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This role supports legal and operational teams in addressing disputes tied to provider contract terminations, payment recovery matters, and payment withholds. The attorney will coordinate responses to challenges raised by providers and their counsel, organize investigative findings into clear communications, and help guide dispute resolution efforts in a highly regulated environment.
Job Responsibility:
Oversee the intake and progression of disputes related to provider contract terminations, payment recovery actions, and withheld payments
Serve as a primary point of contact for attorneys representing providers, ensuring communications are handled promptly and professionally
Review legal positions, allegations, and potential escalation risks to help determine appropriate response strategies
Analyze investigative materials, including site visit results, claims reviews, and medical record findings, to support defensible case responses
Prepare, update, and improve standard written communications used in responses to providers and external counsel
Coordinate information sharing among investigative, provider contracting, and legal teams to maintain alignment throughout each matter
Requirements:
Active attorney licensure required
Demonstrated experience with civil litigation and legal dispute management
Ability to draft legal documents such as motions, briefs, and discovery-related materials
Strong legal analysis skills with the ability to evaluate risk and assess the strength of supporting evidence
Excellent organizational skills and the ability to manage multiple matters with competing deadlines
Effective written and verbal communication skills for interaction with internal stakeholders and external counsel
Ability to work independently while collaborating closely with cross-functional teams in a detail-oriented setting