Job Details

Senior Counsel - Government Programs

Company name

Kaiser Permanente

Organization Type

Public Interest

Job Type

Attorney

Valid Through

Mar 06, 2021

Posted on

Nov 21, 2020

Years of Experience

Min 8 yrs required

Location

Oakland, CA, United States

Employment Type

Full-time

Industry

Legal
Practice Area
Government and Government Relations >> Government and Government Relations
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Senior Counsel - Government Programs
The candidate will provide legal regulatory and business counseling support related to Kaiser-s participation in TRICARE. Serve as a subject matter expert and educational resource on all aspects of TRICARE for business leaders and colleagues. Advise Health Plan leadership regarding Commercial Health Plan regulatory and operational matters, including but not limited to, federal and state payor regulation and compliance, new product development and design, employer group agreements, health care reform, member contracts and benefits, financial and regulatory examinations and filings, regulatory enforcement matters, HIPAA privacy and security matters, wellness programs and support for the provision of administrative services to self-funded plans. Should have 8+ years of regulatory health care law experience, including 3+ years of Commercial Health Plan and/or TRICARE. Juris Doctor degree, required. Must have a working knowledge of TRICARE (including direct and purchased care) and Commercial Health Plans, including individual, small and large group. Should have excellent academic and professional qualifications. Must have superior writing and analytical skills based on substantial experience advising Managed Care Organizations, TRICARE managed care support contractors, and/or government agencies that administer or regulate services provided to TRICARE or commercial coverage enrollees. Should have experience providing interpretation and analysis of statutes, regulations and sub-regulatory guidance. Must have solid work ethic, excellent interpersonal and communication skills (written and verbal), and sharp analytical skills. In addition to the above, experience in one or more of the following areas is a plus: recent TRICARE managed care support contractor procurements; ERISA; Affordable Care Act; Federal Employee Health Benefits Program: pricing and underwriting; Government reporting and audits. Bar license in California or Maryland or willingness to obtain such license within two years is strongly expected.

Company info

Hiring Coordinator
Kaiser Permanente
One Kaiser Plaza
8th Floor
Oakland, CA 94612

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