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Date Last Verified
Years of Experience
Summary / Objective:
Manage, coordinate and implement a broad range of projects and programs in direct support of Legal Affairs. Serve as Assistant Counsel in Legal Affairs Department, reporting to General Counsel / Vice President, Legal Affairs. Charged with development, review, tracking and upkeep of contract management tasks for HPP; managing the functions of Subrogation and managing the subrogation staff; as well as handling cases when another party is legally liable for the claims of Plan members; creating, reviewing, monitoring and submitting all regulatory required reports for subrogation and exercising independent judgment and decision making on subrogation cases with guidance provided to staff for handling cases; providing backup support for hearings, administrative law matters and other legal proceedings as necessary; managing litigation internally and in coordination with external counsel; and assisting with research and guidance for corporate legal needs, projects and/or reports as requested by General Counsel.
This position has overall supervisory responsibility for subrogation staff and/or others as directed by the General Counsel.
This job operates in a corporate setting. This role requires regular walking internally around the company and occasionally to libraries, courthouses, other attorney offices, etc. Filing, using the copy machine, and other administrative activity within the corporate setting is also done on a daily basis.
While performing the duties of this job, the employee is regularly required to talk and hear. This position is fairly active and requires standing, walking, bending, kneeling, and stooping throughout the day.
Occasional local travel required for this position.
Work from Home
This position is not available to work from home
Required Education and Experience:
Education: Required: Undergraduate degree; Juris Doctor Degree from accredited Law School; 5+ years’ experience in managed care or health insurer in-house setting or in contracting or legal/compliance department
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for their job. Duties, responsibilities, and activities may change at any time with or without notice.
Medicare Advantage Compliance Statement: Compliance with all applicable rules, regulations and laws is a condition of employment. Employees must read and sign, both the Business Code of Conduct and the Personal Standard Code of Conduct, and are expected to perform their duties ethically and honestly.
Access To Protected Health Information: LA
Health Partners Plans, Inc.
Health Partners Plans is an award-winning, not-for-profit health maintenance organization serving more than 280,000 members in Bucks, Chester, Delaware, Lancaster, Lehigh, Montgomery, Northampton, and Philadelphia counties. We offer Medicaid, Medicare and Children’s Health Insurance Program (CHIP) plans that include special benefits to improve the health and wellness of our members. We’re also committed to boosting the health of our community through outreach, education and events. We continually develop new ways to encourage better health outcomes and have received national recognition for our innovations in managed care.