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Legal

Senior Counsel-Health Plan and Payor Operations

Location: Oakland, CA Job Number: 718653 Date posted: 07/12/2018
Description: As a member of the Legal Department's Health Plan and Payor Operations Practice Group, this position will focus primarily on health plan and insurance regulatory matters affecting a broad range of health plan operations. This is a broad regulatory practice supporting Kaiser Permanente-s operations as an integrated delivery system in California and the eight other jurisdictions where Kaiser Permanente operates. The position will also work closely with colleagues supporting provider operations, Medicare, FEHBP, and other practice areas, as well as with colleagues supporting other Kaiser regions.

Essential Responsibilities:
  • Advise complex organizations within KP enterprise-wide, across multiple legal business entities.
  • Advise Health Plan leadership and others regarding regulatory and business matters, including but not limited to, state and federal payor regulation and compliance, new product development and design, employer group agreements, health care reform, member contracts and benefits, financial and regulatory examinations and filings, regulatory enforcement matters, HIPAA privacy and security matters, wellness programs and support for the provision of administrative services to self-funded plans.

  • Basic Qualifications:
    Experience
  • Minimum eight (8) years of practice in the health law field (excluding workers- compensation and medical malpractice).
    Education
  • JD required.
    License, Certification, Registration
  • N/A.

    Additional Requirements:
  • Successful candidate will have demonstrated experience in most or all of the above-reference areas.
  • Active membership in the California Bar (or membership within 1 year from date of hire).
  • Excellent academic and professional qualifications.
  • Excellent references.
  • Superior writing and analytical skills based on substantial experience advising complex organizations.
  • Solid work ethic, excellent interpersonal and communication skills (written and verbal), and sharp analytical skills.
  • Ability to work independently and to work collaboratively as part of a team.
  • Desire to develop a versatile and diverse health care practice.

    Preferred Qualifications:
  • Minimumtwelve (12) years of practice in the health law field (excluding worker-s compensation and medical malpractice), including a minimumeight (8) years of health plan regulatory experience representing managed care/insurance organizations and integrated delivery systems.
    Primary Location: California,Oakland,Ordway One Kaiser Plaza Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon -Fri Working Hours Start: 8:00 AM Working Hours End: 5:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Salaried, Non-Union, Exempt Job Level: Director/Senior Director Job Category: Legal / Government Relations Department: 0308-30000-7627 Travel: Yes, 15 % of the Time
    Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

    External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.
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