Associate General Counsel – Regulatory Affairs and Compliance

Discover Vanderbilt Health:
With eight hospitals and over 180 clinics, we are the region’s largest comprehensive academic health system. Vanderbilt Health has a long tradition of providing world‑class care to the people of the Mid‑South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research. Here you’ll find a spirit of collaboration and a supportive community where your expertise is valued, your knowledge expanded and your uniqueness celebrated.

We are committed to fostering an environment where talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region. Organization: OLA (Legal Affairs) 10

Job Summary:

The Vanderbilt Health Executive Search Team is conducting a national search for an Associate General Counsel – Regulatory Affairs and Compliance. The Associate General Counsel – Regulatory Affairs and Compliance provides a broad range of legal support to Vanderbilt Health’s operations serves as a key legal advisor supporting the academic medical center, regional hospitals, and affiliated healthcare entities. This attorney provides strategic and practical legal counsel regarding healthcare regulatory compliance, physician relationships, quality and value‑based care initiatives, conflicts of interest, and clinically integrated network (CIN) operations.

The position works closely with executive leadership, compliance, clinical enterprise, population health, quality, and operational stakeholders to manage legal and regulatory risk while advancing the organization’s clinical, academic, and strategic objectives. This role is responsible for collaborating with Vanderbilt Health departments and divisions, delivering timely legal guidance advising on compliance matters that impact Vanderbilt Health, and for collaborating as an active and engaged team member in support of the Office of Legal Affairs.

The successful candidate will be a strategic thinker, an approachable adviser, and a collaborative relationship‑builder who thrives in an intellectually challenging environment and demonstrates alignment with Vanderbilt Health’s values.

Shift: First Shift;
Remote

Provide legal analysis and counsel on state and federal and compliance rules and regulations, including, without limitation, Physician Self‑Referral Law (Stark), Anti‑kickback Statute, Civil Monetary Penalties law, False Claims Act, Medicare and Medicaid reimbursement requirements. Provide support for healthcare reporting programs, including hospital inpatient and outpatient quality reporting, MACRA/MIPS and Alternative Pay models, other payor driven quality metrics. Provide advice on evolving federal and state regulatory requirements, interpret statutes, regulations and guidance impacting quality reporting obligations.

Participate in compliance reviews, internal investigations, corrective action activities, and regulatory assessments. Provide support for conflict‑of‑interest disclosure process including review, analysis and resolution of potential conflicts involving employed and community physicians to ensure compliance with applicable regulatory requirements and organizational policies. Collaborate with compliance department to provide advice on federal and state regulatory requirements impacting Advanced Practice Providers including state licensing board, including compliance risks related to expired or inadequate licensure, scope of practice misalignment, improper supervision, provide resolution strategies, including corrective action plans and collaborate with other department attorneys to support investigations into potential licensure violations, support compliance department audits of APP…