Healthcare Legal, Regulatory, and Policy Anaylst (Hybrid)

Job Objective: The Healthcare Legal, Regulatory, and Policy Analyst provides legal support to the General Counsel and Executive Management Team. The Analyst position assists with all aspects of the Organization’s legal compliance with relevant laws, rules, and regulations. The Analyst researches, reviews, and provides legal analysis for existing and proposed legislation and regulatory guidance to help ensure the organization stays informed of and in compliance with legal requirements. The Analyst assists the General Counsel with drafting legal agreements, policies, memoranda of understanding, and other legal documents as assigned by the General Counsel. The Analyst conducts reviews of complex legal contracts and researches legal issues to assist the General Counsel in providing legal advice to the Executive Management Team and Board.                              

Responsibilities and Essential Duties:

• Collaborate with Human Resources (People) function and the General Counsel to investigate, address, and provide advice on various employment law issues.
• Work closely with Chief Compliance and Privacy Officer to help ensure the Organization is meeting or exceeding its regulatory compliance requirements.
• Assist the General Counsel in reviewing and analyzing all the Company's business and operations to ensure compliance with Stark, AKS, and other fraud and abuse laws; helps ensure the organization is legally compliant with privacy and security requirements under HIPAA, 42 CFR Part 2, 21^st Century Cures Act, state privacy laws, and any other applicable regulatory requirements.
• Work directly with the General Counsel and other team members to identify legal risks and compliance issues arising in day-to-day operations, contractual matters, and business transactions, and providing legal support as assigned by the General Counsel.
• Counsel management team on proposed arrangements, transactions, and complex legal matters and provide necessary training/education at the direction of General Counsel.
• Research relevant laws, rules, and regulations for various legal and compliance topics associated with the provision of healthcare and business operations.
• Assist with the filing of administrative appeals and documentation to health insurers, governmental payers, and government agencies as required by law.
• Prepare or assist with preparing agency filings; Prepare or assist with draft responses to questions regarding procedural issues for agency filings.
• Prepare facility licensure and certification documents as assigned.
• Monitor the status of proposed legislation and regulations of interest to the Organization, including, but not limited to, regulatory changes and compliance with behavioral health, addiction medicine, telehealth, artificial intelligence, privacy, and policy requirements.   
• Other projects and duties as assigned.
• Drafting, revising, reviewing, and negotiating contracts, agreements, and policies as assigned.
• Supports the Mission, Values, and Vision of Community Care of West Virginia and the facility.

Teamwork:   

• Consistently work in a positive and cooperative manner with fellow Team Members.
• Assist other Executive Team Members in the performance of their duties as needed from time to time. 
• Demonstrate flexibility to perform duties wherever volume deems it necessary within the Organization.
• Work well with and provide support to legal, compliance, and other organizational team members when necessary, as well as maintain the workload, work under pressure, and be a team player;; perform any other administrative duties as may be necessary.

Problem Solving:

• Demonstrate sound judgment by taking appropriate actions regarding questionable findings or concerns.
• Investigate and follow through on unusual orders or requests for service or information.
• Follow proper reporting procedures for actual or potential accidents and/or incidents so follow-up and/or prevention can occur.
• Record/report the need for service maintenance or repair of equipment and remove any faulty equipment from service.
• Consistently evaluate work and determine if further steps are needed to meet patient expectations. 

Productivity/ Efficiency:

• Consistently demonstrate the ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary.
• Minimize non-productive time and fill slow periods with activities that will enable you to prepare to meet the department's future needs.
• Organize job functions and work areas to be able to complete varied assignments within established time frames effectively.
• Consistently demonstrate the ability to take the initiative to make decisions/choices without direct supervision. 

Adherence to Departmental Policies:

• Demonstrate knowledge and understanding of all policies and procedures and the ability to reference them from appropriate books and manuals.
• Comply with the CCWV's infection control policies and procedures, including the Bloodborne Pathogens Standard, to ensure a safe working environment for self and others

Great Benefits

• Paid Time Off (PTO)

• Paid Holidays

• Extended Sick Pay (ESP)

• Medical Health Insurance and Prescription Coverage

• Basic Life Insurance for Employee and Family

• Short-Term Disability

• Long-Term Disability

• 401(k) Voluntary Contribution Plan

• Health Reimbursement Account

• Employee Elected Voluntary Coverage for Employee and Family

• Life Insurance, Dental, Vision, Flexible Spending Account, Dependent Spending Account

• Discounted undergraduate & graduate rates at West Virginia Wesleyan College for employee and family

Physical Demands/Working Conditions:

• Work is performed in a professional medical office setting, business casual dress environment.
• Extended periods of sitting and/or standing, telephone, and computer work.
• Ability to see information in print and/or electronically.  
• The job requires standing, walking, hearing, reaching, talking, and occasional lifting up to 25 pounds.
• Employees will be exposed to viruses, disease, and infection from patients and specimens in the working environment.
• The employee will be required to work at any facility and be responsible for their own transportation.
• Hybrid work option is a possibility depending on qualifications and experience.  

Qualifications/Requirements/Skills:

• Excellent interpersonal skills
• Analytical and problem-solving skills
• Team-building skills
• Effective verbal and listening communication skills
• Attention to detail and high level of accuracy
• Stress management
• Time management
• Computer proficiency (electronic medical records, Outlook, Word, Excel)

Education/Training/Experience:

• Bachelor’s degree in a relevant field of study to the job description required.
• Master’s degree in a relevant field of study preferred
• Juris Doctorate a plus  
• 2+ Years of experience in a healthcare legal, regulatory, privacy, and/or compliance role preferred.
• Certification in, or willingness to obtain, relevant certification through the Healthcare Compliance Association (HCCA) within 2 years of start date.
• Strong legal research and policy drafting experience a plus.
• Strong sense of ethics with impeccable integrity
• Possess the ability to communicate with both written and oral skills.
• Research, analytical, organizational, and computer skills
• Possess the ability to plan and execute work projects in a detailed and organized manner.
• Excellent interpersonal and communication skills with the ability to interact with individuals at all levels of the company, including senior executives.
• Knowledge of health law and contract drafting experience is required
• Proficiency in Microsoft Office, including Word and Excel; highly attentive to detail and able to handle large amounts of paperwork for a busy office; excellent organizational and time management skills; clear, concise, and logical writing style.
• Years of relevant experience in healthcare legal, privacy, or compliance may be substituted for education.
• Experience with and knowledge of behavioral health and addiction medicine laws is a plus.