Senior Counsel Resume Example

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Jessica Claire
Montgomery Street, San Francisco, CA 94105
Home: (555) 432-1000 - Cell: - - -
Executive Profile
15 years of diverse experience within in-house law departments and large and small law firms, providing legal counsel and services for issues affecting health care organizations, including compliance, contracting, operations and risk management. Significant immersion and affinity for HIPAA compliance and analysis. Excellent interpersonal skills in collaborating with inside and outside clients and legal counsel. Strong crisis management abilities.
Core Accomplishments
Professional Experience
01/2009 to Present
Senior Counsel Cushman & Wakefield Longmont, CO,
01/2004 to 01/2009
Attorney Pg&E Corporation , ,
  • in the legal department of Mercy Health.
  • Provides primary support to all service lines of St.
  • Louis region, including Compliance Department.
  • Representative Skills/Accomplishments: Act as regulatory compliance legal counsel to Mercy Health East Community.
  • Significant knowledge of Stark, Antikickback, Civil Monetary Penalties and HIPAA privacy and security regulations.
  • Identify HITECH provisions necessitating amendment of HIPAA policies and draft many amendments to policies.
  • Revise HIPAA Business Associate Agreement to comply with 2010 change required by HITECH and oversee update of hundreds of Business Associate Agreements.
  • Conduct corporate compliance training of new coworkers.
  • Advise Health Information Services department and Mercy Clinic offices daily regarding release of information matters.
  • Investigate privacy and security breaches and recommend remedial actions.
  • Participate in billing and coding investigations.
  • Advise on privacy and security issues of implementation of two system wide computer systems featuring provider to provider and provider to patient release of information capability.
  • Serve on Privacy and Security Committee, Compliance Committee, and related workgroups.
  • Prepare HIPAA compliance education module Assist managed care department in delegated credentialing compliance audits by third party payors.
  • Assist various specialty service lines in compliance audits for attaining accreditation.
  • Maintain responsibility for provision of ongoing legal review and advice to affected organizations and departments concerning all policies and procedures.
  • Draft, advise on and assist system wide clinical research program in implementing updated Financial Conflict of Interest program, policy and related forms.
  • Provide timely, responsive and competent advice to all clinical areas, regarding patient relation issues, including end of life care, length of stay, disruptive patients/families, and consent issues.
  • Manage outside counsel for large volume of projects.
  • Supervise and review work product of legal interns.
01/2000 to 01/2004
Attorney Pg&E Corporation Concord, CA,
  • Drafted initial HIPAA compliance plans for approximately 50 physician practices and conducted in-person training of client's staff regarding same.
  • Drafted Corporate Compliance Plans for physician practice entities and ancillary service providers.
  • Advised on day to day compliance questions from physician practices.
  • Conducted physical workplace assessments for HIPAA compliance.
  • Conducted acquisitions and sales of physician practices and ancillary service providers, including review, drafting and negotiations of terms of sale and compliance with all regulatory requirements and transfer of various licenses and accreditations and real estate.
Senior Associate Metlife, Inc. , ,
  • attorney in Regulatory Affairs department of a 600+ attorney law firm.
  • Specific Skills/Accomplishments: Maintained primary responsibility for the day to day health care law inquiries of 200+ physician multi-specialty group and ASC.
  • Participated in Medicare fraud self disclosure and subsequent settlement with OIG.
  • Assisted with compliance of a hospital system with a high profile fraud and abuse investigation and remedial actions post-settlement.
  • Drafted advisory opinion request to OIG.
  • Primary health care legal adviser to national hospice provider.
  • Structured Stark and Antikickback-compliant hospital/physician joint ventures.
  • Participated extensively in due diligence acquisition of a multi-hospital system, including review for compliance issues.
  • Interfaced with regulatory agencies, MAC's and fiscal intemediaries regarding billing and compliance issues of clients.
  • Delegate to and supervise less experienced attorneys.
Expected in 1999
University of Missouri - Columbia - ,
Expected in 1996
B.A: English
University of Missouri - St. Louis - ,
English magna cum laude
Professional Affiliations
St. Louis Area Health Lawyers Association American Health Lawyers Association
The Newly Effective Hospice Conditions of Participation," AHLA LTC Newsletter, Summer 2009 HIPAA Basics," Saint Louis University School of Law, March 2009 New Obligations for Business Associates," Husch Blackwell Sanders News, February 2009 HIPAA for Health Managers," Washington University Medical School MHA Program, November 2007 Constructing a Records Management Program," Society for Design Administration, July 2007 Adoption of Electronic Health Records Technology," Saint Louis Lawyer, May 2007 Electronic Health Records: Launch Into the Electronic Age," Blackwell Sanders Seminar, January 2007 Is it Safe to Do Peer Review After Poliner?," Blackwell Sanders Seminar, October 2005
acquisitions, attorney, billing, clinical research, compliance audits, client, clients, drafting, due diligence, Financial, forms, hospice, law, legal, regulatory compliance, MAC's, negotiations, policies, coding, real estate, Regulatory Affairs, sales, Structured

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Resume Overview

School Attended
  • University of Missouri - Columbia
  • University of Missouri - St. Louis
Job Titles Held:
  • Senior Counsel
  • Attorney
  • Attorney
  • Senior Associate
  • J.D
  • B.A

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