What are the responsibilities and job description for the Associate General Counsel, Distinguished - Dispute Resolution position at Blue Shield of CA?
Your Role
The Associate General Counsel, Dispute Resolution ("AGC") will provide strategic advice and counsel, as well as legal representation on a broad range of health care disputes and issues, with a particular focus on defending payor-provider arbitrations, regulatory enforcement actions (including responding to subpoenas and investigations), and health care litigation. The AGC will report to the Vice President, Deputy General Counsel, Litigation.
The Law Department partners with the company's business leaders to embrace legal and ethical behavior in the achievement of the company's mission. The Litigation Group is highly regarded within the company and respected by management. It comprises top-tier, analytical, ethical, collaborative, and intelligent attorneys, paralegals, litigation specialists, fraud investigators, and administrative support staff. The AGC must comfortably adapt to change, lead with influence, demonstrate strong business acumen, directly represent and advocate for the company in arbitration and enforcement settings, master new responsibilities, effectively advise business clients in a dynamic business and legal environment, and possess a strong drive for excellence.
Your Knowledge and Experience
Requires a Juris doctorate degree from a law school accredited by the American Bar Association or Committee of Bar Examiners of the State of California required; superior academic credentials from a top-tier law school strongly preferred.
Requires one to be an active member of the California Bar.
Requires knowledge and recent experience providing actionable legal advice to business clients related to the Knox-Keene Act, other state and federal laws impacting health plans, and member and provider contracts.
Requires at least 8 years of litigation experience, at least 5 of which include recent experience defending health plans, health insurers, or HMOs in litigation, arbitration, government investigations, subpoena responses, and other formal or informal disputes.
Requires recent trial and/or arbitration hearing experience.
Requires one to be self-motivated, enthusiastic, ethical, collaborative, and hard-working. A successful candidate will have a "roll up your sleeves" style and ability to partner and effectively communicate with employees at all levels of the organization.
Requires strong written and oral communication skills, analytical skills, intellectual curiosity, interest in diving into the facts, and ability to meaningfully communicate with business clients at all levels of the organization regarding complex legal matters.
Requires experience with contracted and non-contracted provider payment disputes.
Combination of law firm and in-house experience preferred.
Hybrid
This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.
Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.
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External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.