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Associate General Counsel - Government Programs
Refer job# YVSP142363
 
Associate General Counsel - Government Programs The candidate will be a Director-level member of companys 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 companys mission. Will provide advice and counsel on a broad range of health law issues, with a particular focus on supporting the companys of Promise Health Plan (Blue Shield Promise) subsidiary, which operates Medicare, Medi-Cal (Medicaid), and Cal Medi-Connect lines of business. The AGC must comfortably adapt to change, skillfully and quickly master new responsibilities, demonstrate strong business acumen, and possess a strong drive for excellence. Provide thoughtful, creative and timely legal advice to various business units on day-to-day regulatory and operational matters. Provide well informed advice and legal support related to a variety of matters including litigation, arbitrations, dispute resolution, responses to regulatory actions, and overpayment recovery efforts. Work collaboratively with a broad range of stakeholders, developing and maintaining strong relationships between the Law Department, as well as Care1sts and firms business units. Communicate with regulatory agencies to submit and seek approval of filings and responses to audits and examinations. Provide guidance and training to legal support staff in support of the Law Departments goals.

The candidate should have JD from a respected law school and Bar admission (CA preferred). Should have 7+ years of legal experience. Must have expertise providing managed care legal advice to managed care organizations and/ or providers, with a focus on the Medicare and Medi-Cal programs preferred. Should have recent litigation experience, including recent court appearances, arbitrations, and mediation. Experience managing outside counsel preferred. Must have knowledge of the Knox-Keene Health Care Service Plan Act, Medicare Rules and Regulations, HIPAA, Stark laws, and False Claims Act. Should have strong ability to provide risk assessment/ risk mitigation support. Must have strong negotiation skills. Combination of law firm and in-house experience preferred. Must have excellent written, verbal and interpersonal communication skills, with a keen ability to communicate effectively throughout all levels of the organization, as well as across organizations.
 
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This particular job is currently not active. However, since our clients regularly share with us similar and other job openings, we strongly recommend that you submit your resume. We shall review your resume and get in touch with you as soon as a suitable vacancy comes up to further discuss your interest in exploring the opportunity. Assisting you is our highest priority.

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