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Sr. Director, Legal Counsel-Health Law
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Sr. Director, Legal Counsel-Health Law
3 weeks ago
Blue Shield of California Oakland, United StatesThe Sr. Director, Legal Counsel will be a member of Blue Shields Law Department and will be a leader in the company. The Law Department partners with the companys business leaders to embrace legal and ethical behavior in the achievement of the comp Director, Legal, Health, Depart ...
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Sr. Director, Legal Counsel-Health Law
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Blue Shield of California Rodeo, United StatesYour Role · The Sr. Director, Legal Counsel will be a member of Blue Shield's Law Department and will be a leader in the company. The Law Department partners with the company's business leaders to embrace legal and ethical behavior in the achievement of the company's mission. Thi ...
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Associate Attorney
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Oakland Unified School District Oakland, United States Full timeDUTIES : Incumbent may perform any combination of the essential functions shown below. This position description is not intended to be an exhaustive list of all duties, knowledge, or abilities associated with this classification, but are intended to accurately reflect the princip ...
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Litigation Paralegal
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Soliant Oakland, United StatesMinimum 1+ years counselor experience required. · Soliant is working on behalf of aschool district near Oakland, California to hire an onsite mental health counselor for the school year. Newly certified school counseling graduates are encouraged to apply Additional caseload infor ...
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Attorney
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Program Manager/Counselor
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Associate Attorney
3 weeks ago
Cole & Van Note Oakland, United States Full time· FIRM OVERVIEW: · Cole & Van Note has been leveling the playing field across the nation for decades. We are a dynamic Plaintiffs'-side consumer and employment law firm, focusing on class action litigation matters addressing data breaches, product defect and job-related violatio ...
Sr. Director, Legal Counsel-Health Law - Oakland, United States - Blue Shield of California
Description
Your RoleThe Sr.
Director, Legal Counsel will be a member of Blue Shield's Law Department and will be a leader in the company.
The Law Department partners with the company's business leaders to embrace legal and ethical behavior in the achievement of the company's mission.
This team is highly regarded within the company and respected by management.It is comprised of top tier, analytical and intelligent attorneys; paralegals; contract and regulatory specialists; compliance specialists; and administrative support staff.
The Sr.Director, Legal Counsel will provide advice and counsel on a broad range of health law issues, with a particular focus on strategic provider relationships, including negotiating contracts with major health systems for network participation, collaborating with business teams and members of the Law Department in developing innovative provider services agreements, accountable care organizations and specialty networks in Commercial, Medicare, and Medi-Cal programs, advising on a variety of compensation methodologies including global and shared risk arrangements, developing model provider agreements, and supporting the provider delegation oversight team.
The Sr. Director, Legal Counsel also will engage with key regulators on filings and needed approvals. The Sr.Director, Legal Counsel must comfortably adapt to change, skillfully and quickly master new responsibilities, have demonstrated a strong business acumen, be able to lead team members, and possess a strong drive for excellence.
.Your Work
In this role, you will:
In consultation with appropriate Law Department leadership, retains, oversees, and manages the work of outside counsel and ensures adherence to outside counsel budget
Recommend operational plans and strategies that directly impact the achievement of overall results for multiple departments and company-wide results, profitability, and/or public image of the organization
Under the direction of Law Department managing attorneys, function as the general counsel of the business and functional units assigned, and coordinate all legal services required by those units as an integral member of the units' leadership team.
Design and implement policies, in consultation with the SVP/GC and Law Department leadership, governing Law Department organization, mission, strategy, and goalsWork with executives to develop Blue Shield vision and strategy
Provide advice and counsel on a broad range of health law issues, with a particular focus on strategic provider relationships, including negotiating contracts with major health systems for network participation, collaborating with business teams and members of the Law Department in developing innovative provider services agreements, accountable care organizations and specialty networks in Commercial, Medicare, and Medi-Cal programs, advising on a variety of provider compensation methodologies including global and shared risk arrangements, developing model provider agreements, and supporting the provider delegation oversight team
Advise at all levels within the company on legal, regulatory, governmental agency, and contractual matters having a material impact on Blue Shield's strategic, operational and reputational goals
Communicate with the Department of Managed Health Care, the California Department of Insurance, and the Department of Health Care Services to submit and seek approval of regulatory filings and responses
Your Knowledge and Experience Requires a juris doctorate degree from a law school accredited by the American Bar Association.
Must be an active member of the California bar, or have an active licensee in good standing of a bar of the United States or the District of Columbia who maintains Registered In-House Counsel status with the State Bar of California Requires successful track record of at least 10 years of experience providing legal advice on relevant areas of the law (e.g., corporate, privacy, health care regulatory, litigation, contracts, et al) at a top law firm or in-house corporate law department.
Ideally, the candidate will possess a combination of law firm and in-house experience Excellent communication skills, both written and verbal, as well as relationship building skills to collaborate with and influence all relevant stakeholders, both internal and external Strong independent judgment, problem-solving, critical, and analytical thinking skills, including a "moral compass" and high integrity required.
Ability to work with minimal supervision, to multi-task, and to deliver a high-quality work product in a highly regulated, demanding, and constantly changing corporate environment requiredExpertise providing legal advice to health plans, with a focus on managed care provider issues and provider-related regulatory requirements and operations in the Commercial, Medicare and Medi-Cal programs preferredExperience drafting and negotiating complex contracts between health plans and health care providers, including major provider systems and virtual providers preferred Superior contracting skills, and an ability to assess and draft agreements with a complete understanding of ramifications integrating law and business preferredExperience submitting and obtaining necessary approvals of regulatory filings with the Department of Managed Health Care, the California Department of Insurance, and the Department of Health Care Service preferredKnowledge of value-based compensation arrangements with providers, including compensation arrangements that take into account healthcare quality and equity measurements, and the ability to convert initial business concepts into compliant comprehensive contractual terms preferredKnowledge of the Knox-Keene Health Care Service Plan Act and Regulations, Affordable Care Act, ERISA, HIPAA, Stark laws, andFalse Claims Act Pay Range:
The pay range for this role is: $ to $ for California
Note:
Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade.
Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.
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