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Sr Corporate Counsel - Health Plans/Commercial in Secaucus, NJ at Quest Diagnostics

Date Posted: 3/14/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Secaucus, NJ
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    3/14/2019

Job Description

Senior Corporate Counsel – Commercial and Health Plans

 

Recognized by FORTUNE magazine as one of the “World’s Most Admired Companies,” Quest Diagnostics is the world's leading provider of diagnostic testing, information and services that doctors and patients need to make better healthcare decisions. They are pioneers in developing innovative diagnostic tests and advanced healthcare information technology solutions that help improve patient care.

With corporate headquarters in Secaucus, NJ, Quest Diagnostics is a Fortune 500 company, traded on the New York Stock Exchange and included in the Dow Jones Sustainability World Index.  With 2017 revenues of $7.4 Billion, and approximately 42,000 employees and 2,100 patient locations across the US, Quest Diagnostics serves half of the physicians and hospitals in the US with their large variety of products and services. 

The company offers the broadest access to diagnostic testing services through its network of laboratories and patient service centers, and provides interpretive consultation through its extensive medical and scientific staff. Quest Diagnostics also provides services to employers, life insurance companies, other commercial labs, clinics, health plans, government agencies, and organizations involved in clinical trials research.

Approximately 150 million times each year, patients and their physicians rely upon Quest Diagnostics results to make important healthcare decisions.

Quest Diagnostics Healthcare IT solutions connect over 165,000 physicians.

Approximately one third of U.S. physicians – and many of the country’s leading hospitals and health systems – relies on Quest Diagnostics healthcare information solutions to foster better patient care and improve their business performance.

Awards/Recognitions

  • FORTUNE magazine's "World's Most Admired Companies" list

  • Fortune magazine’s Fortune 500 list

  • Forbes Global 2000

  • Barron’s 500”

  • Member of the Dow Jones® Sustainability World Index

  • Consistently named one of the best places to work in U.S. business journal rankings

     

    Diagnostic Testing Services

    Quest Diagnostics is the world’s leading provider of diagnostic testing, information and services that patients and doctors need to make better healthcare decisions. Their services range from routine blood tests — such as total cholesterol, Pap testing and white blood cell count — to complex, gene-based and molecular testing. They perform medical tests that aid in the diagnosis or detection of diseases, measure the progress or recovery from a disease or confirm that an individual is free from disease. In addition, they have specialized expertise in cancer, cardiovascular diseases, infectious diseases, and neurology.

    Outlook

    In the $60 Billion and growing US Diagnostic Testing Market, Quest Diagnostics is the leader. Quest Diagnostics’ reputation as a leading innovator, provider of high value, low cost solutions and its financial strength and flexibility make it well positioned to capitalize on the evolving healthcare landscape.

    Quest Diagnostics’ long term strategy is to become the undisputed world leader in diagnostic testing, information and services. To drive this profitable growth, Quest Diagnostics plans to leverage capabilities to create differentiation:

  • Deliver Innovative Solutions

  • Leverage their Unparalleled Access and Distribution Network

  • Expand their relationships with large payors and health systems

  • Deliver Superior Patient Experiences

Position Description

The Senior Corporate Counsel – Commercial and Health Plans is responsible for drafting and negotiating a wide range of commercial contracts, with a concentration on provider and health plan agreements.  S/He will lead legal negotiations with the customers and advise the Commercial team on the establishment of strategic relationships and driving profitable growth with health plans. Working closely with Vice President of Health Plans/Payors, s/he will handle a wide range of legal responsibilities under the supervision of  the Assistant General Counsel , including participating in business, operational and strategic decisions; advising leadership of Health Plans on strategies, opportunities, issues and risk management; developing and negotiating third party payer arrangements, including government payer programs such as Medicare and Medicaid, advising on provider network development and contracting, and managing general health plan legal matters including regulatory and compliance matters. S/He will act as a strategic partner for the Vice President of Health Plans in the establishment of the group’s organizational goals.  

The Senior Corporate Counsel is based at the Company’s Secaucus, NJ, headquarters.

Duties and Responsibilities Include:

  • Analyze and develop strategies and problem solving with clients, Compliance and Government Affairs

  • Work with billing and clinical franchises to support strategic opportunities to improve pricing and/or coverage.

  • Counsel clients on a range of business and legal regulatory issues, including STARK and fraud and abuse laws

  • Develop training for clients and perform training for assigned areas

 

Qualifications

The successful candidate for Senior Corporate Counsel will have the following attributes and/or experiences:

  • Minimum of 7 years of expertise in healthcare business law is required; experience with Health Plans is desired but not required

  • Experience in health plan operations, regulatory compliance, legal issues relating to insurance law, interpretation of various types of insurance policies

  • Requires the ability to lead and influence leaders on areas within subject matter expertise

  • Skills and expertise in health plans and insurance industry

  • Requires energy and interest in keeping up to date on ever-changing rules and regulations that apply to health care providers and health plans

  • Requires excellent language and writing skills in order to draft, edit and develop contract language, policies, procedures, workforce training materials, web-based resources and other documentation

  • Must be duly licensed to practice law
  • Strong educational background including an undergraduate degree and JD are required
  • Strong corporate, commercial or transactional experience
  • An understanding of how to support the achievement of business objectives while considering the regulatory landscape
  • Demonstrated ability to interface effectively with all levels of staff, management and executives
  • Occasional travel is required

 

Personal Competencies

The successful candidate for Senior Corporate Counsel will demonstrate through education and experience the following competencies:

  • Outstanding judgment
  • Drive for Results

  • Strategic Agility

  • Business Acumen

  • Financial Acumen

  • Customer Focus

  • Managing and Measuring Work

  • Motivate Others/Manage Vision

  • Interpersonal Savvy

  • Perspective

  • Collaboration

To Apply

Please Log In or Register to Upload a Resume and complete the online Application by visiting questdiagnostics.com/careers, clicking “Job Search” and following the prompts. Because of the large number of applicants to job openings, Quest Diagnostics will only contact qualified candidates to be interviewed.