Assistant General Counsel - At-Home Solutions

What Legal Management contributes to Cardinal Health

Legal provides the company with strategic, proactive, practical and cost-effective legal advice and services in order to protect the organization's assets, operations and image. This function provides legal counsel related to commercial, corporate securities, intellectual property, labor and employment, and regulatory law, among other areas. This function also litigates all company legal matters, manages outside counsel and manages legal operations.

Legal Management provides strategic oversight, leadership and direction within the Legal function.

Job Summary

Cardinal Health is seeking a driven and skilled attorney with expertise in healthcare regulatory compliance, including third party billing and reimbursement.  The Assistant General Counsel – At-Home Solutions will be responsible for providing exceptional legal advice and guidance to Cardinal Health’s At-Home Solutions (“AHS”) business clients, a leading home healthcare medical supplies provider serving people with chronic and serious health conditions in the United States.  The AHS business unit is comprised of four complementary business units: (1) Edgepark Medical Supplies, a leading mail order supply company that specialize in serving patients with chronic conditions, (2) Advanced Diabetes Supply Group, a leading mail order supply company focused on diabetic patients, (3) Cardinal Health at-Home, a direct-to-home medical supplies distributor, and (4) Velocare, a supply chain network and last-mile fulfillment solution capable of quickly reaching patients with critical products and services required for hospital-level care at home. 

Candidates should be adaptable, team-oriented, and capable of working independently in a fast-paced setting with oversight from the Vice President, Legal. This role will work closely with various cross-functional colleagues across the AHS order entry and revenue cycle management team, Compliance, the Enterprise Privacy Office, and other internal teams to identify and address potential issues and risks and help Cardinal Health comply with the evolving laws and regulations applicable to the AHS business.

Responsibilities

•    Provide legal guidance on various healthcare laws, regulations, and subregulatory guidance, including, but not limited to, laws and regulations relating to third party payor billing and reimbursement as well as other laws and regulations applicable to durable medical equipment, prosthetics, orthotics, and supplies (“DMEPOS”) and pharmacies.  
•    Advise on payor agreements and offer legal advice on business payor relations and contracting strategies and payor and reimbursement disputes to mitigate legal risks.
•    Maintain familiarity with laws that affect client areas to issue spot and provide basic counseling, including those relevant to sales and marketing of products to patients and prescribers and by federal and state government programs, for example, fraud and abuse (Anti-Kickback Statute, False Claims Act, Civil Monetary Penalties Law, Stark, Beneficiary Inducement Statutes), FDA regulation (Food, Drug & Cosmetic Act), and privacy (HIPAA).
•    Draft, negotiate and review a wide range of agreements, including complex matters relating to manufacturer supply agreements and co-marketing arrangements.
•    Advise and ensure that internal clients receive sound, practical and timely legal advice on a wide variety of legal matters related to the operation of a commercial business that markets to healthcare professionals.
•    Assist in the creation of new template agreements, playbooks and training to support efficient contracting processes for various business functions.
•    Develop and conduct legal training for business clients.
•    Proactively develop and remain up-to-date on healthcare regulatory matters impacting the business, including current regulations, cases, trends and best practices.

Qualifications

•    J.D. required; record of high academic achievement in the undergraduate level and in law school preferred
•    Active license to practice law in any state required
•    A minimum of 10 years of experience in related field, preferred in a large complex organization or law firm preferred
•    Extensive knowledge of healthcare law and regulation, in particular billing and reimbursement
•    Strong relationship-building and collaboration skills
•    Solution and results oriented, with the ability to prioritize and deliver key initiatives
•    Ability to assess legal, practical and business risks quickly and accurately in a fast-paced environment, and make sound judgments under tight deadlines
•    Be able to find practical and creative solutions and provide concise and business-focused legal advice
•