Junior Trial Attorney (Illinois)

Overview

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

Prime Healthcare is seeking an attorney with healthcare litigation experience to join our corporate Legal team supporting managed care and hospital reimbursement matters. This is an opportunity to take meaningful ownership of health plan, payment, and claims disputes, with significant exposure to arbitration and litigation. California-based candidates are preferred, with Illinois and New Jersey-based candidates also considered. Travel may be occasionally required for in-person arbitration, hearings, or other proceedings.

Responsibilities

The successful candidate will have substantial experience working with managed care plans on reimbursement issues. This may include resolving disputed claims through mediation, arbitration, and litigation including court proceedings, hearings, motions, and other litigation matters. This may also include payor relations efforts through joint operations committees or experience with managed care contracts.

In this role, the attorney will support healthcare reimbursement and claims-related disputes and have the opportunity to manage matters with increasing independence. Key areas of focus may include:

• Healthcare and health plan reimbursement and payment disputes
• Managed care and claims-related disputes
• Arbitration, mediation, hearings, and litigation
• Drafting pleadings, motions, discovery, filings, and other legal documents
• Managing matters through various stages of the dispute-resolution process
• Analyzing legal and business issues, assessing risk, and developing practical case strategies
• Advocacy and negotiation in reimbursement and payor-related matters
• Collaboration with Legal and internal business partners on managed care and reimbursement matters

Because many of these matters involve arbitration, successful candidates should be comfortable with the overall dispute-resolution process and prepared to take ownership of active matters while becoming familiar with Prime Healthcare's contracts, systems, and internal processes.

#LI-AS1

Qualifications

Ideal candidates will bring hands-on experience with healthcare, health plan, managed care, hospital reimbursement, payment, or claims disputes and be able to demonstrate their personal involvement in managing those matters. Experience with arbitration and independently preparing legal filings, pleadings, discovery, and motions will be particularly valuable. Candidates should also demonstrate strong analytical and business judgment, effective prioritization across multiple matters, adaptability, strategic thinking, collaboration, and the ability to communicate effectively with legal and business stakeholders.

Required qualifications:

• A law degree from an ABA accredited law school.
• Illinois or New Jersey license to practice law.
• At least 3 years of experience, preferably at a reputable law firm or in-house legal department.
• Experience handling health plan and/or hospital reimbursement litigation including payment disputes, managed care disputes, arbitrations, court proceedings, and claims related matters.
• Proven ability to manage litigation matters independently, including pleadings, discovery, motions, hearings, and court appearances.
• Trial and courtroom experience preferred.
• Exceptional written, verbal, advocacy, and negotiation skills.

Pay Transparency

Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $249,600.00 to $300,726.40 on an annualized basis. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

The company is dedicated to empowering its staff with a comprehensive, competitive benefits package, allowing them the freedom to customize their benefits to fit their unique needs. Our abundant resources, programs, and voluntary options serve as a foundation for individual growth and well-being. Learn more here: https://www.primehealthcare.com/benefitsthatmattermost/

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf