Internal Corporate Counsel

Location: New York, NY

Department: Corporate

Type: Full Time

Min. Experience: Senior Manager/Supervisor

THE COMPANY

Integra Partners is a leading, tech-enabled, healthcare benefit management company focused on community-based care. Integra has a core competency in Durable Medical Equipment (DME), Orthotics and Prosthetics (O&P), and works with providers and health plans to facilitate care for hundreds of thousands of patients each year.  We have experienced rapid growth with no slowdown in sight.

Our leadership team is amazing (www.accessintegra.com) and focused on what really matters to our business - every employee, every experience, and every customer. This is a truly unique opportunity to take a position with a great company, surrounded by an awesome team.

In 2015, Integra’s management and Tufts Health Plan of Massachusetts acquired the business. Tufts Health Plan is one of the country’s leading, 5-star, private health plans providing healthcare to individuals and employer groups. Integra now operates as a separate financial investment and subsidiary of Tufts Health Plan with a separate board of directors and governance structure. Integra is an innovative and exciting company, with an entrepreneurial culture focused on teamwork and everyday excellence.

 
SCOPE & RESPONSIBILITIES

Primary responsibility is to provide legal services with respect to company matters involving or related to any of the following:  network and managed care contracting; vendor contracting; compliance oversight and planning; quality improvement; litigation and disputes; regulatory matters; marketing  reviews; HR matters.  Otherwise provide counsel, in consultation with and as requested by THP General Counsel on the variety of legal matters facing Integra. 

  • Lead as an example of corporate integrity and guidance
  • Must be a generalist willing to get involved with the day-to-day business, leaders and employees
  • Provide transparency and communication between Tufts Health Plan and Integra Partners as it relates to corporate compliance and counsel
  • Chair of the Integra Compliance Committee
  • Ability to assess current state and review existing governance documents, identify gaps, risks and compliance obligations;  design, develop, implement and evaluate compliance roadmap that remediates and mitigates risk
  • Partner with leaders to ensure appropriate training is in place for all employees and that it is properly disseminated throughout the organization
  • Create processes and cadence for auditing all contracts and compliance
  • Align departments with contracting requirements and lead quarterly compliance reporting sessions
  • Partner with the business to create claims, customer service, IT and credentialing quality improvement and compliance programs
  • Review all laws that apply to the business and ensure policies, procedures and process meet or exceed guidelines and requirements
  • Provide legal advice, research, drafting, advocacy, negotiations, consultation and oversight including but not limited to the following:
    • Network, vendor and managed care contracting
    • Compliance
    • Quality improvement
    • Litigation and disputes
    • Regulatory matters
    • Assistance with RFPs and legal review
    • Marketing review
    • Employment law and HR matters
    • Other legal matters

REQUIREMENTS & KEY ATTRIBUTES

  • Requires a J.D. and license to practice law in New York.
  • Minimum of 10 years relevant legal experience in a law firm or in-house business environment.
  • Seasoned lawyer with general practitioner-like experience.
  • Expert level of knowledge and experience in business law, capable of acting as primary counsel to a business division.
  • Able to works across the organization and develops strong internal and external relationships to achieve organizational goals and objectives.
  • Experience with compliance functions (including information privacy and security), able to act as compliance advocate and resource.
  • Contract drafting and negotiation skills.
  • Excellent research skills.
  • Strong analytic ability – identify issues and develop innovative solutions and strategies to reach satisfactory resolution.
  • Ability to analyze and interpret complex legislation, laws and regulations and assist in compliance efforts.
  • Mature judgment on relevant matters of business and law.
  • Excellent communication skills – both verbal and written.
  • Ability to see the “big picture” as well as pay close attention to detail.
  • Ability to follow-through on commitments and tasks is critical.
  • Experience working with/in organizations between 100-300 employees – entrepreneurial mindset.

 

ADDITIONAL INFORMATION:

  • Reports to Integra CEO and with a dotted line to THP’s General Counsel
  • Requires ability to interact effectively with all levels of management and staff, clients, and outside counsel
  • Must be able to work cooperatively as a team player
  • Service-oriented approach to dealing with clients and ability to develop and maintain strong collegial relationships within Integra and the THP legal department
  • High level of integrity
  • Ability to manage and prioritize multiple projects and issues
  • Sense of humor

 
APPLICATIONS

It is the policy of Integra Partners to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Integra Partners will provide reasonable accommodations for qualified individuals with disabilities.

CONFIDENTIAL DATA:  All information (written, verbal, electronic, etc.) that an employee encounters while working at Integra Partners is considered confidential.  Exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy, department guidelines/policies and all applicable laws and regulations at all times.

*Essential functions occur simultaneously, therefore, the employee must be able to appropriately handle each essential function, prioritize them and seek assistance when necessary.  These functions need to be performed on a consistent and regular basis, using good judgment.  Ability to learn and apply company policies consistently, seeking out guidance when necessary, is required.

THIS DESCRIPTION IS NOT INTENDED TO BE A COMPLETE STATEMENT OF JOB CONTENT; RATHER IT ACTS AS A GUIDE TO THE ESSENTIAL FUNCTIONS PERFORMED.  MANAGEMENT RETAINS THE DISCRETION TO ADD TO OR CHANGE THE DUTIES OF THE POSITION AT ANY TIME.

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