Legal Counsel
Under the supervision of the Vice President of Legal Affairs, the Legal Counsel assists in the provision of all legal oversight and legal services for the Detroit Wayne Integrated Health Network (DWIHN).
PRINCIPAL DUTIES AND RESPONSIBILITIES
- Creates and processes DWIHN contracts with the State of Michigan, vendors, providers, and other related organizations or entities.
- Negotiates and drafts contracts and commercial transactions.
- Provides legal analysis and answers complex legal questions regarding the Freedom of Information Act (FOIA), the Open Meetings Act (OMA), health law issues, HIPPA, administrative law issues, employment law issues, privacy issues, litigation, and any other necessary legal matters.
- Serves as a resource for legal matters involving Medicaid, Medicare and Dual-Eligible behavioral health programs including Medicaid Waiver matters.
- Serves as a resource for the interpretation and application of the Michigan Mental Health Code including matters involving recipient’s rights.
- Reviews and drafts direct service provider, sub-recipient, professional services, and independent contractor agreements.
- Serves as a resource for Federal, State, and Local legislative and regulatory related matters and may directly interact with state and federal agencies, including contract negations with the aforementioned parties.
- Analyzes legislative and regulatory requirements and assists DWIHN in their implementation.
- Manages complex projects and coordinates work assignments with the legal staff.
- Serves as a resource for management throughout the organization with respect to legal issues or concerns as they arise, including issues related to member services.
- Supports all aspects of PIHP and CMHSP operations, which may include provider contracting, provider disputes, provider and member appeals, claim investigations, or employer group contract issues.
- Serves as a resource for management throughout the organization and the provider network with respect to federal and state privacy laws and regulations, including HIPAA, business associate’s agreements and breach notification obligations.
- Performs other duties as assigned.
KNOWLEDGE, SKILLS AND ABILITIES (KSA’S)
- Knowledge of fundamental law, research procedures, preparation of pretrial briefs and arguments and trial of complex cases.
- Knowledge of litigation and corporate transaction practices.
- Knowledge of the Freedom of Information Act (FOIA), the Open Meetings Act (OMA), health law issues, HIPPA, administrative law issues, employment law issues, privacy issues, litigation, and other related legal matters.
- Knowledge of Medicaid, Medicare and Dual-Eligible behavioral health programs including Medicaid Waiver matters.
- Knowledge of DWIHN policies, procedures and practices.
- Knowledge of the DWIHN provider network and community resources.
- Knowledge of the Michigan Mental Health Code.
- Knowledge of MDHHS policies, rules, regulations and procedures.
- Knowledge of Federal policies, rules, regulations and procedures as it relates to DWIHN.
- Knowledge of compliance standards.
- Assessment skills.
- Organizational skills.
- Planning skills.
- Accuracy skills.
- Analytical skills.
- Time Management skills.
- Report writing skills.
- Negotiation skills.
- Logical skills.
- Reasoning skills.
- Problem Solving skills
- Decision Making skills.
- Critical Thinking skills.
- Presentation skills.
- Interpersonal skills.
- Public Speaking skills
- Communication skills.
- Persuasion skills.
- Active Listening skills.
- Implementation skills.
- Evaluation skills.
- Skill at meeting deadlines
- Multitasking skills.
- Prioritizing skills.
- Facilitation skills.
- Written communication skills.
- Accuracy and detailed oriented skills
- Strategic thinking skills.
- Ethical decision-making skills
- Conflict Resolution skills
- Computer skills
- Teamwork Skills.
- Ability to communicate orally.
- Ability to communicate in writing.
- Ability to work effectively with others.
- Ability to act ethically and with confidentiality.
- Ability to work with an ethnically, linguistically, culturally, economically and socially diverse population.
- Judgement/Reasoning ability.
REQUIRED EDUCATION
Graduation from an accredited law school.
REQUIRED EXPERIENCE
Five (5) years of professional experience working for a law firm or working as in-house counsel
providing legal services for sophisticated/complex health care and corporate transactions.
REQUIRED LICENSE(S).
Must be a member of the State Bar of Michigan with admission to practice before the Michigan Supreme Court.
A valid State of Michigan Driver’s License with a safe and acceptable driving record.
WORKING CONDITIONS
Work is usually performed in an office setting but requires the employee to drive to different sites throughout Wayne County and the State of Michigan. This position can work remotely with supervisory approval. Currently this position is primarily a remote position.
Please Note: DWIHN requires proof of being fully vaccinated for COVID-19 as a condition of employment. Medical or religious accommodations or other exemptions that may be required by law, will be approved when properly supported. Further information will be provided during the recruitment process.
This description is not intended to be a complete statement of job content, rather to act as a general description of the essential functions performed. Management retains the discretion to add or change the position at any time.