Provider Network Services Attorney

We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by colleagues who care deeply, innovate with purpose, hold themselves accountable and prioritize safety and quality in everything they do.

As a Provider Network Services Attorney, you will support the Provider Network Services legal and business teams with respect to a wide range of health care provider matters. This includes complex provider contract negotiations, development and negotiation of value-based arrangements, pre-arbitration/litigation dispute resolution, credentialing, regulatory and risk management support, and general legal support for both participating provider networks and out-of-network providers in your assigned region.

Responsibilities:

• Advising the business related to regulatory exams, inquiries, and filings where they involve provider network matters
• Advising, prioritizing, and mitigation planning regarding legal risks related to provider network relationships
• Providing provider contracting support, including support of complex provider health care system negotiations and risk-based arrangements
• Working with the business and internal and external counsel to resolve provider disputes prior to arbitration/litigation
• Collaborating with the business on the development and review of sensitive internal and external communications to various stakeholders
• Collaborating with Medicare and Medicaid counsel to implement federal and state specific legal research involving provider network services for government lines of business
• Serving as a specific subject matter expert for assigned areas related to health care provider issues
• Providing day-to-day risk management support for internal business clients responsible for provider networks in your assigned region

Requirements:

• Actively practicing attorney with 5+ years demonstrated experience in a law firm and/or in-house setting
• Experience with healthcare or other regulatory matters
• Experience drafting and negotiating complex contracts and/or interacting with government regulators or agencies with respect to healthcare matters
• Admitted to practice law in at least one state and in good standing
• 3+ years of experience with contracts and related issues
• Ability to travel up to 5% (including by plane)

Preferred Qualifications:

• Experience with utilization management processes and regulations

Education:

• Juris Doctor from ABA-accredited institution required

Benefits:

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources, based on eligibility