Staff Attorney II

Location Address:

Compensation Pay Range:

Minimum Offer $:

Maximum Offer for this position is up to $:

Now hiring a

Summary:

Type of Opportunity:

Job Exempt:

Job is based :

Work Shift:

Responsibilities:

This role focuses on performing a variety of consultative or advisory work; gathers evidence and information for management decision making; prepares, reviews and negotiates legal documents and agreements, including network provider contracts, value-based payment arrangements, single case agreements, and other related agreements; provides tactical and strategic advice and analysis of healthcare laws and regulations; provides legal oversight and direction for the organization's provider contracting process. Responsible for identifying and analyzing legal issues, drafting key documents, presenting clear recommendations, and ensuring legal compliance. Matters in question usually have a significant impact on the organization's operations, strategies, and financial condition. This is a recognized expert in complex fields of law.

• Advise business leaders on regulatory compliance, contract negotiations, dispute resolution, and operational strategies to ensure contracts with hospitals, clinics, and other healthcare providers align with legal requirements and business objectives.
• Understand the regulatory requirements and legal issues impacting provider network contracts and value-based payment arrangements.
• Draft, review, and negotiate provider agreements, including hospital, physician group, ancillary, behavioral health, and specialty provider contracts.
• Provide legal advice to business stakeholders to identify and mitigate legal, regulatory, and business risk in proposed business transactions.
• Collaborate with compliance, operations, and finance teams to ensure provider agreements meet organizational, regulatory, and accreditation requirements.
• Assist in resolving provider disputes, contract enforcement issues, and regulatory audits or inquiries.

Ideal Candidate will have:

• Partnering closely with the provider network team on all issues related to provider contracting and provider disputes.

Qualifications:

• Juris Doctor degree from an accredited law school and active license to practice law in one or more state and a member in good standing of the applicable state bar.
• New Mexico license to practice law preferred or must be acquired as soon as practicable following employment.
• 5 years of experience practicing in the health law field, with a focus on provider contracting.
• Experience advising or working in a health plan, managed care organization or law firm serving healthcare clients.
• Ability to manage multiple priorities in a fast-paced environment.
• Experience with value-based contracting, risk-sharing agreements, or alternative payment models preferred.

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.

About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

Inclusion and Diversity
Our culture is one of knowing and respecting our patients, members, and each other. We capture this in ourPromise and CARES commitments.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.