Job Description: Senior Legal Counsel
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 the 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 affecting HPSJ.
- Provides expert advice and collaborates with business owners to determine tasks and solutions on matters including regulatory compliance, contracts, risk management, litigation, governance, and corporate transactions to ensure 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.
- Oversees 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 that impact the health plan.
- Drafts, reviews, and provides counsel on contracts with healthcare 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 actions regarding HPSJ’s public entity status related to jurisdiction, function, procedures, operations, and responsibilities.
- Develops and maintains relationships with internal and external stakeholders, including regulators.
- Identifies and implements process improvement strategies in collaboration with internal stakeholders.
- Creates and maintains required data, records, reports, and documentation according to internal and external standards.
- Manages copyrights and trademarks.
What You Bring:
Knowledge, Skills, Abilities, and Competencies
- Ability to provide prudent legal decision recommendations.
- Deep knowledge of California and Federal healthcare laws, including Medi-Cal Managed Care and Medicare D-SNP.
- Understanding of applicable California and Federal laws and regulations governing HPSJ, including CCR & CFR, litigation, labor law, and provider contracting.
- Ability to anticipate and respond effectively to legal issues and risks.
- Develops legal strategies and objectives.
- Strong assessment and analytical skills, including synthesizing information, drawing conclusions, and understanding implications.
- Financial acumen: understanding key financial indicators for better decision-making.
- Strategic mindset: translating future possibilities into strategies.
- Results-driven: consistently achieving results under tough circumstances.
- Managing complexity: effectively solving problems with high or conflicting information.
- Decision quality: making timely, effective decisions.
- Building networks: establishing relationships inside and outside the organization.
- Resourcefulness: deploying resources effectively and efficiently.
- Planning and aligning: prioritizing work to meet organizational goals.
- Accountability: meeting commitments and holding others accountable.
- Persuasion: gaining support through compelling arguments.
- Managing ambiguity: operating effectively amid uncertainty.
- Organizational savvy: navigating complex organizational dynamics.
- Collaboration: working effectively with others to meet objectives.
- Creating a motivating environment.
- Handling conflicts professionally.
- Valuing diverse perspectives and cultures.
- High professional ethics and integrity.
- Gaining trust through honesty and authenticity.
- Strong presentation skills tailored to audiences.
- Effective interpersonal skills for diverse interactions.
- Excellent oral and written communication skills.
- Ability to articulate and support HPSJ’s vision, mission, and values.
- Intermediate proficiency in MS Office, including Outlook and PowerPoint.
- Fluent in English.
- Discretion handling confidential information.
What You Have:
Education and Experience
- Juris Doctor from an accredited law school.
- At least eight years of healthcare legal experience.
- Experience with Medi-Cal and/or Medicare managed care programs.
- Experience working with leadership and external agencies.
- Legal counsel experience in a business setting.
- At least four years of supervisory experience.
Preferred
- Experience as in-house counsel or for a public agency.
- Experience with regulators and outside counsel.
Licenses, Certifications:
Current California State Bar license.
What You Will Get:
HPSJ Perks include:
- Competitive salary
- Comprehensive health/dental/vision insurance options
- Generous paid time off and holidays
- CalPERS retirement pension with employer contributions
- Flexible spending accounts
- Employer-paid insurance and assistance programs
- Educational and training reimbursement
- Mission-driven organization with community focus
- Shorter commute options
- Exposure to diverse projects and leadership levels
We are an equal opportunity employer and value diversity. We prohibit discrimination based on race, ethnicity, gender, and other protected characteristics. Employment decisions are based on qualifications and merit.
Important Notice: This job description is not a contract. Duties may change at HPSJ’s discretion, and additional duties may be assigned.