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Senior Counsel - Government Programs

Company: Jobleads
Location: Oakland
Posted on: May 3, 2021

Job Description:

Important Update: In response to the COVID-19 pandemic, Kaiser Permanente is moving to a virtual recruitment process including telephone and video interviews to help ensure the health and safety of our employees, candidates, and communities. Also, some hiring activities may be delayed or suspended in certain geographic areas and job categories. For more information on Kaiser Permanente's response to COVID-19, visit our Resource Center . From acquisition of products and services, real estate transactions, and new ventures to union grievances, provider operations, and liability claims, this group encompasses all of Kaiser Permanente's legal and government counseling and provides cost-effective legal support across all functions. Senior Counsel - Government Programs Location: Oakland, CA Job Number: 942754 Date posted: 03/02/2021 Submit Interest Description: This position primarily provides legal counseling in the areas of TRICARE (the health care program for uniformed service members, retirees, and their families) and Commercial Health Plans (Small and Large Group and Individual). This position supports both the Legal Department's Government Programs Practice Group and Health Plan and Payor Operations Practice Group. This is a broad regulatory practice supporting Kaiser Permanente-s operations as an integrated delivery system in California and the eight other jurisdictions where Kaiser Permanente operates. The position will also work closely with colleagues supporting Provider Operations, Medicare, FEHBP, and other practice areas, as well as with colleagues supporting other Kaiser regions. Essential Responsibilities: -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. Basic Qualifications:Experience- Minimum eight (8) years of regulatory health care law experience, including a minimum of three (3) years of Commercial Health Plan and/or TRICARE.Education- Juris Doctor degree, required.License, Certification, Registration- N/AAdditional Requirements:- Successful candidate will have a working knowledge of TRICARE (including direct and purchased care) and Commercial Health Plans, including individual, small and large group. - Excellent academic and professional qualifications. - 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.- Experience providing interpretation and analysis of statutes, regulations and sub-regulatory guidance.- Solid work ethic, excellent interpersonal and communication skills (written and verbal), and sharp analytical skills. - Ability to work independently and to work collaboratively as part of a team. Preferred Qualifications:- 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. Primary Location: California,Oakland,Ordway Scheduled Weekly Hours: 40 Shift: Day Working Hours Start: 08:00 AM Working Hours End: 05:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: NUE Executives|NUE|Non Union Employee Job Level: Director/Senior Director Department: Po/Ho Corp - Natl Legal - Gov't Programs - 0308 Travel: Yes, 10 % of the Time Connect with a member of the Kaiser Permanente team at an upcoming career or professional event. We look forward to seeing you! Sign up to receive information about opportunities that relate to your interests.

Keywords: Jobleads, Oakland , Senior Counsel - Government Programs, Other , Oakland, California

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