Associate Counsel III Senior Director Health Care Legal Services
: Job Details :


Associate Counsel III Senior Director Health Care Legal Services

L.A. Care Health Plan

Location: all cities,CA, USA

Date: 2024-11-11T17:17:23Z

Job Description:
Associate Counsel III Senior Director Health Care Legal Services

Job Category: Management/Executive

Department: Health Care Legal Services

Location: Los Angeles, CA, US, 90017

Position Type: Full Time

Requisition ID: 11694

Salary Range: $164,614.00 (Min.) - $222,230.00 (Mid.) - $279,845.00 (Max.)

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan, serving more than 2 million members.

Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities.

The Associate Counsel III Senior Director Health Care Legal Services is responsible for diverse legal activities, providing analysis of health care regulatory matters and assisting with the development and review of legislative bills and administrative regulations. This position reviews policies and procedures to ensure compliance with all legal authorities and confers with outside attorneys, state or county officials, and other interested parties. It supports L.A. Care's product lines and operations by providing substantive legal counseling on complex matters.

Duties
  • Participates as a senior attorney member of the Legal Department's Health Care Legal Services Unit.
  • Provides substantive counseling on complex provider contracting and other legal matters.
  • Manages outside counsel in connection with organization's healthcare activities.
  • Provides significant effort for HCLS's support of the provider and payer efforts.
  • Provides non-supervisory guidance for other HCLS staff.
  • Interfaces directly with L.A. Care leadership and acts on behalf of the Associate General Counsel as needed.
  • Evaluates the effectiveness of program implementation and provides guidance and recommendations for process improvement.
  • Communicates strategic planning outcomes and agreed upon priorities across the organization.
  • Leads efforts to mitigate risk through innovative business ideas and solutions.
  • Responsible for communicating decisions, priorities, and relevant project information to appropriate levels of staff.
  • Collaborates with management to develop annual budgets for respective business areas.
  • Provides support in delivering programs that meet the compliance needs of the organization.
  • Performs other duties as assigned.
  • Education Required

    Juris Doctor Degree or Doctor of Law Degree (J.D.)

    Experience

    Required:

    • Minimum of 6 years of experience as a practicing licensed attorney.
    • Experience in an HMO or as counsel to a health system, hospital, government unit, or health care law firm practice.
    • Experience and knowledge of health care law.
    • Experience in supporting complex provider contracting activities.

    Preferred:

    • Substantial experience in Medi-Cal or Medicaid and Knox-Keene Act.
    • Experience in Medicare, commercial lines of business, and HIPAA.
    • Experience in public entity laws including the Brown Act, Political Reform Act, and Public Records Act.
    Skills

    Required:

    Excellent interpersonal oral and written communication skills.

    Licenses/Certifications Required

    State Bar - Active, current and unrestricted California License.

    Physical Requirements

    Light

    Additional Information

    Required: Successfully passed California bar exam and maintains valid license/certificate in good standing.

    Salary Range Disclaimer: The expected pay range is based on many factors and is subject to change.

    L.A. Care offers a wide range of benefits including:

    • Paid Time Off (PTO)
    • Tuition Reimbursement
    • Retirement Plans
    • Medical, Dental, and Vision
    • Wellness Program
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