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JOB SUMMARY
*This is a hybrid role requiring 3 days in office (PA, DE, NY, WV)
This job supports Medicare Advantage and government programs managed care health plan business and investigates factual situations and presents well-reasoned and creative solutions and alternatives based upon independent legal research and analysis of the facts and the law. The incumbent provides timely and accurate legal advice and prepares effective documents based upon knowledge of Medicare, Medicaid and other government managed care programs related federal, state and other applicable law and the regulatory environment in which the Corporation and its affiliates (“Corporation”) function. A senior position held by a lawyer with advanced legal skills and a track record evidencing the ability to deliver and/or oversee the delivery of business-oriented, effective and efficient legal services, project management, and strategic counseling on significant projects or matters for the government program segments of the Corporation. Expected to have deep knowledge of the Corporation’s business, while retaining the discipline of legal analysis; will anticipate and address internal / external business issues and recommend best practices. Works cooperatively with both inside counsel and outside legal counsel.
ESSENTIAL RESPONSIBILITIES
EDUCATION
Required
Substitutions
Preferred
EXPERIENCE
Required
Preferred
LICENSES or CERTIFICATIONS
Required
License to practice law in the Commonwealth of Pennsylvania or applicable state (DE, WV or NY); or eligible for admission within one year of hire
For Privacy Counsel positions only: Obtain and maintain certification as a privacy professional within one year of employment
Preferred
SKILLS
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf )
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Full Time
Elementary & Secondary Education
$150k-187k (estimate)
02/25/2024
06/25/2024
highmarkhealth.org
ROSEVILLE, CA
15,000 - 50,000
BRAD KRINKE
<$5M
Elementary & Secondary Education
Highmark Health, a Pittsburgh, PA based enterprise that employs more than 40,000 people who serve millions of Americans across the country, is the second largest integrated health care delivery and financing network in the nation based on revenue. Highmark Health is the parent company of Highmark Inc., Allegheny Health Network, and HM Health Solutions. Highmark Inc. and its subsidiaries and affiliates provide health insurance to nearly 5 million members in Pennsylvania, West Virginia and Delaware as well as dental insurance, vision care and related health products through a national network of... diversified businesses that include United Concordia Companies, HM Insurance Group, and Visionworks. Allegheny Health Network is the parent company of an integrated delivery network that includes eight hospitals, more than 2,800 affiliated physicians, ambulatory surgery centers, an employed physician organization, home and community-based health services, a research institute, a group purchasing organization, and health and wellness pavilions in western Pennsylvania. HM Health Solutions focuses on meeting the information technology platform and other business needs of the Highmark Health enterprise as well as unaffiliated health insurance plans by providing proven business processes, expert knowledge and integrated cloud-based platforms. To learn more, please visit www.highmarkhealth.org
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The job skills required for Senior Counsel include Legal Research, Legal Advice, Negotiating, Analysis, Problem Solving, Attention to Detail, etc. Having related job skills and expertise will give you an advantage when applying to be a Senior Counsel. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Senior Counsel. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Senior Counsel positions, which can be used as a reference in future career path planning. As a Senior Counsel, it can be promoted into senior positions as an Attorney IV that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Senior Counsel. You can explore the career advancement for a Senior Counsel below and select your interested title to get hiring information.