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Senior Counsel , Provider Operations - Pasadena , CA

Location: Pasadena, CA Additional Locations:
Job Number: 874160 Date posted: 02/26/2020

As a member of the Legal Department's Provider Operations Practice Group, this position provides legal counsel and support to Kaiser Hospitals and health care providers regarding day-to-day regulatory and operational matters. This is a broad provider regulatory practice supporting Kaiser Permanente-s operations as an integrated delivery system in California and the eight other jurisdictions where Kaiser Permanente operates. This includes supporting all KP Regions and the Government Programs Practice Group and Revenue Cycle operations on the implications of Medicare and Medicaid fee-for-service reimbursement regulations.

Essential Responsibilities:

- Advise complex organizations within KP enterprise-wide, across multiple legal business entities
- Advise Hospitals and Health Plan leadership and other health care providers regarding regulatory and operational matters, such as state licensing, Medicare Conditions of Participation, accreditation standards, credentialing and medical staff matters, patient consent, scope of practice, bioethics and privacy
- Advise healthcare providers (including hospital, ASC and/or medical clinic leaders) about compliance with Medicare reimbursement regulations
- Serve as a subject matter expert and educational resource on all aspects of provider regulatory issues, such as mental health, chemical dependency, privacy, EMTALA, HITECH and medical device regulation for business leaders and colleagues.

Basic Qualifications:


- Minimum eight (8) years of general health care law experience, including a minimum of five (5) years of provider regulatory experience.


- Bachelor's degree.
- Juris Doctorate degree.

License, Certification, Registration

- Active membership in the California Bar (or membership within one (1) year from date of hire).

Additional Requirements:

- Experience providing interpretation and analysis of statutes, regulations and hospital and physician practice standards, processes and procedures.

- Successful candidate will have a working knowledge of hospital operations and physician practice matters and regulatory issues.

- Excellent academic and professional qualifications.

- Superior writing and analytical skills based on substantial experience advising complex organizations with interaction between legal entities
- Solid work ethic, excellent interpersonal and communication skills (written and verbal), and sharp analytical skills.
- Ability to work independently and to work collaboratively as part of a team.

Preferred Qualifications:

- Minimum ten (10) years of general health care law experience, including a minimum of eight (8) years of provider regulatory experience strongly preferred.

Primary Location: California,Pasadena,Regional Offices-Walnut 393 E. Walnut St. Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon - Fri Working Hours Start: 8:00 AM Working Hours End: 5:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Salaried, Non-Union, Exempt Job Level: Director/Senior Director Job Category: Legal / Government Relations Department: 0308-30000-7614 Travel: Yes, 10 % of the Time Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.
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