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Emotions and Our Careers
Public Interest
Attorney
Government and Government Relations
Health Care
3-5 yrs required
Associate Counsel - Healthcare Regulatory Duties: Provide legal research and counsel as directed by the Managing Counsel in support of legal department with a practice area focus on regulatory and licensing affairs. Provide legal advice to the organization, prepare resolutions and forms and participate in major legal action. Recommend appropriate legal strategies and courses of action to meet needs. Provide strategic advice and counsel on the legal impact of new or proposed local, state, federal or managed care legislation or changes in government agency requirements or processes that impact in the administration of its programs. Advise on legal issues dealing with the health plan’s DHCS contract and Knox-Keene obligations. Communicate with the Department of Managed Health Care (DMHC) in regards to seeking approval of regulatory filings and responses to surveys. Provide input and guidance to the compliance department to ensure that there is proper communication and training to staff on compliance and public law requirements. Handle cross-disciplinary legal matters in collaboration with regulatory and business attorneys and other professionals and paraprofessionals. Work collaboratively with a broad range of staff, developing and maintaining strong relationships between the legal department and other business units. Conduct thorough legal research and prepare executive briefings on legal issues. Any other duties as required to ensue the Health Plan operations are successful. Ensure the privacy and security of Protected Health Information (PHI) as outlined in policies and procedures relating to HIPAA compliance.
Qualification and Experience
QUALIFICATIONS: Bachelor’s Degree in a related field and JD Degree from a top tier law school. Must have an active license to practice law in California. 3-5 years combined experience in a law firm, corporate, or government setting. Federal (CMS) and State agency (DHCS, DMHC) experience highly preferred. Health care law, health plan, hospital operations experience is a plus. Must have strong understanding of regulatory requirements for a public agency in the delivery of health care services. Strong knowledge of the managed care industry and policy issues impacting managed care. Must possess excellent communication, presentation, interpersonal and research skills. Ability to analyze case law and develop recommendations. Ability to develop and leverage one or more of the following areas of legal specialization: Medicare/Medicaid regulations, health plan operations, and health care transactions. Must have ability to exercise a high degree of initiative to handle and prioritize multiple matters simultaneously and effectively in a high-volume environment.
Req Id: 385
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