Associate General Counsel

About the role

The Associate General Counsel will serve as legal advisor to SCAN Group’s Medicare Advantage plans and integrated care delivery organizations, providing practical, business-minded legal advice. Reporting to the Deputy General Counsel, this role is responsible for managing a diverse litigation portfolio, including labor and employment, complex provider, and vendor disputes, as well as support SCAN’s vendor contracting and procurement process.

Responsibilities

• Manages and provides strategic direction on all phases of litigation, including labor and employment, provider reimbursement, vendor disputes, and general liability disputes.
• Directly represents SCAN in administrative proceedings and some arbitrations or litigation.
• Drafts, reviews, advises, and negotiates a broad range of contracts, including vendors, providers (hospital, primary care, specialist, ancillary providers, telehealth, etc.), payors, and grants.
• Conducts internal investigations into compliance, regulatory, employment, and operational matters, including coordinating fact finding, preparing investigative reports, and partnering with outside counsel on investigations.
• Performs legal research and provides legal and regulatory counsel on issues relating to health plan and medical group operations, federal and state healthcare laws (e.g., Stark Law, Anti-Kickback Statute, HIPAA, licensing, scope of practice), PACE programs, Medicare, Medicaid, telehealth, etc.
• Actively oversees and manages outside counsel, including setting case strategy, reviewing work product, and managing legal spend to ensure cost-effective, high-quality results.
• Acts independently to provide well-informed and timely legal advice on a variety of complex and sensitive matters.
• Maintains awareness of market and industry trends of interest to the organization in connection with its business activities.
• Anticipates changes impacting operations, keeps management abreast of developments, and recommends preparatory actions.
• Works collaboratively with a broad range of stakeholders throughout the organization to develop and maintain strong relationships with SCAN business units and affiliates.

Requirements

• Juris Doctor from a top-tier, ABA-accredited law school.
• Active membership in good standing with the California State Bar, or eligibility to practice as Registered In-House Counsel (RIHC).
• Minimum 8 years of relevant legal experience, which may be a combination of top-tier firm and in-house at an established legal department.
• Substantial civil litigation, including arbitration and administrative proceedings, is required.
• Ability to directly represent SCAN in administrative hearings and smaller litigation and arbitrations.
• Experience negotiating, drafting, and interpreting complex vendor contracts preferred.
• Knowledge of federal and state healthcare law related to managed care, Medicare Advantage, HIPAA, Fraud Waste and Abuse (e.g., Stark, Anti-Kickback Statute) preferred.
• Strong organizational skills; ability to multitask.
• Strong analytical and critical thinking skills required.
• The ability to collaborate as a team player and to adapt to change, master new skills, and assume additional responsibilities as needed.
• A personal and professional demeanor needed to work with all levels of individuals throughout the organization.
• Practical and business-oriented with sound judgment and the ability to work well in a fast-paced team environment.
• Able to balance competing priorities.
• A hardworking attitude with a "roll up your sleeves" approach.

Qualifications

• Strong drive for excellence.
• An ability to adapt to change.
• A "can do" positive attitude.
• Extensive experience in complex litigation and dispute resolution.
• Prior experience in vendor contracting and a background in managed care or health law is strongly preferred.

Benefits

Annual employee bonus program
Robust Wellness Program
Generous paid-time-off (PTO) along with 11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days
Excellent 401(k) Retirement Saving Plan with employer match
Robust employee recognition program
Tuition reimbursement
An opportunity to become part of a team that makes a difference to our members and our community every day!

Schedule

Hybrid- On-site days twice per week (currently Tuesdays and Wednesdays) at SCAN’s headquarters in Long Beach, California.