General Counsel

Commonwealth of Massachusetts; Boston (MA); Hybrid; USD 122,000 - 189,000; Full time

Benefits offered by this job

Hybrid work schedule

Job summary

Group Insurance Commission seeks a General Counsel to lead the agency's legal team and shape policy with strong knowledge of federal/state health care regulations. You will oversee litigation, craft contracts, and advise on governance, ethics, and compliance matters.

The position requires substantial experience in health care or insurance law, supervisory skills, and a Juris Doctor with active MA bar membership. A hybrid work arrangement may be available depending on policy and needs.

Qualifications

• Member in good standing of the Massachusetts Bar Association.
• At least seven (7) years of relevant work experience in health care, employee benefits or insurance environment; ten+ years preferred.
• Demonstrated experience researching legal issues, preparing for court cases and testifying.
• Prior experience litigating cases in court, preferably in healthcare.
• Supervisory experience in municipal/union environments preferred.
• Strong knowledge of federal and state healthcare regulations.
• Excellent written and verbal communication skills.

Responsibilities

• Serve as the Commission's general counsel, advising on governance, open meetings and ethics laws.
• Provide legal advice for agency programs including drafting, negotiating and mediating contracts.
• Oversee the legal team and ensure compliance with regulations and statutes.
• Manage litigation through pretrial, trial and appellate stages; handle discovery and filings.
• Advise on health data management, regulatory changes, and care reform implementations.
• Collaborate with procurement and operations on state and federal mandates.

Skills

Bar admission (Massachusetts)

Legal research

Court testimony

Negotiation

Communication skills

Project management

Education

Juris Doctor (JD)

Job description

An Official website of the Commonwealth of Massachusetts

Job Description - General Counsel (260007DB)

Job Description

General Counsel - ( 260007DB )

Description

Job DescriptionGeneral Counsel

Functional Title: General Counsel

Job Grade: M9A

About the Agency:

The Group Insurance Commission (GIC) seeks to hire a General Counsel. With over 280,000 subscribers and 460,000 members, the GIC provides and administers high-quality, affordable health insurance and other benefits to the Commonwealth's Employees and Retirees, and their dependents and survivors. The GIC also provides coverage to participating municipalities, Housing, and Redevelopment Authorities' personnel as well as to retired municipal employees and teachers in certain governmental units.

The GIC is committed to achieving four key goals:

Provide access to high quality, affordable benefit options for employees, retirees and dependents.

Limit the financial liability to the Commonwealth and others (of fulfilling benefit obligations) to sustainable growth rates.

Use GIC’s leverage to innovate and otherwise favorably influence the Massachusetts healthcare market.

Evolve the business and operational environment of the GIC to better meet business demands and security standards.

About the Position:

Reporting to the Executive Director, the General Counsel is a key member of the agency’s senior management team who sets policies and determines priorities for the legal team. The General Counsel contributes to the formulating of GIC policy by reviewing recommendations, advising the senior staff of legal implications, and providing alternatives based on a thorough knowledge of federal and state laws and regulations. The General Counsel also ensures agency compliance with all regulations and statutes and has oversight of the entire legal team providing them with a strategic vision for the department and managing their day-to-day activities.

Duties and Responsibilities (these duties are a general summary and not all inclusive):

Serves as an agency on a wide range of legal topics and provides strategic and legal insight into proposed policies and procedures.

Serves as Commission legal counsel, advising on Roberts Rules of Order, Commission Governance and Procedure, and Commissioner compliance with open meeting and ethics laws.

Provides legal advice for the agency’s programs including drafting, negotiating and mediating contracts.

Serves as the chief legal advisor for municipal law, COBRA, and HIPAA, and implementation of changes to regulations or agency activities when necessary.

Advises staff of the legal considerations for health data management and the agency’s clinical performance improvement initiatives.

Provides legal oversight of the agency’s implementation of state and federal care reform, mental health parity and the Municipal Partnership Act.

Serve as a Strategic Scoring member on procurement teams and as legal advisor to procurement teams.

Coordinates with health and other benefit plans on state and federal mandates such as appeal rights for adverse benefit determinations.

Works with Operations Unit staff to answer inquiries about eligibility, probate and beneficiary rights.

Advises and represents the Commission at sensitive meetings with high level officials and all branches of government and private sector counterparts.

Reviews the agency’s major communications.

Manages and directs legal strategy with Attorney General’s office for all agency-related affirmative and defensive legal actions.

Oversee cases through pretrial, trial, and appellate review including responding to discovery, as well as drafting and editing court filings.

Provides guidance on updates to agency regulations, as needed, and offers commentary on proposed regulations affecting the agency’s activities and objectives.

Onboards, trains and manages all legal staff.

Directs the activities of staff in the legal department.

Briefs and trains staff about legal developments that affect the agency’s work.

Qualifications

Qualifications:

Member in good standing of the Massachusetts Bar Association

At least seven (7) years of relevant work experience , preferably within the health care, employee benefits or insurance environment. At least ten (10) years is preferred.

Demonstrated experience conducting legal research, preparing for court cases and testifying in court.

Must have prior experience litigating cases in court preferably related to the healthcare industry.

Prior experience working in a municipal environment preferred.

At least three (3) years of supervisory experience, preferably within a municipal and/or union environment preferred. At least five(5) years is preferred.

Must have prior experience mediating conflicts.

Advanced and thorough knowledge of federal and state healthcare regulations.

Excellent written and verbal communication skills.

Strong interpersonal skills with the ability to negotiate and build consensus are essential.

Ability to read, comprehend and draft complex legal documents.

Must be able to manage multiple priorities and deadlines.

Must be detail oriented.

Must be able to work both independently and as part of a team.

MINIMUM ENTRANCE REQUIREMENTS:

Applicants must have at least (A) seven (7) years of full-time or, equivalent part-time, professional, administrative, supervisory, or managerial experience in a particular specialty (i.e. scientific, professional, or technical) and must possess current license and/or registration requirements established for the performance of the position, of which (B) at least three (3) years must have been in a managerial capacity.

When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.

An Equal Opportunity / Aff

The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC)may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.

Official Title : Program Manager Specialist IX

Job

Legal Services

Agency

Group Insurance Commission

Schedule

Full-time

Shift

Day

Number of Openings

1

Salary

121,867.30 - 188,708.00 Yearly

If you have Diversity, Aff: John Viarella - 8572623442

Bargaining Unit : M99-Managers (EXE)

Confidential : No

Potentially Eligible for a Hybrid Work Schedule : Yes