Associate General Counsel, Distinguished

Blue Shield of CA; Oakland (CA); Hybrid; USD 210,000 - 270,000; Full time

Job summary

Blue Shield of California’s Government Programs Legal team seeks an Associate General Counsel, Distinguished, to advise on Medicare, Medi-Cal and DSNP matters for Blue Shield of California and Promise Health Plan. The role involves regulatory filings, day-to-day operations support, and collaboration with Compliance to mitigate risk.

Requires a J.D. from an ABA-accredited school, active California Bar or equivalent, and 8+ years of relevant experience in top firms or in-house.

Qualifications

• Juris Doctorate from ABA-accredited law school.
• Active California Bar membership or equivalent license (or in-house counsel status).
• 8+ years of legal experience in health care, corporate, privacy, or regulatory law.

Responsibilities

• Provide legal advice on government programs for Medicare, Medi-Cal, and DSNP.
• Support regulatory filings for Promise Health Plan.
• Coordinate with Compliance on regulatory matters and enforcement risk.
• Lead and mentor teams and manage cross-functional legal projects.

Skills

Strong communication

Relationship building

Independent judgment

Problem solving

Analytical thinking

Leadership

Mentoring

Multi-tasking

Risk assessment

Education

Juris Doctorate

California Bar license / in-house counsel eligibility

Job description

Your Role

The Government Programs Legal team is responsible for supporting all government programs lines of business. The Associate General Counsel, Distinguished, will report to the Managing Associate General Counsel, Government Programs. In this role you will provide advice and counsel on a broad range of health law issues impacting Blue Shield of California and Promise Health Plan's government programs lines of business. These programs include Medicare, Medi-CaI (Medicaid), and Duals Special Needs Plans (DSNP). The AGC must comfortably adapt to change, skillfully and quickly master new responsibilities, demonstrate strong business acumen, and possess a strong drive for excellence. In this role, the AGC will be responsible for working on regulatory filings for Promise Health Plan, supporting day-to-day operations of the Medicare and Medi-Cal lines of business, and working with the Compliance teams to provide legal support.

Your Knowledge and Experience

• Requires a Juris doctorate degree from a law school accredited by the American Bar Association
• Requires one to be an active member in good standing of the California bar, or active licensee in good standing of the bar of any state of the United States or the District of Columbia who maintains or is eligible to obtain Registered In-House Counsel status with the State Bar of California
• Requires a successful track record of at least 8 years of experience providing legal advice on relevant areas of the law (e.g., corporate, privacy, health care regulatory, litigation, contracts, et al) at a top law firm or in-house corporate law department
• Requires excellent communication skills, both written and verbal, as well as relationship building skills to collaborate with and influence all relevant stakeholders, both internal and external
• Requires strong independent judgment, problem-solving, critical, and analytical thinking skills, including a "moral compass" and high integrity
• Requires ability to work with minimal supervision, to multi-task, and to deliver a high-quality work product in a highly regulated, demanding, and constantly changing corporate environment
• Requires ability to lead individuals and teams and to work both independently and collaboratively on teams, applying people management and mentoring skills
• Requires expertise providing legal advice to managed care organizations, preferably with a focus on Medicare, Medi-Cal and DSNP
• Requires knowledge of the Knox-Keene Health Care Service Plan Act and understanding of Medicare rules and regulations (CMS), Department of Health Care Services contract and associated all plan letters (Medi-Cal)
• Requires experience providing interpretation and analysis of statutes, regulations and sub-regulatory guidance
• Requires experience interacting and working with the Department of Managed Health Care as well as providing clients with regulatory advice on Department filings
• Requires strong ability to provide risk assessment/risk mitigation support

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.