Senior Legal Counsel

Health Plan of San Joaquin/Mountain Valley Health Plan; French Camp (CA); Remote; USD 191,000 - 288,000; Full time

Job summary

A leading healthcare organization seeks a Senior Legal Counsel to provide strategic legal guidance and ensure compliance with healthcare regulations. This remote position requires a Juris Doctor and extensive experience in healthcare law. The role involves managing legal risks, overseeing outside counsel, and developing policies to support organizational goals.

Benefits

Competitive salary

Robust health/dental/vision plans

Generous paid time off

CalPERS retirement pension program

Flexible spending accounts

Employer-Paid Life Insurance

Health Advocacy

Education reimbursement

Qualifications

• At least eight years of healthcare legal experience.
• Experience with Medi-Cal and/or Medicare managed care program requirements.
• Current state bar license to practice law in California.

Responsibilities

• Provide legal advice to HPSJ Executive Team.
• Manage outside counsel for litigation and regulatory actions.
• Ensure compliance with California and Federal laws.

Skills

Analytical Skills

Legal Decision Making

Strategic Mindset

Communication

Education

Juris Doctor

Tools

MS Office

Job description

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Health Plan of San Joaquin/Mountain Valley Health Plan provided pay range

This range is provided by Health Plan of San Joaquin/Mountain Valley Health Plan. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$191,730.00/yr - $287,130.00/yr

The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.

We are hiring a Senior Legal Counsel to join our team.

Must reside in California - remote position.

What You Will Be Doing:

Under administrative supervision, the Senior Legal Counsel is responsible for providing and arranging for expert, strategic, and operational legal advice to HPSJ Executive Team and their designees. Responsible for statutory and regulatory compliance, new business development, employment, and other activities in a manner that ensures legal compliance limits risk exposure and supports external and internal requirements. Work is varied and complex and requires a high degree of discretion and independent judgment.

Supervises

Legal Counsel, Contracts

Our Vision:

Continuously improve the health of our community.

Our Mission:

We provide healthcare value and advance wellness through community partnerships.

Essential Functions:

• Facilitates HPSJ’s legal activities by providing counsel and guidance on legal issues and on the legal implications on matter affecting HPSJ.
• Provides expert advice and works collaboratively with business owners to determine tasks and solutions on a variety of matters including regulatory compliance, contracts, risk management and insurance, litigation, governance and corporate transactions to ensure that the health plan is in compliance with all applicable laws and procedures.
• Manages and coordinates with outside counsel for litigation and regulatory actions filed against or on behalf of HPSJ.
• Oversee the management and evaluation of all outside counsel.
• Recommends, develops and defines the health plan’s policies and procedures.
• Provides guidance on the legal impact of newly enacted legislation, regulations, and changes in government agency requirements, business decisions, or processes that impact the health plan in the administration of its programs.
• Drafts, reviews, and provides counsel on contracts HPSJ enters into with health care providers and administrative services vendors.
• Evaluates, plans for and remediates enterprise risk related matters as issues and initiatives arise.
• Researches, analyzes, interprets and provides counsel on emerging and current laws and regulations, including those related to privacy, security, Medi-Cal/Medicaid and Medicare.
• Processes resolutions and executes major legal action regarding the HPSJ’s public entity status as it relates to jurisdiction, function, procedures, operations and responsibilities.
• Develops and maintains relationships with internal and external stakeholders, including state regulators.
• Identifies and implements of process improvement strategies, in collaboration with internal stakeholders.
• Creates and maintains appropriate and required data, records, reports and other documentation according to internal and external requirements.
• Manages copyrights and trademarks.
  
  

What You Bring:

Knowledge, Skills, Abilities and Competencies

Required

• Ability to provide prudent legal decision recommendations.
• In-depth knowledge of the California and Federal healthcare landscape - Medi-Cal Managed Care and Medicare D-SNP.
• In-depth knowledge and understanding of applicable California and Federal laws and regulations which govern HPSJ, including California and Federal health laws, CCR & CFR, litigations, labor law and provider contracting.
• Ability to anticipate and respond effectively to legal issues and risks.
• Ability to develop legal strategies and objectives.
• Strong assessment and analytical skills, including the ability to synthesize, distill concepts, draw conclusions and identify implications.
• Financial acumen: Interprets and applies understanding of key financial indicators to make better business decisions.
• Strategic mindset: Sees ahead to future possibilities and translates them into breakthrough strategies.
• Drives results: Consistently achieves results, even under tough circumstances.
• Manages complexity: Makes sense of complex, high quantity, and sometimes contradictory information to effectively solve problems.
• Decision quality: Makes good and timely decisions that keep the organization moving forward.
• Builds networks: Effectively builds formal and informal relationship networks inside and outside of the organization.
• Resourcefulness: Secures and deploys resources effectively and efficiently; organizes people and resources to solve problems and identify opportunities.
• Plans and aligns: Plans and prioritizes work for self and others to meet commitments aligned with organizational goals.
• Ensures accountability: Holds self and others accountable to meet commitments.
• Persuades: Uses compelling arguments to gain the support and commitment of others.
• Manages ambiguity: Operates effectively, even when things are not certain, or the way forward is not clear.
• Organizational savvy: Maneuvers comfortably through complex policy, process and people- related organizational dynamics.
• Collaborates: Builds partnerships and works collaboratively with others to meet shared objectives.
• Creates a climate where people are motivated to do their best to help the organization achieve its objectives.
• Handles conflict situations effectively, with a minimum amount of noise.
• Recognizes the value that different perspectives and cultures bring to an organization.
• Demonstrates a high degree of professional ethics and integrity.
• Gains the confidence and trust of others through honesty, integrity and authenticity.
• Strong presentation skills, including the ability to tailor presentations to a specific audience, and address and interact with large groups.
• Strong interpersonal skills with the ability to initiate establish and maintain effective working relationships with diverse individuals both inside and outside of HPSJ.
• Strong oral and written communication skills with the ability to communicate professionally, effectively and persuasively with diverse individuals and groups inside and outside of HPSJ; includes the ability to effectively explain complex information.
• Demonstrated ability to articulate and support HPSJ’s vision, mission, values and strategy, integrate into management practices, and foster their manifestation among staff.
• Intermediate skills in MS Office suite, including Outlook and PowerPoint.
• Ability to speak and be understood in English.
• Ability to handle confidential information with appropriate discretion.
  
  

What You Have:

Education and Experience

Required

• Juris Doctor degree from accredited law school; and
• At least eight years of healthcare legal experience; and
• Experience with Medi-Cal and/or Medicare managed care program requirements.
• Experience working closely with internal and external leadership.
• Experience providing legal counsel in a business environment.
• At least four years of supervisory experience.
  
  

Preferred

• Experience as an in-house counsel and/or counsel for a public agency.
• Experience working with regulators and with outside counsel.
  
  

Licenses, Certifications

Current state bar license to practice law in the State of California.

HPSJ Perks:

What You Will Get:

• Competitive salary
• Robust and affordable health/dental/vision with choices in providers
• Generous paid time off (accrue up to 3 weeks of PTO, 4 paid floating holidays including employee’s birthday, and 9 paid holidays)
• CalPERS retirement pension program, automatic employer-paid retirements contributions, in addition to voluntary defined contribution plan
• Two flexible spending accounts (FSAs)
• Employer-Paid Term Life and AD&D Insurance
• Employer-Paid Disability Insurance
• Employer-Paid Life Assistance Program
• Health Advocacy
• Supplemental medical, legal, identity theft protection
• Access to exclusive discount mall
• Education and training reimbursement in addition to employer-paid elective learning courses.
• A chance to work for an organization that is mission-driven – our members and community are at the core of everything we do.
• A shorter commute – if you’re commuting from the Central Valley to the Bay Area.
• Visibility and variety – you have a chance to work with people at all levels of the organization, and work on diverse projects.
  
  

We are an equal opportunity employer and diversity is one of our core values. We believe that differences including race, ethnicity, gender, sexual orientation, and other characteristics, will help us create a strong organization that is sensitive to the needs of those we serve. Employment decisions are made on the basis of qualifications and merit.

HPSJ provides equal employment opportunities to employees and applicants for employment and prohibits discrimination based on color, race, gender (including gender identity and gender expression), religion (including religious dress and grooming practices), marital status, registered domestic partner status, age, national origin (including language use) or ancestry, physical or mental disability, medical condition (including cancer and genetic characteristics), sex (including pregnancy, childbirth, breastfeeding or related medical condition), genetic information, sexual orientation, military or veteran status, political affiliation or any other characteristic made unlawful by applicable Federal, State or local laws. It also prohibits unlawful discrimination based on the perception that anyone has these characteristics or is associated with anyone who has or is perceived to have these characteristics.

Important Notice : This job description is not a contract between HPSJ and the employee performing the job. The duties listed in the job description may be changed at the discretion of HPSJ, and HPSJ may request the employee to perform duties that are not listed on the job description.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Legal

• Industries

  Hospitals and Health Care

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