Applicants may apply for this position by submitting a resume/ CV to the following email address: email@example.com . When submitting a resume/CV by email, you must include the job title and posting number in the subject line of your email.
The Senior Counsel, Health Plan Services provides day-to-day legal support with a substantial focus on contract drafting and negotiation of vendor contracts, provider arrangements and plan regulatory addenda for Cook County Health (CCH). The Senior Counsel, Health Plan Services participates in oversight and governance meetings as requested by Health Plan Services leadership. Additionally, the Senior Counsel, Health Plan Services offers advice and guidance to CCH Board of Directors, the Chief Executive Officer, executive and medical leadership and CCH managers on legal issues arising in the operation of Health Plan Services and its various services lines and CCH managed care initiatives.
This position is exempt from Career Service under the CCH Personnel Rules.
Graduation from an accredited School of Law with a Juris Doctorate (J.D.) degree
A current and active license (in good standing) to practice law in the State of Illinois
Five (5) years of experience as an attorney giving legal counsel and representation to health care entities, health care providers and health plans through a law firm or in-house setting
Prior experience working with and knowledge of State Medicaid and Medicare Advantage plans, including the state and federal regulations applicable to those plans.
Three (3) years of experience as an attorney representing health plan clients
Prior experience implementing or supporting an existing Medicare-Medicaid Plan
Prior experience and knowledge of commercial health plan products
Prior experience with governmental contracting and/or local rules and ordinances affecting Cook County
Prior experience with negotiating third-party administrator, pharmacy, technology and other vendor agreements
Prior experience with and knowledge of federal fraud, waste, and abuse laws
General Administrative Responsibilities
Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals
Participate in collective bargaining negotiations, caucus discussions and working meetings
Document, recommend and effectuate discipline at all levels
Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements
Initiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures and provision of applicable collective bargaining agreements
Direct and effectuate CCH management policies and practices
Access and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements
Contribute to the management of CCH staff and CCH' systemic development and success
Discuss and develop CCH system policy and procedure
Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements
Work with Labor Relations to discern past practice when necessary
Provides advice, guidance, and assistance to CCH Board of Directors, the Chief Executive Officer, the Chief Executive Officer, Health Plan services, executive and medical leadership and CCH managers.
Reviews, drafts, and advises on managed care agreements and contracts and related operational documents such as scopes of work and requests for proposals.
Researches laws, regulations, rules, policies and guidelines affecting health plans and units of local government.
Drafts template agreements and provides continuous improvement of standard form agreements and legal processes.
Develops and ensures compliance with CCH procurement policies and internal contract review and tracking processes.
Collaborates with General Counsel in analyzing complex transactions and to identify legal issues that may impact County providers and its hospitals system.
Collaborates with General Counsel to engage and manage outside counsel.
Performs other matters as assigned by the General Counsel.
Knowledge, Skills, Abilities and Other Characteristics
Knowledge of local, state and federal laws and regulations applicable to health plan products
Excellent client management and problem-solving skills with a capacity to make decisions and give advice, which demonstrates an understanding of overall business objectives
Ability to draft agreements with and without existing templates
Ability to execute multiple time-sensitive contracts and other assignments with minimal supervision and with short deadlines
Ability to work effectively as part of a multidisciplinary team and manage a high volume of work
When applying for employment with the Cook County Health & Hospitals System, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service
To take advantage of this preference a Veteran must :
Meet the minimum qualifications for the position.
Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question, "Are you a Military Veteran?"
Attach a copy of their DD 214, DD 215 or NGB 22 (Notice of Separation at time of application filing. Please note: If you have multiple DD214s, 215s, or NGB 22S, Please submit the one with the latest date. Coast Guard must submit a certified copy of the military separation from either the Department of Transportation (Before 9/11) or the Department of Homeland Security (After 9/11). Discharge papers must list and Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable
A copy of a valid State ID Card or Driver's License which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing.
If items are not attached, you will not be eligible for Veteran Preference
VETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER'S LICENSE AT TIME OF INTERVIEW.
Medical, Dental, and Vision Coverage
Basic Term Life Insurance
Deferred Compensation Program
Paid Holidays, Vacation, and Sick Time
You may also qualify for the Public Service Loan Forgiveness Program (PSLF)
MUST MEET ALL REQUIRED QUALIFICATIONS AT TIME OF APPLICATION FILING.
*Degrees awarded outside of the United States with the exception of those awarded in one of the United States' territories and Canada must be credentialed by an approved U. S. credential evaluation service belonging to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview.
*Please note all offers of employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.
*CCHHS is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor.
COOK COUNTY HEALTH & HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER.
ABOUT COOK COUNTY HEALTH (CCH)
The Cook County Health’s mission is to deliver integrated health services with dignity and respect regardless of a patient’s ability to pay; foster partnerships with other health providers and communities to enhance the health of the public; and advocate for policies that promote the physical, mental and social wellbeing of the people of Cook County.
CCH is comprised of two hospitals, John H. Stroger, Jr. Hospital and Provident Hospital, a robust network of more than a dozen community health centers, the Ruth M. Rothstein CORE Center, the Community Triage Center, the Cook County Department of Public Health, Cermak Health Services, which provides health care to individuals at the Cook County Jail and the Juvenile Temporary Detention Center, and CountyCare, a Medicaid managed care health plan.
The system cares for more than 300,000 patients each year and its physicians are experts in their fields, committed to providing their patients with comprehensive, compassionate and cutting-edge care. Today, CCH is transforming the provision of health care in Cook County by promoting community-based primary and preventive care, growing an innovative, ...collaborative health plan and enhancing the patient experience.
COOK COUNTY HEALTH IS AN EQUAL OPPORTUNITY EMPLOYER