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Blue Shield of California · 2 days ago

Associate General Counsel, Distinguished - Dispute Resolution

Oakland, CA, United States

Full-time

Hybrid

Senior Level, Lead/Staff

$247K/yr - $359K/yr

8+ years exp

Blue Shield of California is a nonprofit organization focused on transforming healthcare to be more affordable and effective. They are seeking an Associate General Counsel to provide strategic legal advice and representation on healthcare disputes, particularly in arbitration and regulatory enforcement matters.

Financial ServicesHealth InsuranceNon Profit

No H1B

Responsibilities

Directly (first-chair) defend Blue Shield of California in arbitration and regulatory enforcement matters

Defend Blue Shield of California against arbitrations, regulatory enforcement matters, investigations, subpoena response, and litigation by supervising the work of outside legal counsel

In consultation with appropriate Law Department leadership, retain, oversee, and manage the work of outside counsel and ensure adherence to outside counsel budget

Recommend operational plans and strategies that directly impact the achievement of overall results for multiple departments and company-wide results, profitability, and/or public image of the organization

In consultation with Law Department leaders and the EVP/GC, establish legal policy and standards for the enterprise, and for the business and functional units served by the AGC

Manage the work of paralegals and litigation specialists assigned to your matters. Work collaboratively with other attorneys, paralegals, and litigation specialists. Provide guidance and training to Blue Shield of California’s highly capable and valued legal support professionals

Pursue litigation, arbitration, and recovery actions

Engage with government agencies in connection with subpoenas, enforcement actions, and investigatory demands. Partner with internal clients and paralegals to respond to discovery requests and investigatory demands

Provide timely, actionable advice and counsel to internal clients, enabling them to achieve their goals within a prudent range of legal risk

Other duties, as assigned

Qualification

Juris doctorateCalifornia Bar membershipLitigation experienceHealth care law knowledgeTrial experienceArbitration experienceAnalytical skillsEthical standardsWritten communicationOral communicationCollaboration

Required

Requires a Juris doctorate degree from a law school accredited by the American Bar Association or Committee of Bar Examiners of the State of California required

Requires one to be an active member of the California Bar

Requires knowledge and recent experience providing actionable legal advice to business clients related to the Knox-Keene Act, other state and federal laws impacting health plans, and member and provider contracts

Requires at least 8 years of litigation experience, at least 5 of which include recent experience defending health plans, health insurers, or HMOs in litigation, arbitration, government investigations, subpoena responses, and other formal or informal disputes

Requires recent trial and/or arbitration hearing experience

Requires one to be self-motivated, enthusiastic, ethical, collaborative, and hard-working

Requires strong written and oral communication skills, analytical skills, intellectual curiosity, interest in diving into the facts, and ability to meaningfully communicate with business clients at all levels of the organization regarding complex legal matters

Requires experience with contracted and non-contracted provider payment disputes