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assistant general counsel resume example with 20+ years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Summary
Non-Profit/Corporate Counsel skilled at interpreting complex federal, state, internal, and third-party regulations to design and promote hospital policies that ensure staff remain 100% compliant in their procedures.   Recognized expert in Medicare/Medicaid, Fraud & Abuse, Patient Privacy, and Contracts for large, multi-site medical facilities. Talented trainer via instructor-led programs, e-learning platforms, and individual coaching. Reputation for building alliances with physicians, nurses, staff, and administrators. Process-driven innovator with a history of tightening hospital operations to be not only compliant but efficient. Able to master sophisticated policies, practices, and top-down priorities quickly
Highlights
  • Exceptional negotiator
  • Skilled mediator
  • Professional and personable
  • Medicare/Medicaid
  • Fraud and Abuse
  • HIPAA
Experience
Assistant General Counsel, 05/1989 - 02/2015
Hogan Lovells Hamburg, NY, Educated all levels of 2,000+ staff on employment issues, building business relationships across the entire hospital system. Provided representation in regulatory, judicial, bankruptcy, administrative, collection, and Medicare/Medicaid matters, achieving statewide recognition as a Medicare/Medicaid expert. * Fielded inquiries about privacy and compliance, fraud and abuse, and anti-kickback issues, to keep CxO-level executive management and their staff informed and up-to-date. * Advised management on employment law, Workers' Compensation, salary, and benefits, effectively eliminating and overcoming wrongful discharge suits and expenses. * Delivered compliance workshops on patient confidentiality to 50-100 healthcare employees - a training that became a requirement integrated into the orientation process. * Drafted hospital care agreements, health insurance plan amendments, joint venture and physician recruitment contracts, real estate and equipment leases, and settlement agreements. * Supported spinoff ventures from a legal/compliance standpoint, including managing a durable medical equipment subsidiary alongside the President and Treasurer, and overseeing the development of a retail pharmacy - expanding service to 6 counties and increasing revenue 10X. * As Medicaid SME, used the administrative process to appeal Medicaid denials, obtaining eligibility decisions in favor of Benefis. Provided legal advice and consultation to hospital and nursing home stakeholders while overseeing $1.2M in receivables. Streamlined numerous procedures, including debt collection, to capture lost revenue.
System Privacy Specialist, Enterprise Risk Management Services, 01/2010 - 01/2012
Department Of Administrative Services, State Of Ohio Delaware, OH, Hired to rewrite system-wide operations policies and procedures to align with new HIPAA/HITECH and other federal privacy/security regulations for this healthcare organization comprising 54,000 employees across 5 states. Took the initiative to lead compliance research projects, advise leadership team of legal implications, and rebuild online learning platform focused on compliance (while waiting on HHS OCR to release new standards). * Served as the go-to privacy compliance SME to System Support Services, Providence Regions & Ministries, and the Integrity, Compliance, & Audit Services Division. Initiated and authored a biweekly executive report on healthcare regulatory news to keep decision-makers informed. * Established internal alliances with regional compliance and privacy managers covering 34 facilities in MT, AK, CA, WA, and OR - accounting for a total of 35-40 staff. * Drove regulatory research for other compliance attorneys, interpreting privacy compliance laws linked to audio/video technology, cross-border licensing, and Medicare/Medicaid. * Revamped online privacy education platform by (re)creating compliance scenarios to be in 100% alignment with federal, state, and internal regulations, in order to rightfully train 54,000 staff. * Delivered well-received privacy compliance trainings on behalf of ERMS division.
Assistant Attorney-General, 2000 - 2010
Hogan Lovells Washington, DC, Ensured compliance with state and federal child support laws, supporting 20 on-the-field case managers in the state's Child Support Enforcement Division totaling 3,000 employees. 
Assistant General Counsel, 05/1989 - 02/2015
Benefis Health City, STATE, Educated all levels of 2,000+ staff on employment issues, building business relationships across the entire hospital system. Provided representation in regulatory, judicial, bankruptcy, administrative, collection, and Medicare/Medicaid matters, achieving statewide recognition as a Medicare/Medicaid expert. * Fielded inquiries about privacy and compliance, fraud and abuse, and anti-kickback issues, to keep CxO-level executive management and their staff informed and up-to-date. * Advised management on employment law, Workers' Compensation, salary, and benefits, effectively eliminating and overcoming wrongful discharge suits and expenses. * Delivered compliance workshops on patient confidentiality to 50-100 healthcare employees - a training that became a requirement integrated into the orientation process. * Drafted hospital care agreements, health insurance plan amendments, joint venture and physician recruitment contracts, real estate and equipment leases, and settlement agreements. * Supported spinoff ventures from a legal/compliance standpoint, including managing a durable medical equipment subsidiary alongside the President and Treasurer, and overseeing the development of a retail pharmacy - expanding service to 6 counties and increasing revenue 10X. * As Medicaid SME, used the administrative process to appeal Medicaid denials, obtaining eligibility decisions in favor of Benefis. Provided legal advice and consultation to hospital and nursing home stakeholders while overseeing $1.2M in receivables. Streamlined numerous procedures, including debt collection, to capture lost revenue.
Certifications
 Certified in Healthcare Privacy Compliance | Former Certified Healthcare Executive
Skills
Healthcare, Medicaid, Medicare,  HIPAA, Risk Management, Compliance, Privacy
Education
J.D.: Law, Expected in
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University of Montana School of Law - Missoula, MT
GPA:
Status -
MS: Education, Expected in
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Montana State University - Billings, MT
GPA:
Status -
: Special Education, Expected in
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Michigan State University - East Lansing, MI
GPA:
Status -

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Resume Overview

School Attended

  • University of Montana School of Law
  • Montana State University
  • Michigan State University

Job Titles Held:

  • Assistant General Counsel
  • System Privacy Specialist, Enterprise Risk Management Services
  • Assistant Attorney-General
  • Assistant General Counsel

Degrees

  • J.D.
  • MS

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