Risevoic
Assistant General Counsel - Managed Care Reimbursement
Company : Prime Healthcare Services
Location : Denville, NJ, 07834
Job Type : Full Time
Date Posted : 13 January 2026
Overview
Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5 million patient visits annually. It is one of the nation’s leading health systems with nearly 57,000 employees and physicians. Eighteen 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!
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. This may also include payor relations efforts through joint operations committees or experience with managed care contracts.
Qualifications
Education and Work Experience
Required qualifications:
#LI-TS2
Pay Transparency
Prime Healthcare Management Inc 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. Benefits may vary based on employment status, i.e. full-time, part-time, per diem or temporary. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $153,753.60 to $249,600.00 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.
Employment Status
Full TimeShift
DaysEqual 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
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Frequently asked questions
Advancing in a General Counsel position focusing on managed care reimbursement often means deeper involvement in complex contract negotiations, dispute resolutions, and strategic payor relations. Seasoned professionals typically lead multidisciplinary teams and influence policy decisions impacting healthcare reimbursement frameworks.
Mastery in arbitration, mediation, and litigation related to healthcare reimbursement claims is essential. Additionally, familiarity with managed care contracts and strong communication skills empower counsel to effectively represent providers or payors and navigate evolving healthcare regulations.
Unlike general healthcare legal roles, this position demands focused expertise in reimbursement disputes and payor-provider negotiations. Counsel routinely engage in resolving claim disagreements and collaborate closely with managed care organizations to optimize contract terms and operational partnerships.
Prime Healthcare supports legal professionals by providing access to a broad healthcare network across 14 states, enabling diverse case exposure. The role benefits from competitive compensation and tailored benefits, fostering growth in a dynamic environment focused on reimbursement strategies.
Operating over 50 hospitals nationwide, Prime Healthcare demands its counsel to manage complex payer relations and reimbursement issues within a large, multi-state system. This scale necessitates strategic legal oversight and coordination across various outpatient and inpatient services.
Denville benefits from proximity to major healthcare hubs in New Jersey and New York, increasing demand for skilled managed care attorneys. However, competition remains moderate due to specialized expertise required, making roles at companies like Prime Healthcare particularly attractive.
While a licensed attorney credential is mandatory, certifications in healthcare compliance or managed care law, especially those recognized in New Jersey, can distinguish candidates. Familiarity with state-specific healthcare regulations also adds significant value in local legal markets.
Annual compensation ranges from approximately $153,753 to $249,600, factoring in skills, experience, and credentials. This competitive salary aligns with market rates for senior legal professionals managing complex reimbursement and payor relations in healthcare.
Expertise in managed care contracting is vital since it directly impacts reimbursement strategies and dispute resolution. Counsel with this background effectively safeguard the organization’s financial interests by negotiating favorable terms and mitigating claim denials.
Legal roles here support Prime Healthcare’s commitment to quality care by ensuring compliance and resolving reimbursement challenges. Counsel contribute to sustaining the health system’s financial health, aligning legal strategies with patient-centered and organizational goals.