Assistant General Counsel - Clinical

About the role

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Responsibilities

• Provide prompt and actionable legal advice to business and legal partners on a variety of moderately complex projects or business offerings relating to health care management, clinical initiatives, benefit plan design, pharmacy and other miscellaneous initiatives.
• Provide legal support on more routine day-to-day business matters with reasonable degree of independence.
• Work with the business and legal colleagues to understand impact of and ensure compliance with new and proposed legislation, regulations, rules and court rulings. Support business in implementation of new requirements.
• Work proactively with business and legal partners to identify and address potential regulatory, legal and business risks.
• Exercise judgment and ability to manage competing deadlines.
• Provide functional advice and guidance to legal support staff when assigned.
• Collaborate with legal colleagues to identify legal issues with potential cross-functional impact.
• Communicate and interact effectively and professionally with co-workers, management, customers, and other stakeholders.
• Demonstrate ability and interest in learning and willingness to take on new challenges.
• Maintain complete confidentiality of company business.

Requirements

• Juris Doctor Degree and a license to practice law in the state where the legal department is located.
• 5 years’ experience as a practicing attorney after receiving a law degree.
• Clear and concise verbal and written communication skills

Prior to the role

• Knowledge or understanding of the health care, health insurance, or claim administration field.
• 3+ years’ experience advising insurers, third-party administrators, or health plans on health plan administration, laws and regulations relating to commercial health plans (self-funded and fully insured), managed care plans, Affordable Care Act plans, HIPAA and relevant healthcare privacy laws, and other relevant federal and state healthcare laws.
• Knowledge and understanding regarding federal and state fraud and abuse laws relating to health care and health plans, including but not limited to federal and state false claims acts, the federal Anti-Kickback Statute, Civil Monetary Penalties Law, and other similar laws.
• Knowledge and understanding of federal and state laws that relate to health plan quality and performance improvement issues such as payment integrity, billing, and coding accuracy services, population health services, utilization management, prior authorization, and other quality and performance improvement initiatives.
• Strong business collaboration and writing skills, including the ability to clearly provide legal counsel and solutions to complex issues.

Benefits

To learn more about available benefits, please click here.

Pay

Compensation: $121,200.00 - $225,200.00

Schedule

This is a HYBRID position and requires in-office hours 3 days a week in the respective office location.

Contact

We are an Equal Opportunity Employer.