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Organization TypePublic Interest
Years of Experience
Date Last Verified
Associate General Counsel Duties: As a recognized company authority, provides expert legal services to one or more major departments or functions and/or performs special legal assignments of major importance in a highly complex legal field. Provide advice and assistance to Board of Directors or Board of Trustees of the assigned organization or division. Periodic court appearances to support interests. Provide legal advice as necessary for all personnel. Provide education about legal and ethical issues to organizations assigned. Provide backup coverage for the Attorneys assigned to other areas provides in-house counsel, compliance guidance, advice and services regarding healthcare laws and regulations, appeals and grievances, contracting, medical staff issues, patient issues and policies and procedures. Provide legal support in the negotiation, drafting and interpretation of agreements, contracts and other documents. Provide legal support for member and provider appeal and grievance proceedings, including IURB hearings and DOI and CMS inquiries. Provide legal support for quality management and peer review activities. Direct and manage all the organizationâ€™s litigation. Oversee the litigation process and advise on case strategy, resolution and reserving processes, interacting with and appointing external counsel for the best possible case resolution. Identify, analyze and advise on legal issues for the organization; use business and legal judgment to balance an appropriate level of risk against the business needs in a particular situation. Assessing liability, selecting and actively managing outside counsel, drafting pleadings and motions, preparing witnesses, participating in, conducting or directing depositions and hearings, participating in or conducting trials, assist in gathering information and formulating responses to written discovery; Provide direction to outside counsel to ensure consistency in approach and response while minimizing risk and liability exposures; establish expectations, guidance for work and fees for outside counsel. Responsible for managing outside counsel fees, obtaining required authority from Claims Authority Group or Senior Leaders for decisions related to general litigation and resolution, and providing regular status updates to leadership. May also provide direction to junior attorneys, paralegals, claim analysts and adjusters and /or support staff. Review and research applicable law and interpret and apply judgment to particular situations. Assist in protecting an organizationâ€™s legal interest and maintaining its operations within the scope established by law. Provides hands-on counsel to all levels of executive staff. Operate within the framework of allowable corporate behavior and legal and regulatory compliance. May analyze both established and pending legislation that impacts the company and assist the company in responding to inquiries from government agencies. Assist with preparation and management of department budget, self-insurance retention projections. With the director of Risk Management, direct the work of claims analysts and clinical risk managers to resolve claims and litigation. Work with the appropriate departments and other attorneys to resolve claims, contract disputes and litigation, including providing legal advice. Advise on establishing and maintaining claims reporting procedures. Advise and coordinate with insurance brokers and insurance carriers on policy provisions and claims coverage. Verify and interpret insurance policy provisions and coverage. Prepare National Practitioner Data Bank reports as required. Oversee negotiations and settlements within authority. Oversee the Claims Authority Group function and agendas to ensure timely authority and approvals for claim resolution. Collaborate with the Quality Department and Patient Safety Department on disclosure of adverse events when warranted. Collaborate with the Quality Department and Patient Safety Department on risk trends, quality initiatives and the protection of Quality information under State law. Draft, review, analyze and negotiate complex legal documents. Provide advice and counsel on a wide variety of corporate and commercial issues arising in day to day operations. Interface with senior executives and members of health system boards of trustees on a broad range of legal risk and compliance matters. Prepare and review legal opinions, pleadings, responses, legal opinions and other documents. Assist in the development of certain health system policies and procedures. Conduct educational programs on legal issues for employees committees, departments and staff. Provide in-house counsel, compliance guidance, advice and services to regarding healthcare laws and regulations, appeals and grievances, contracting, medical staff issues, patient issues and policies and procedures. Work involves facts that are open to various interpretations; applicable precedents may not exist and the law does not relate to or regulate the particular situation. Matters in question usually have a significant impact on organization operations, strategies, or profitability. This is a recognized expert in complex fields of the law. Opinions and guidance are sought by other attorneys doing work in related areas. Typically has an in-depth understanding of the organizationâ€™s operations and interrelationships. Works closely with officers and top management as well as front-line staff to advise them on changes in laws and regulations, evaluates their impact, and develops the companyâ€™s positions on such changes. Conducts strong legal analysis to build positions and cases that can prevail in court. Creates and finds interpretations and strategies that can accomplish the uncommon in the law. Frequently needs to give immediate answers from accumulated knowledge and experience without the opportunity to research the law. May direct major and unique company litigation.
Qualification and Experience
Requirements: JD Degree required. Must be a graduate of an accredited law school with preferably 15+ years of experience as an attorney, with experience in the health care field. Substantial experience as a trial attorney with large case first chair experience and professional liability case work, preferably 15 years in the medical malpractice area. Must be a member in good standing of the New Mexico State Bar or willingness to become a member of NM Bar within the first year of hire. Working knowledge of the Review Organization Immunity Act, 41-9-1 TO 41-9-7 NMSA (1978), New Mexico Patient Compensation Fund and New Mexico Medical board proceedings. Proven experience developing and maintaining internal and external client relationships. Self-directed with a high degree of attention to detail, ability to multitask and prioritize. Able to establish and maintain cooperative working relationships with Risk Management and other members of the Legal/Compliance/Risk team. Relies on extensive experience and judgment to plan and accomplish goals. Performs a variety of complicated tasks. Leads and directs the work of others. A wide degree of creativity and latitude is expected.
Job ID: 11206
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