Central California Alliance for Health

Accessible, quality health care guided by local innovation.

Legal Services Director

AttorneyAttorneyFull TimeRemoteTeam 501-1,000Since 1996H1B No SponsorCompany SiteLinkedIn

Location

California

Posted

44 days ago

Salary

$194.3K - $310.9K / year

Professional Certificate7 yrs expEnglish

Job Description

• Provides strategic management oversight in implementing, directing, and monitoring the Alliance’s Legal Services Department, which provides advice and counsel and performs enterprise risk management for Alliance operations • Directs the Legal Services Department, acts as a leader and subject matter expert, and provides direction and advice on legal and administrative contracting issues and overall business operations • Manages and coordinates litigation and disputes related to Alliance operations • Directs health plan administrative contracting, including maintenance of agreements and negotiation and re-negotiation of contracts in coordination with Alliance staff and external counsel • Directs, manages, and supervises Legal Services Department staff

Job Requirements

  • Juris Doctor degree from an accredited law school, admitted to and in good standing with the State Bar of California, and possession of an active license to practice law in California
  • A minimum of seven years of experience as a practicing health care attorney performing research and analysis of legal, statutory, and regulatory information, which included a minimum of five years of management level experience and a minimum of three years of experience related to health plan operations; or an equivalent combination of education and experience may be qualifying
  • Knowledge of health care laws, Knox-Keene Health Care Service Plan Act and Regulations, Affordable Care Act, Health Insurance Portability and Accountability Act (HIPAA), Stark Law, and False Claims Act
  • Knowledge of Medi-Cal, Medicaid, and Medicare rules, requirements, and regulations
  • Knowledge of state regulatory agencies, such as DHCS, Centers for Medicare and Medicaid Services (CMS), and Department of Managed Health Care (DMHC)
  • Knowledge of principles and practices of operational oversight and program and project management
  • Knowledge of principles and practices of contract negotiation and review
  • Ability to provide prudent legal recommendations and counsel to executive team members and Board members
  • Ability to develop legal strategies and objectives based upon analysis of relevant information and resources, and make recommendations
  • Ability to perform risk assessment, anticipate and respond to risks, and provide risk mitigation support
  • Ability to provide leadership, facilitate meetings, and partner with and guide managers and employees in the resolution of issues
  • Ability to act as a technical resource and explain complex laws, regulations, processes, and programs related to areas of responsibility
  • Ability to review and assess overall department function, core work, goals, and structure, and develop and implement short- and long-term planning to achieve strategic plans and complete an annual department assessment
  • Ability to direct, manage, supervise, mentor, train and evaluate the work of staff

Benefits

  • Medical, Dental and Vision Plans
  • Ample Paid Time Off
  • 12 Paid Holidays per year
  • 401(a) Retirement Plan
  • 457 Deferred Compensation Plan
  • Robust Health and Wellness Program
  • Onsite EV Charging Stations

Related Categories

Related Job Pages

More Attorney Jobs

Workup & Settlement Attorney

Keller Postman LLC

Clients First. Innovation Always. Excellence in Everything. One of the nation's fastest growing plaintiffs' law firms.

Attorney44 days ago
Full TimeRemoteTeam 51-200Since 2016H1B No Sponsor

Workup and Settlement Attorney managing case preparations for mass tort settlements

United States
$100K - $120K / year

Litigation Attorney

Superior Executive And Legal Recruiting

A Placement Firm For Executive & Legal Talent.

Attorney44 days ago
Full TimeRemoteTeam 11-50H1B No Sponsor

Mid-level Attorney role focused on civil court litigation for a California firm

California

Senior Legal Technology Analyst

Cohesity

Cohesity is a leader in AI-powered data security and management. Aided by an extensive ecosystem of partners, Cohesity makes it easy to secure, protect, manage, and get value from data — across the data center, edge, and cloud. Cohesity helps organizations defend against cybersecurity threats with comprehensive data security and management capabilities, including immutable backup snapshots, AI-based threat detection, monitoring for malicious behavior, and rapid recovery at scale. We’ve been named a Leader by multiple analyst firms and have been globally recognized for Innovation, Product Strength, and Simplicity in Design. Join us on our mission to shape the future of our industry.

Attorney44 days ago
Full TimeRemoteTeam 1,001-5,000H1B Sponsor

Sr. Legal Technology Analyst optimizing legal service delivery and technology processes

Tableau
North Carolina + 2 moreAll locations: North Carolina, Oregon, Texas
$121.2K - $151.5K / year
Full TimeRemote

Are you an ambitious and skilled Mid-Level Litigation Attorney seeking an exciting new opportunity to make a significant impact in the legal field? Look no further! Bremer Whyte Brown & O'Meara, LLP is seeking a talented Senior Litigation A...

California