JANA FINDER
Memphis,TN
Summary
Strategic legal professional with strong analytical and decision-making abilities, skilled in contract negotiation, governance, crisis and litigation management. Comprehensive understanding of health care, regulatory compliance, and business law, demonstrated through my ability to effectively manage legal risk while collaborating with cross-functional departments to achieve business objectives. Admitted to the TN and PA bar.
Overview
20
20
years of professional experience
Work History
General Counsel, Compliance & Privacy Officer
University Clinical Health/UT Medical Group Inc.
02.2020 - Current
- Counsel to ASC & academic physician practice with: Ophthalmology, Surgery, Psychiatry, Addiction & Family Medicine, Pathology, Nephrology, Neonatology departments
- Contract negotiation, drafting, review; led transition to Smartsheet contract management
- Legal guidance to Executive Leadership, Operations teams and Board on risk management, regulatory compliance, governance, physician credentialing, leasing, insurance
- Handle complex legal issues through federal/state law analysis, translate to understandable concepts to advise colleagues
- Manage external legal counsel, monitor litigation and immigration cases
- Provide expert guidance during payer and regulatory audits to successfully avoid penalties
- Lead HR and HIPAA investigations, advise on FMLA, ADA, employee discipline and termination
- Oversee Health Information Management function, manage billing/coding compliance auditor
- Draft, review, revise all organizational/departmental policies and procedures, employee handbook
- Implemented comprehensive compliance dashboard and incident reporting system
- Lead Quality, Compliance, Risk Management Board committee and prepare presentations
- Obtained state licensure for Addiction Medicine office-based opiate treatment clinic (OBOT)
- Monitor new legislation and regulatory changes and advise management accordingly
Senior Consultant
Health Management Associates
05.2016 - 04.2018
- Research/analyze regulations, draft project SOPs and website content for CMS
- Draft ACA training program modules to include ADA, LEP compliance guidance; subject matter expert on disability, HIPAA privacy and security issues
- Review and interpret Medicaid/CHIP Managed Care Final Rule requirements, present to state Medicaid leaders, recommend updates to managed care contracts
- Draft proposals and project management for state Medicaid procurement projects
- Draft Indiana Governor's Office substance use disorder report on opioid crisis
- Evaluated clients' needs and created plan of action to provide solutions
- Exceeded customer requirements with accurate and deliverable solutions
- Prioritized projects and project tasks depending upon key milestones and deadline dates
Healthcare Attorney
Provider Resources, Inc.
04.2012 - 12.2015
- Lead CMS EHR meaningful use provider appeals program; assess and revamp internal review process to increase operational efficiency and integrity, improve quality and provider satisfaction
- Draft CMS adjudications; eliminated large meaningful use appeal backlog 2 months after hire
- Evaluate Workers Compensation Medicare set-aside agreements for regulatory compliance, eliminated backlog in 6 months saving millions of taxpayer dollars
- Brief senior leaders on program impacts of pending legislation and procedural issues
- Analyze workers' compensation court rulings and regulations to respond to client inquiries
- Monitor legislation, regulations, and policy guidance for CMS and state clients
- Researched and interpreted laws, rulings and regulations to advise clients on business and legal transactions
Associate Attorney
Charles J. Hilton & Associates
03.2008 - 04.2012
- Represent hospitals, health systems, and academic medical centers in revenue cycle matters; settle insurance coverage disputes
- Research and analyze regulations affecting hospital and physician group clients; advise on ERISA, Medicare Advantage, workers' compensation, nursing home and hospice regulations
- Draft hospital policies and procedures in consultation with clients
Associate Attorney
Ogg, Murphy & Perkosky
01.2005 - 01.2008
- Plaintiffs' employment and civil rights litigation (ADA/Title VII/FMLA)
- Represent clients before state and federal administrative agencies and courts
- Extensive client contact, case intake, discovery, legal research, motion practice, trial preparation
- Draft complaints, summary judgment briefs, pre-trial motions
- Successful arbitration, mediation, and settlement negotiation
Education
Juris Doctor -
University of Pittsburgh School of Law
Master of Public Health -
University of Pittsburgh Graduate School of Public Health
Bachelor of Arts - Political Science
University of Massachusetts
Amherst, MASkills
- Analytical Problem Solving
- Legal & Strategic C-Suite Counseling
- Regulatory Compliance Monitoring
- Investigations
- Crisis & Risk Management
- Legal Research & Writing
- Contract Drafting & Management
- Litigation & Audit Management
- Employment Law
- Legislation & Policy Analysis
- Corporate Governance
- Interacting with State/Federal Regulators
Languages
Spanish
Limited Working
https://www.linkedin.com/in/janafinder/
Timeline
General Counsel, Compliance & Privacy Officer
University Clinical Health/UT Medical Group Inc.
02.2020 - Current
Senior Consultant
Health Management Associates
05.2016 - 04.2018
Healthcare Attorney
Provider Resources, Inc.
04.2012 - 12.2015
Associate Attorney
Charles J. Hilton & Associates
03.2008 - 04.2012
Associate Attorney
Ogg, Murphy & Perkosky
01.2005 - 01.2008
Juris Doctor -
University of Pittsburgh School of Law
Master of Public Health -
University of Pittsburgh Graduate School of Public Health
Bachelor of Arts - Political Science
University of Massachusetts
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