders who value sound judgment, collaboration, and straight talk. The issues are complex, the work is meaningful, and your voice will carry weight.
If you&rsquo;re looking for an in-house role where your experience is respected, your perspective matters, and your work genuinely moves the business forward, this is it.
Scheduled Weekly Hours:
40
Work Shift:
Job Category:
Administration
Company:
Sonic Healthcare USA, Inc
Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.</div>

Senior Counsel

Eskenazi Health

Date: Dec 29, 2025 Location: Indianapolis, IN, US, 46202 Organization: HHC Division:Eskenazi Health Sub-Division: Hospital Req ID: 24865 Schedule: Full Time Shift: Days Eskenazi Health serves as the public hospital division of the Health &amp; Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 327-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus as well as at 10 Eskenazi Health Center sites located throughout Indianapolis. FLSA Status Exempt Shape the Future of Healthcare at Eskenazi Health We are seeking an experienced Associate Counsel to join our Legal Affairs team. This role provides comprehensive legal support across healthcare operations, business transactions, regulatory compliance, and litigation matters. The Associate Counsel will also manage and expand Eskenazi Health&rsquo;s Medical Legal Partnership and other pro bono initiatives, while drafting and negotiating a wide range of contracts and grants. Key Responsibilities Deliver legal counsel on diverse healthcare and business issues, ensuring alignment with Eskenazi Health&rsquo;s mission and PRIDE values. Advise on regulatory and operational matters, including Medicare/Medicaid compliance, EMTALA, CMS Conditions of Participation, HIPAA, telehealth, price transparency, billing, enrollment, research, and health information. Monitor regulatory changes and educate organizational leaders and Legal Affairs staff on compliance requirements. Oversee Eskenazi Health&rsquo;s Medical Legal Partnership (MLP), including: Managing legal aid and pro bono partners. Expanding affiliate relationships and specialty initiatives (e.g., Housing Rights &amp; Eviction Helpline). Supporting training sessions, research, and publications related to MLP. Draft, review, and negotiate contracts for services, research, managed care, value-based care, medical devices, software, and grants. Review and update organizational policies and procedures. Support Senior Counsel and Risk Management on litigation matters. Address legal issues related to governmental entities, including public records requests. Provide guidance on medical staff and patient care matters (e.g., mental health, guardianship, emergency detentions, commitments, carceral care, decisional capacity).Conduct legal training and represent Legal Affairs on committees and work groups.Perform other duties as assigned. Qualifications The ideal candidate will hold a Juris Doctor (JD) from an ABA-accredited law school and maintain an active license to practice law in the State of Indiana. We are looking for someone with at least five years of experience in healthcare law and contracting, preferably within a law firm or health system setting. A strong understanding of healthcare regulations is essential, including Medicare and Medicaid, Stark Law, Anti-Kickback Statute, EMTALA, HIPAA, CMS Conditions of Participation, and Joint Commission standards. Candidates should also demonstrate proven experience in drafting and negotiating complex contracts, as well as the ability to provide practical, business-oriented legal advice in a fast-paced healthcare environment. Why Eskenazi Health? Eskenazi Health is nationally recognized as one of the 150 Best Places to Work in Healthcare. We offer a collaborative environment where innovation and leadership drive meaningful impact on patient care and community health. Join us and help shape the future of healthcare in Indianapolis. Learn more about the History of Eskenazi Health Accredited by The Joint Commission and named one of the nation&rsquo;s 150 best places to work by Becker&rsquo;s Hospital Review for four consecutive years and Forbes list of best places to work for women, and Forbes list of America&rsquo;s best midsize employers&rsquo; Eskenazi Health&rsquo;s programs have received national recognition while also offering new health care opportunities to the local community. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city&rsquo;s primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the only verified adult burn center in Indiana, the first community mental health center in Indiana and the Eskenazi Health Center Primary Care &ndash; Center of Excellence in Women&rsquo;s Health, just to name a few. Nearest Major Market: Indianapolis

Associate Counsel

MaineHealth

<div>Description
MaineHealth Corporate 
Professional - Nonclinical 
Req #: 61416 
Summary: 
The Corporate Counsel role provides legal services to MaineHealth members; in particular, reviewing and drafting contracts; providing advice regarding the legal considerations in patient care; providing advice regarding compliance with patient privacy and data security laws and regulations; and interacting with insurers regarding application, coverage, and insurance renewals. Corporate counsel will also perform other assignments made by the General Counsel.
Required Minimum Knowledge, Skills, and Abilities (KSAs) 
<ul><li>
Education: Graduate from an accredited law school required.
</li><li>License/Certifications: Licensed to practice law in the State of Maine required. Admission to Maine State Bar required.
</li><li>Experience: Five years of experience representing healthcare clients and demonstrating knowledge of health law, commercial contracting, patient privacy laws and other legal topics associated with the representation of health care providers required.</li></ul> 

Additional Information 
 
With a career at any of the MaineHealth locations across Maine and New Hampshire, you&rsquo;ll be working with health care professionals that truly value the people around them &ndash; both within the walls of the organization and the communities that surround it. 
 
We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow &ndash; programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family. 
 
MaineHealth remains focused on investing in our care team and developing an inclusive environment where you can thrive and feel supported to realize your full potential. If you&rsquo;re looking to build a career in a place where people help one another deliver best-in-class care, apply today. 
If you have questions about this role, please contact lauren.robare@mainehealth.org</div>

Corporate Counsel

AICA

<div>Description:

Attorney Case Manager
Accelerate Revenue. Eliminate Delays. Drive Results.
Location: AICA Orthopedics Headquarters - Marietta, GA
Department: Revenue Cycle - Attorney Collections
Position Impact
The Attorney Case Manager accelerates cash flow from personal injury settlements by eliminating delays, maintaining case momentum, and ensuring seamless coordination from patient treatment through final payment. Your success is measured by faster case closures, reduced payment lag times, and maximized settlement collections. This role directly impacts revenue performance by keeping cases moving, documentation complete, and attorney relationships strong.
Core Responsibilities
Accelerate Case Progression and Payment Receipt<ul><li>Drive cases from active treatment to closed/paid status with minimal delays</li><li>Eliminate documentation bottlenecks that stall settlement payments</li><li>Reduce time from case settlement notification to payment receipt</li><li>Ensure cases ready for negotiation are flagged and escalated promptly</li><li>Prevent cases from aging unnecessarily due to missing information</li><li>Maintain case momentum through proactive follow-up and coordination</li></ul>
Maximize Settlement Collections and Payment Accuracy<ul><li>Ensure full payment receipt on all settled cases without short payments or losses</li><li>Verify settlement amounts match negotiated agreements and catch discrepancies early</li><li>Coordinate across Med Pay and Major Medical to capture all available payment sources</li><li>Identify and resolve payment issues before they impact revenue</li><li>Track and follow up on outstanding payments until funds are received and posted</li><li>Support monthly collection targets through effective case coordination</li></ul>
Build Attorney Relationships That Drive Revenue Performance<ul><li>Develop strong relationships with attorney offices that facilitate faster case resolution</li><li>Position AICA as preferred provider through responsive, professional service</li><li>Maintain relationship strength with top referring attorneys through regular engagement</li><li>Create attorney partnerships that result in smoother processes and faster payments</li><li>Reduce friction in attorney interactions that could delay settlements</li></ul>
Eliminate Documentation Delays and Barriers<ul><li>Ensure complete, accurate documentation reaches attorney offices without delays</li><li>Resolve missing information requests quickly to prevent case stalling</li><li>Anticipate documentation needs and provide proactively before requested</li><li>Coordinate with clinical teams to obtain records that support full settlement value</li><li>Maintain organized case files enabling quick responses to attorney requests</li><li>Remove documentation obstacles that prevent cases from progressing to settlement</li></ul>
Drive Information Currency That Enables Collections<ul><li>Maintain current case status enabling negotiators to act on settlement opportunities</li><li>Update account information that allows billing teams to submit claims without delays</li><li>Communicate insurance carrier updates that prevent claim rejections</li><li>Provide timely case intelligence to internal teams affecting their success</li><li>Identify cases approaching settlement to prepare for negotiation</li><li>Ensure no revenue opportunities are lost due to outdated information</li></ul>
Performance Expectations<ul><li>Accelerate case closure rates through proactive coordination</li><li>Reduce average days from settlement to payment receipt</li><li>Achieve high case status currency enabling timely collections</li><li>Maintain strong attorney relationships supporting referral volume</li><li>Ensure payment accuracy with minimal discrepancies or short payments</li><li>Meet weekly activity targets for attorney contacts and account updates</li><li>Support departmental collection goals through effective case management</li><li>Minimize cases stalled due to documentation issues</li></ul>
Qualifications
Required<ul><li>1-2+ years personal injury case management experience with personal injury focus</li><li>Proven ability to drive case progression and eliminate delays</li><li>Strong relationship-building skills with attorneys and legal staff</li><li>Excellent organizational skills managing high-volume case portfolios</li><li>Demonstrated persistence in obtaining information and resolving obstacles</li><li>Proactive approach to identifying and preventing revenue delays</li><li>Proficiency with practice management systems and MS Office</li><li>Understanding of personal injury case processes and settlement timelines</li></ul>
Preferred<ul><li>Experience with NextGen practice management system</li><li>Legal assistant or paralegal background</li><li>Knowledge of medical terminology and insurance processes</li><li>Multi-location healthcare organization experience</li><li>Track record of improving case closure times or payment speed</li></ul>
The Ideal Candidate<ul><li>Views case management as revenue acceleration, not just information tracking</li><li>Takes ownership of case outcomes from treatment through final payment</li><li>Proactively identifies and eliminates obstacles that delay settlements</li><li>Builds attorney relationships that result in faster case resolution</li><li>Demonstrates persistence in driving cases to completion</li><li>Thrives in fast-paced environment focused on results</li><li>Shows urgency around payment timing and case progression</li><li>Connects actions to revenue impact rather than just completing tasks</li></ul>
Compensation &amp; Benefits<ul><li>Competitive hourly compensation with performance-based bonus</li><li>Bonuses tied to case management effectiveness and collection support</li><li>Comprehensive benefits: medical, dental, vision, 401(k)</li><li>Career advancement to negotiation, team lead, or management roles</li><li>Professional development and specialized training</li></ul>
About AICA Orthopedics
AICA Orthopedics is Atlanta's premier integrated healthcare provider with 24 locations, specializing in orthopedic, neuro-spine, and pain management services. For 25 years, we've delivered exceptional multidisciplinary care through our team of 400+ professionals.
Ready to accelerate attorney settlement collections through proactive case management? Apply now!
Requirements:

Required<ul><li>1-2+ years personal injury case management experience with personal injury focus</li><li>Proven ability to drive case progression and eliminate delays</li><li>Strong relationship-building skills with attorneys and legal staff</li><li>Excellent organizational skills managing high-volume case portfolios</li><li>Demonstrated persistence in obtaining information and resolving obstacles</li><li>Proactive approach to identifying and preventing revenue delays</li><li>Proficiency with practice management systems and MS Office</li><li>Understanding of personal injury case processes and settlement timelines</li></ul>
Preferred<ul><li>Experience with NextGen practice management system</li><li>Legal assistant or paralegal background</li><li>Knowledge of medical terminology and insurance processes</li><li>Multi-location healthcare organization experience</li><li>Track record of improving case closure times or payment speed</li></ul></div>

Personal Injury Case Manager

State of Tennessee

<div>Executive Service
<h2 class="jobSectionHeader">Asst. Attorney General - Civil Medicaid Fraud Division</h2><h3 class="jobSectionHeader">
Office of the TN Attorney General and Reporter</h3><h3 class="jobSectionHeader">
Civil Medicaid Fraud Division</h3><h3 class="jobSectionHeader">
Nashville, TN</h3><h3 class="jobSectionHeader">
Closing Date: 01/06/2025</h3> 
This position requires a criminal background check. Therefore, you may be required to provide information about your criminal history in order to be considered for this position.
Our employees can have 2 remote workdays each week after they have completed six months of employment.
For more information visit:
https://www.tn.gov/content/tn/attorneygeneral/employment/aag-cmf.html
Who we are and what we do:
The Tennessee Attorney General and Reporter represents all State officials, employees, agencies, departments, boards, and commissions in matters arising from their public duties. Such representation includes litigation, transactional assistance, and general legal advice to a wide variety of State entities. The Attorney General's Office employs approximately 200 attorneys organized into 21 legal divisions within 6 sections.
How you make a difference in this role:
The Civil Medicaid Fraud Division (CMF) is part of the Public Protection Section of the Attorney General's Office. CMF investigates and prosecutes civil cases of Medicaid fraud against health providers and related parties under the Tennessee Medicaid False Claims Act (TMFCA) and on behalf of other state payers under the Tennessee False Claims Act (TFCA). Most of CMF's cases result from qui tam actions brought pursuant to the TMFCA or referrals from TennCare's Managed Care Organizations (MCOs).
CMF's practice areas give attorneys exciting opportunities to work on complex cases in federal and state courts. These cases prosecute and deter fraud, waste and abuse committed against TennCare, other state healthcare payers, their members, and the taxpayers whose dollars fund these important state programs. The division strives to offer the best culture for litigators in public service: excellent work-product on interesting issues in a collegial and collaborative environment, while also protecting a high-quality of life outside of work.
Please note that the position requires in-person work at least three days per week.
Key Responsibilities:
The duties and responsibilities of the CMF AAG include, but are not limited to, the following:
1. Case Investigation and Development<ul><li>
Conduct investigations of healthcare providers, pharmaceutical companies, laboratories, manufacturers and other entities suspected of submitting false claims to TennCare and other state payers.</li><li>
Gather and examine billing records, medical documentation, contracts, and other relevant documents.</li><li>
Interview witnesses, whistleblowers (qui tam relators), and State personnel.</li></ul>
2. Legal Analysis and Case Preparation<ul><li>
Research and apply federal and state Medicaid laws, including the federal False Claims Act, TMFCA and TFCA.</li><li>
Analyze complex billing schemes and healthcare regulations to determine violations.</li><li>
Assist in developing litigation strategy and evaluating potential settlements.
</li><li>Draft legal memoranda, civil complaints, civil investigative demands (CIDs) and subpoenas.</li></ul>
3. Litigation and Case Management<ul><li>
Participate in civil litigation from initial investigation through resolution, judgment or appeal as necessary.</li><li>
Prepare and file pleadings, motions, and legal briefs.</li><li>
Conduct discovery, including depositions and document review.</li><li>
Coordinate with the U.S. Department of Justice, state Medicaid agencies, and multi-state working groups.</li><li>
Oversee settlement negotiations.</li></ul>
4. Collaboration and Coordination<ul><li>
Work with internal divisions to ensure consistent enforcement across overlapping areas of authority.</li><li>
Liaise with TennCare, Medicaid program integrity units, and external stakeholders.</li><li>
Assist in compliance monitoring and post-settlement enforcement.</li></ul>
Minimum Qualifications:
Educational / Background Preferences<ul><li>
Juris Doctor with at least three years of complex civil litigation experience.</li><li>
Prior experience in healthcare regulation preferred.</li></ul>
Professional Skills<ul><li>
Strong knowledge of healthcare law and complex civil litigation in federal and state courts.</li><li>
Experience litigating cases under the False Claims Act, TMFCA and TFCA.</li><li>
Analytical skills for reviewing large datasets and complex financial/billing records.</li><li>
Excellent legal writing and research skills.</li><li>
Familiarity with governmental litigation procedures, including CIDs and e-discovery.</li></ul>
Cognitive and Interpersonal Traits<ul><li>
Analytical thinker with attention to detail.</li><li>
Integrity and discretion, especially when handling sensitive health and financial information.</li><li>
Collaborative mindset, able to work effectively with investigators, nurse coders, data analysts and other attorneys.</li><li>
Persistence and initiative, willing to pursue multi-year, complex investigations and lawsuits.</li><li>
Communication skills, able to explain technical or legal findings clearly to non-legal audiences.</li></ul> 
Pursuant to the State of Tennessee's Workplace Discrimination and Harassment policy, the State is firmly committed to the principle of fair and equal employment opportunities for its citizens and strives to protect the rights and opportunities of all people to seek, obtain, and hold employment without being subjected to illegal discrimination and harassment in the workplace. It is the State's policy to provide an environment free of discrimination and harassment of an individual because of that person's race, color, national origin, age (40 and over), sex, pregnancy, religion, creed, disability, veteran's status or any other category protected by state and/or federal civil rights laws.</div>

ASSISTANT ATTORNEY GENERAL - CIVIL MEDICAID FRAUD DIVISION - 74009

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