Senior Director, Legal Counsel

Company: Blue Shield of California
Location: Oakland
Posted on: May 3, 2021

Job Description:

The Associate General Counsel (AGC) will be a Senior 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 strategic initiatives for member and provider contracting and partnership initiatives. The AGC must comfortably adapt to change, skillfully and quickly master new responsibilities, have demonstrated a strong business acumen with significant transactional experience, able to lead team members, and possess a strong drive for excellence.ResponsibilitesFunction as the general counsel of the business and functional units assigned, and coordinate all legal services required by those units as an integral member of the units' leadership team.Provide significant experience and knowledge of the California health care regulatory environment. Communicate with the Department of Managed Health Care and the California Department of Insurance to submit and seek approval of regulatory filings and responses. Having a working knowledge of Medicaid and Medicare regulations is beneficial.Advise at all levels within the company on legal, regulatory, governmental agency, and contractual matters having a material impact on Blue Shield's strategic, operational, and reputational goals.Able to apply a general knowledge of medical policy development, utilization management, pharmacy benefits management and specialty coverages to develop and work on novel arrangements for health benefits.Lead and manage teams of inside and outside counsel, and business teams, on critical projects, initiatives, and transactions, requiring specialized legal knowledge and management skills. Developing new concepts regarding delivery of healthcare and managing health plan and health insurance coverage.Able to effectively work with sophisticated healthcare vendors and novice alike, bringing together effective solutions and agreements obtaining regulatory approval.Design and implement policies, in consultation with the SVP/GC, governing Law Department organization, mission, strategy, and goals.Create, foster, and maintain relationships with internal and external clients and constituents that enhance Blue Shield's reputation as a health plan, employer, and corporate citizen.Manage and be accountable for planning, budgeting, organizational design, and results of operations of the Law Department unit assigned.Other duties as assigned. Knowledge and Experience Excellent written, verbal and interpersonal communication skills, with a keen ability to communicate effectively throughout all levels of the organization, as well as across organizations.Personal presence, credibility, and the professional demeanor necessary to interact with company management, regulatory bodies, and business units with persuasiveness and confidence.Collaborative team player with an ability to play multiple roles.Adaptable; flexible; comfortable with uncertainty and ambiguity.Ready, willing and able to assist with new needs; responsive.Ability to influence a diverse set of stakeholders; positive disposition. Self-motivated and enthusiastic.Efficient, with a propensity for action and a strong sense of ownership.Personal integrity, excellent judgment and ability to prioritize and make difficult decisions quickly.Hands-on, hard-working, "roll up your sleeves" style.Business orientation and acumen.Practical and solution-orientedRequirementsSeven or more years of relevant legal experience. Expertise providing managed care legal advice to Health Plans and Health Insurers. Experience managing outside counsel preferred.Experience drafting and negotiating complex contracts between health plans and external vendors. Superior contract drafting skills and an ability to assess and draft agreements with a complete understanding of ramifications integrating law and business.Knowledge of the Knox-Keene Health Care Service Plan Act and Regulations, Affordable Care Act, relative Insurance Codes, ERISA, and HIPAA.Strong ability to provide risk assessment/ risk mitigation support.Combination of law firm and in-house experience preferred.Experience managing legal staff.JD from a respected law school and Bar admission (CA strongly preferred).Requires broad management and leadership knowledge to lead project teams and/or multiple job areas. Typically has mastery level knowledge and skills within a specific technical or professional discipline with broad understanding of other areas within the job function.Recognized leader among peers and management.Additional InformationAbout Company: At Blue Shield of California we are parents, leader, students, visionaries, heroes, and providers. Everyday we come together striving to fulfill our mission, to ensure all Californians have access to high-quality health care at a sustainably affordable price. For more than 80 years, Blue Shield of California has been dedicated to transforming health care by making it more accessible, cost-effective, and customer-centric. We are a not-for-profit, independent member of the Blue Cross Blue Shield Association with 6,800 employees, more than $20 billion in annual revenue and 4.3 million members. The company has contributed more than $500 million to Blue Shield of California Foundation since 2002 to have a positive impact on California communities. Blue Shield of California is headquartered in Oakland, California with 18 additional locations including Sacramento, Los Angeles, and San Diego. We're excited to share Blue Shield of California has received awards and recognition for - LGBT diversity, quality improvement, most influential women in corporate America, Bay Area's top companies in volunteering & giving, and one of the world's most ethical companies. Here at Blue Shield of California, we're striving to make a positive change across our industry and the communities we live in - Join us!EEO Footer: External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.Requisition ID: 21001CSPosting Date: Mar 12, 2021Schedule: Full-timeMy ProfileCreate and manage profiles for future opportunities. Oakland, California, United States of AmericaIf you have a disability and need assistance applying for a position with Blue Shield of California, call RehabWest, Inc. at (760)759-7500.SDL2017

Keywords: Blue Shield of California, Oakland , Senior Director, Legal Counsel, Other , Oakland, California