Medicare Advantage Counsel II
2 days ago
The Counsel II position is responsible for providing legal support for Medicare Advantage managed care plans. This role involves coordinating with colleagues in other legal practice groups to ensure seamless delivery of legal advice to an integrated care system.
Key Responsibilities- Provides counsel and advice on a wide range of health care-related matters, assessing legal risk impacting KP business and/or clinical operations, and proposing solutions.
- Conducts legal research, interprets laws and rules, and regulations, and analyzes judicial decisions by applying advanced and in-depth knowledge of legal principles.
- Prepares, drafts, creates, and reviews training materials, reviewing and providing in-depth actionable feedback to clients and other legal professionals.
- Promotes learning in others by communicating information and providing advice to drive projects forward; builds relationships with cross-functional stakeholders.
- Adapts to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback.
- Models team collaboration within and across teams.
- Partners internally and externally to make effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results.
- Develops work plans to meet business priorities and deadlines; coordinates and delegates resources to accomplish organizational goals.
- Recognizes and capitalizes on improvement opportunities; evaluates recommendations made; influences the completion of project tasks by others.
- Participates in the creation and review of legal documents by preparing, drafting, creating, and reviewing training materials, complex written legal advice, contracts, policies and procedures, and other documents, as needed; and reviewing and providing in-depth actionable guidance to clients and other legal professionals.
- Performs and analyzes legal research by leveraging in-depth and advanced knowledge to interpret and review legal documents; analyzing judicial decisions as well as statutory/regulatory authority; addressing complex research issues including but not limited to federal and state laws, rules, and regulations, accreditation standards, and/or other applicable guidance; escalating highly complex research issues to other senior-level attorneys as needed; and identifying patterns and trends impacting legal questions or issues and communicating legal research findings, and legal analysis to senior counsel and business stakeholders, escalating complex research issues to other senior-level attorneys as needed.
- Assesses legal risk and/or provides legal guidance by applying advanced and in-depth knowledge of legal principles, business risks, regulatory landscape, and compliance considerations that have a significant impact on the organization; proposing solutions that mitigate legal risks, drive business strategy, and facilitate cost efficiencies; providing legal advice, risk assessments, and/or case recommendations to senior level attorneys and or business leadership; consulting, managing, and overseeing outside counsel on legal matters; and providing guidance to paralegals and other legal professionals.
- Contributes to legal planning and strategy by identifying and providing strategic solutions to complex issues, escalating highly complex legal issues as needed; and guiding the creation of product, network, business, and/or clinical strategies as well as supporting responses to regulatory actions (e.g., audits and enforcement actions), with review by more senior-level attorneys.
- Advanced degree in law (JD or equivalent) and admission to the bar in one of the following states: CA, VA, MD, or Washington D.C.
- Minimum 5 years of experience in healthcare law, with a focus on Medicare Advantage.
- Proven track record of providing legal guidance and support to healthcare organizations.
- Excellent research, analytical, and communication skills.
- Ability to work in a fast-paced environment and adapt to changing priorities.
- Strong relationships with cross-functional stakeholders, including business leaders, clinicians, and other legal professionals.
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