Focus Area: Government Sponsored Programs
The Associate General Counsel (AGC)
will be a Director-level member of Blue Shield’s Law Department and will be a
leader in the company. The Law Department partners with the company’s business
leaders to embrace legal and ethical behavior in the achievement of the
company’s mission. This team is highly regarded within the company and
respected by management. It is comprised of top tier, analytical and
intelligent attorneys; paralegals; contract and regulatory specialists;
compliance specialists; and administrative support staff. The AGC will provide
advice and counsel on a broad range of health law issues, with a particular
focus on supporting the company’s Blue Shield of California Promise Health Plan
(Blue Shield Promise) subsidiary, which operates Medicare, Medi-Cal (Medicaid),
and Cal Medi-Connect lines of business. The AGC must comfortably adapt to
change, skillfully and quickly master new responsibilities, demonstrate strong
business acumen, and possess a strong drive for excellence.
- Provide thoughtful, creative and timely
legal advice to various business units on day-to-day regulatory and operational
- Provide well informed advice and legal
support related to a variety of matters including litigation, arbitrations,
dispute resolution, responses to regulatory actions, and overpayment recovery
- Work collaboratively with a broad range
of stakeholders, developing and maintaining strong relationships between the
Law Department, as well as Care1st’s and BSC’s business units.
- Communicate with regulatory agencies to
submit and seek approval of filings and responses to audits and examinations.
- Provide guidance and training to legal
support staff in support of the Law Department’s goals.
or more years of legal experience.
providing managed care legal advice to managed care organizations and/ or
providers, with a focus on the Medicare and Medi-Cal programs preferred.
litigation experience, including recent court appearances, arbitrations, and
mediation. Experience managing outside counsel preferred
of the Knox-Keene Health Care Service Plan Act, Medicare Rules and Regulations,
HIPAA, Stark laws, and False Claims Act.
ability to provide risk assessment/ risk mitigation support.
of law firm and in-house experience preferred
from a respected law school and Bar admission (CA preferred)
written, verbal and interpersonal communication skills, with a keen ability to
communicate effectively throughout all levels of the organization, as well as
presence, credibility, and the professional demeanor necessary to interact with
company management, regulatory bodies, and business units with persuasiveness
team player with an ability to play multiple roles
flexible; comfortable with uncertainly and ambiguity
willing and able to assist with new needs; responsive
to influence a diverse set of stakeholders; positive disposition
with a propensity for action and a strong sense of ownership
integrity, excellent judgment and ability to prioritize and make difficult
hard-working, “roll up your sleeves” style
orientation and acumen
Please click here for further physical requirement detail.
: Legal Counsel
: United States of America-California-San Francisco
: Jan 3, 2019, 2:14:12 AM