Description: The administrative hearing counsel is a part of the Medicaid legal team. The attorney represents Mercy Care in administrative hearings related to member appeals/grievances and provider claim disputes.
The administrative hearing counsel represents Mercy Care at administrative hearings related to member appeals/grievances and provider claim disputes for Medicaid, Medicare Advantage D-SNP and Regional Behavioral Health Authority lines of business. These lines of business provide covered physical and behavioral health services for individuals enrolled with Mercy Care.
The position requires the attorney to apply legal knowledge to cases at hearing (and rehearing) level, including, but not limited to, preparing and drafting memorandum, motions; conducting legal research; preparing expert witness testimony and conducting staffings with other subject matter experts; and preparing exhibits for hearing. The attorney will also conduct settlement negotiations with opposing counsel or parties and draft settlement agreements. The attorney may also be assigned other legal projects from time-to-time.
This position requires a team-oriented individual with an attention to detail, ability to multitask, and strong communication skills (both written and verbal).
The minimum level of education desired for candidates in this position is a JD.
Admitted to practice law in the State of Arizona and in good standing with applicable license requirements.
Approximately 3 years experience representing parties in litigation or other administrative hearing proceedings preferred.
At least 4 years experience as a practicing attorney.
Preference for demonstrated legal experience in Medicaid, particularly related to Medicaid Managed Care Organizations.
Preference for demonstrated legal experience in Medicare Advantage.
Experience providing legal advice and counsel to internal customers or clients preferred.
Experience demonstrating solid business and legal judgment.
Demonstrated excellent problem-solving skills.
Demonstrated expertise with legal acumen, drafting and analytical skills.
Experience demonstrating strong written and verbal communication skills.
Experience demonstrating high level of interpersonal skills and diplomatic finesse.
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