Company

A Health Insurance AgencySee more

addressAddressScotts Valley, CA
type Form of workRemote
CategoryRetail

Job description

Description:

We have an opportunity to join the Alliance as an Associate Counsel in the Legal Services Department.
This position is remote and can be filled anywhere within California.
What You'll Be Responsible For
  • Conducting Legal, Regulatory, and Healthcare-Related Research and Providing Advice to Alliance Leadership and Staff
  • Coordinating and managing legal matters in collaboration with external counsel
  • Processing and negotiating complex contracts and acting as a contracts subject matter expert and resource to Alliance staff
  • Providing review and guidance related to subpoenas and other legal inquiries

What You'll Need to Be Successful
To read the full position description, and list of requirements click here. (https://thealliance.health/wp-content/uploads/Associate_Counsel.pdf)
Knowledge of:
  • Health care laws
  • Research, analysis, and reporting methods
  • Knox-Keene Health Care Service Plan Act and Regulations, Affordable Care Act, Health Insurance Portability and Accountability Act (HIPAA), Federal requirements
  • State regulatory agencies, such as DHCS, Centers for Medicare and Medicaid Services (CMS), and Department of Managed Health Care (DMHC)
  • Regulatory requirements for public agencies in the delivery of health care services
  • Medi-Cal, Medicaid, and/or Medicare rules and regulations
  • Principles and practices of contract negotiation and review, including the methods, tools, and techniques associated with contract development, review, implementation, and management

Ability to:
  • Provide prudent legal recommendations and counsel to executive team members
  • Develop legal strategies and objectives, analyze case law, and make recommendations
  • Perform risk assessment, anticipate and respond to risks, and provide risk mitigation support
  • Collaborate with external third-party counsel
  • Provide advice and perform legal research related to regulatory issues, provider and vendor contracting, and general healthcare compliance matters
  • Independently negotiate contract provisions within scope of assigned authority and prepare, proofread, and edit contracts

Education and Experience:
  • Juris Doctorate degree from an accredited law school, admitted to and in good standing with the State Bar of California, and possession of an active license to practice law in California
  • A minimum of four years of experience as a practicing health care attorney or contracts attorney which included a minimum of three years of experience performing research and analysis of legal, statutory, and regulatory information in a health care environment; or an equivalent combination of education and experience may be qualifying

Other Information:
  • We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams.
  • While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
  • In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.


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Refer code: 9139908. A Health Insurance Agency - The previous day - 2024-04-26 17:08

A Health Insurance Agency

Scotts Valley, CA
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