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Associate Counsel II Director Health Care Legal Services

Job Category:  Administrative, HR, Business Professionals
Department:  Health Care Legal Services
Location: 

Los Angeles, CA, US, 90017

Position Type:  Full Time
Requisition ID:  7914

 

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

As a condition of employment, L.A. Care requires a COVID-19 vaccine. This requirement includes our remote workforce. If you would like to request an exemption, L.A. Care has implemented a process to consider exemptions, for documented medical conditions and sincerely held religious beliefs. L.A. Care will review all exemption requests prior to proceeding with the recruitment process.

Job Summary

Associate Counsel II Director Health Care Legal Services (HCLS) will be a part of the Health Care Services (HCLS) Unit of the Legal Services Department and will report to the Associate General Counsel (or General Counsel, as appropriate) leading the HCLS Unit (HCLS AGC). This position is responsible for providing competent legal advice, conducting legal research, writing, analysis and guidance on a wide range of subject-matters including: the Knox-Keene Act; federal law and guidance applicable to Medicare and Medi-Cal programs, other health care law and regulatory issues; member and provider disputes; legal project management; drafting and managing a variety of provider, government payer and other agreements; and administrative activities within the HCLS Unit. This position will handle various legal matters, including provider fair hearing arbitration matters, for the organization, both independently and under supervision of the HCLS AGC or their designee. This position also handles review, drafting, providing counsel, and negotiations (when requested) of regulatory matters and filings. This position must have the ability to appropriately handle legal and/or business information that is highly sensitive and/or confidential, and have the ability to interact with high level executives.

Duties

Provide competent legal advice and perform related tasks (research, writing, analysis, review and compilation of relevant documents, etc.) on legal matters covering a wide range of subject-matters, including the Knox-Keene Act, federal law and guidance applicable to Medicare and Medi-Cal programs, other health care law, regulatory filings and enforcement matters, health care, claims processing, member and provider disputes, and other issues as assigned by the HCLS AGC.

 

Works independently and/or with the HCLS AGC (or their designee) on managing, overseeing, and/or handling assigned regulatory matters, and other matters for the organization, including reviewing or preparing regulatory  filings, responding to  enforcement matters, , supporting various internal departments with contract issues, working with outside counsel (if assigned) and internal staff, etc.

 

Independently, and/or with input from the HCLS AGC, provides advice, counsel and handles regulatory,  and contract-related matters for the organization and internal clients.

 

Manages assigned legal projects.

 

Manages and trains staff in the HCLS Unit and Legal Services Department as needed, including new Attorneys, Legal Specialists, Paralegals, and Legal Coordinators.

 

Perform other duties as assigned.

Education Required

Juris Doctor Degree or Doctor of Law Degree (J.D.)

Education Preferred

Experience


Required:
At least 5 years work related experience in a law firm, corporate legal or government legal department in a fast paced, complex office setting, working with multiple priorities under deadline pressures; ability to read, analyze and interpret laws & regulations; at least 5 years of work related experience in handling complex assignments related to health care law, including Knox-Keene Act, DMHC matters, internal organization or governance issues, public law, and/or general law issues.

 

Preferred: 
At least 5 -7 years of experience handling health care matters.

Skills


Required:
Excellent communication and written skills.

 

Professional sensitivity.

 

Team player.

 

Strong computer software knowledge including Outlook, Word for Windows, Excel and PowerPoint; Westlaw, and the Internet.

 

Preferred:
Share Point knowledge.

Licenses/Certifications Required

State Bar - Active, current and unrestricted California License

Licenses/Certifications Preferred

Required Training

Additional Information

 

L.A. Care offers a wide range of benefits including

  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program
  • Volunteer Time Off (VTO)

 

At L.A. Care, we value our team members’ safety. In order to keep our work locations safe, each employee is required to self-screen for symptoms prior to entering any L.A. Care location each day. L.A. Care and all of its staff are required to comply with all state and local masking orders. Therefore, when on-site at any L.A. Care location, employees are expected to wear a mask in areas where physical distancing cannot be managed.


Nearest Major Market: Los Angeles

Job Segment: Medicare, Medical, Claims, Healthcare, Insurance

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