Associate Attorney: Health Care and Life Sciences

Responsibilities

• Provide day-to-day legal advice and counsel to health plans (including local health plans and restricted Knox-Keene (RKK) licensees), independent practice associations (IPAs), providers, payors, and vendors on a broad range of managed care matters.
• Advisory on federal and California regulatory compliance, including Knox-Keene Act licensure and oversight by the Department of Managed Health Care, as well as Medi-Cal managed care requirements administered by the Department of Health Care Services (DHCS) and the federal Center for Medicaid and CHIP Services (CMCS).
• Draft and negotiate provider network participation, downstream, and ancillary services agreements.
• Counsel clients on coverage, reimbursement, value-based care, and risk-sharing arrangements.
• Advisory accountable care organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP), Center for Medicare and Medicaid Innovation (CMMI) models, and other CMMI demonstration programs.
• Support Medicare Advantage and dual eligible special needs plan (D-SNP) clients on regulatory, compliance, and transactional matters.

Qualifications

• A minimum of two years of relevant California managed care experience and a strong contract drafting background, with specific experience in or a demonstrated interest in managed care operations and policy.
• The ideal candidate will exhibit the highest level of practical problem-solving skills, strong oral presentation and argument ability, and client relations acumen, and will enjoy working in a team environment that demands both legal precision and strategic business insight.
• Admission to the California bar, or eligibility to be admitted, is required.

Pay

Pay Range: USD $200,000.00 - USD $260,000.00 /Yr.