Health Care Regulatory Attorney

Job Overview

A law firm seeks a Virginia-licensed attorney with 3-5 years of experience to defend health care practitioners in licensing and credentialing matters in Virginia. The role involves working with the Department of Health Professions, the DEA, DMAS/CMS, third-party payors, hospital systems, and other related entities.

Duties

• Provide legal representation for practitioners in licensing Board investigations through resolution, including informal and formal administrative hearings.
• Represent clients in matters related to DEA certificates of registration and show cause hearings.
• Manage audits and appeals involving DMAS, CMS, and third-party payers.
• Assist with credentialing by third-party payers and hospital medical staffs.
• Advise on credentialing issues and peer review processes.
• Ensure compliance with relevant laws and regulations, including risk management, medical record documentation, HIPAA, and cybersecurity concerns.

Requirements

• Demonstrated experience in administrative law and administrative hearings.
• Ability to handle sensitive issues with professionalism and discretion.
• General knowledge of medical terminology.
• Proficiency in handling an independent caseload.
• Skillful communication with clients.
• Strong writing ability.

Education

• Juris Doctor (JD) degree.

Certifications

• Licensed to practice law in Virginia.

Skills

• Direct knowledge of the federal and state laws and regulations governing health care providers.
• Experience with False Claims Act issues, Stark/Anti-Kickback compliance.
• Prior experience in medical-related representation.
• Law firm or government agency experience.

Benefits

This reputed Virginia-based law firm has several offices in the state and was established toward the end of the twentieth century. The law practice specializes in complex litigation matters and focuses particularly on appellate law, guardianship law, military law, risk prevention, and veteran's benefits. The attorneys here routinely receive rave reviews from prominent industry publications. This is an equal opportunity employer.