Division Counsel - Compliance & Regulatory

VUMC is seeking an attorney with a strong regulatory and compliance background, including expertise in federal and state fraud, waste and abuse laws and related regulations, Medicare and Medicaid (TennCare) regulations and conditions of participation, and clinical research compliance. Significant experience counseling an academic medical center or teaching hospital on compliance and regulatory issues is highly desirable. This position will carry the title of Division Counsel and will work directly with VUMC and within the Office of Legal Affairs, reporting to a Managing Counsel and the VUMC General Counsel.

Candidates must possess a minimum of five (5) years' experience providing regulatory risk assessments and assistance with internal and/or external audits to health care providers and supporting and providing legal guidance to compliance teams. Experience managing or responding to fraud, waste and abuse investigations and litigation is also desirable. The successful candidate will be a good negotiator with e xcellent oral and written communication skills and will have the ability to work independently within a dynamic and fast paced environment. Excellent client management skills and the ability to prioritize competing demands will be necessary.

• Provide risk assessments and counsel on all aspects of compliance with state and federal health care operations and billing laws and regulations, including federal and state fraud, waste and abuse laws;

• Assist compliance team, VUMC business development and operations teams, and VUMC affiliates in identifying and resolving regulatory compliance matters;

• Monitor changes in relevant regulatory areas and provide education on those changes to business and operational personnel and compliance and legal affairs teams;

• Advise on Medicare and Medicaid (TennCare) contracting and payment issues, enrollment requirements, and conditions of participation;

• Provide legal advice and assistance, including policy development and management support, on issues related to clinical trial billing, resident billing and ACGME and LCME issues, and physician compensation;

• Assist the Division Counsel for Research in the review of and advice on research enterprise concerns, including effort reporting, grant accounting, clinical trials billing, and the application of the fraud, waste and abuse laws and regulations to sponsor-supplied equipment, medication and treatment supplies;

• Provide regulatory support and assistance on contract and transaction matters in which VUMC may engage; and

• Consult with and provide assistance to other colleagues in the Office of Legal Affairs in a highly collaborative and team-oriented fashion.

• JD degree from an ABA accredited law school.

• Must have at least five (5) years of directly applicable experience.

• Employment contingent upon State of Tennessee licensure or registration and receipt of In-House Counsel Practice Certificate. The successful candidate must also apply for and become licensed in the State of Tennessee within 12 months of employment or, if earlier, the date required under applicable rules of the Tennessee Supreme Court.