General Counsel

As a member of CBH’s senior leadership team, the General Counsel serves as the Chief Legal Officer of Community Behavioral Health (CBH), providing both legal and strategic counsel to CBH executive staff and their designees and overseeing CBH’s internal compliance/risk management and external fraud, waste and abuse (FWA) programs.

Essential Functions:

Build and maintain a strong functional team through effective recruiting, training, performance management, coaching, team building and succession planning.

Provide advice and counsel to and develop creative solutions for issues raised by CBH executive staff and other employees on legal, business and compliance matters related to administering the Behavioral Health HealthChoices program.

Draft or review legal and other documents including contracts, policies, procedures, internal protocols, communications with providers and litigation-related documents.

Serve as liaison to and direct all activities of outside counsel, including litigation.

Review, or direct review of, documents in response to subpoenas and other requests for information.

Supervise legal and compliance staff.

Participate in contract negotiations and litigation.

Oversee CBH’s external compliance activities aimed at preventing and mitigating provider network FWA.

Oversee the internal compliance and risk management program.

Position Requirements:

Education: Law degree from an accredited law school

License/Certification: Member in good standing of the Pennsylvania Bar with an active license

Relevant Work Experience: Minimum of 15 years of legal experience including

Minimum of 5-10 years in managed care or health insurance law.

Medicaid Law preferred.

Experience with the Pennsylvania Medical Assistance Program and/or provider-payor relationships preferred.

Minimum of 5 years of supervisory experience.

Experience with the Health Insurance Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health Act (HITECH) as well as other federal and Pennsylvania privacy and confidentiality statutes and regulations related to substance use and mental health treatment.

Experience preparing, reviewing, and negotiating vendor contracts; Reviewing procurements.

Litigation experience preferred.

Skills:

Strong leadership and management skills

Excellent analytical and problem-solving skills

Excellent oral and written communication skills, including the ability to explain complex legal issues to non-lawyers

Advanced knowledge of federal, state and local laws that govern administration of the HealthChoices program, including privacy and confidentiality laws

Equal Employment Opportunity: CBH provides equal employment opportunities to all qualified individuals without regard to race, creed, color, religion, national origin, age, sex, marital status, gender identity, sexual orientation, individual genetic information or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function.

Americans with Disabilities Act: Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. CBH will determine reasonable accommodation on a case-by-case basis in accordance with applicable law.

This job profile reflects management’s assignment of current duties, responsibilities, and essential functions; it does not prescribe all or restrict the tasks that may be assigned now, or in the future, relevant to the responsibilities for this position. Community Behavioral Health (CBH) may change the specific job duties with or without prior notice based on the needs of the organization.