Description: The position will either be a Counsel III (7 – 12 years’ experience) or a Senior Counsel (13+ years’ experience). This position primarily provides legal counseling in the area of Commercial Health Plans (Small and Large Group and Individual plans offered to customers in the commercial market). This position supports the Legal Department's Health Plan and Payor Operations Practice Group. This is a broad regulatory practice supporting Kaiser Permanente’s payor operations as an integrated delivery system that offers coverage in California and the eight other jurisdictions where Kaiser Permanente operates. The position will also work closely with colleagues supporting Provider Operations, Government Programs, and other practice areas, as well as with colleagues supporting other Kaiser regions. The position will manage outside counsel relationships as assigned for given legal matters pertaining to Health Plan & Payor Operations.
Relos: Yes Compensation: Commensurate with experience. Travel: 10%
Advise Health Plan leadership regarding regulatory and operational matters for Commercial Health Plans, including but not limited to, federal and state managed care and insurance regulation and compliance, ERISA, new product development and design, employer group agreements, health care reform, member contracts and benefits, enrollment and disenrollment, financial and regulatory examinations and filings, regulatory enforcement matters, HIPAA privacy and security matters, wellness programs and support for the provision of administrative services to self-funded plans.
A minimum of seven (7) years of health care law experience, including a minimum of 3 years of experience representing insurers and/or HMOs that offer Commercial Health Plans.
Successful candidate will have a working knowledge of federal and state government-regulated lines of business and Commercial Health Plans, including individual, small and large group.
Experience providing interpretation and analysis of statutes, regulations and sub-regulatory guidance.
Excellent inter-personal skills with clients, co-workers and subordinates.
Excellent verbal and written communication skills.
Applicable bar license or willingness to obtain such license within two years.
Excellent academic and professional qualifications.
A minimum of twelve (12) years of health care law experience, including a minimum of six (6) years of experience representing insurers and/or HMOs that offer Commercial Health Plans in California or another jurisdiction where Kaiser Permanente operates.
In addition, experience in one or more of the following areas is a plus: recent experience with ERISA; Affordable Care Act; Federal and/or State managed care and insurance compliance, reporting and audits.
Experience practicing law in a regulatory agency or in-house legal department.
Big law firm training a plus.
Primary Location: Oakland, CA, Pasadena, CA, or Rockville, MD.
Internal Number: 123435
About Major, Lindsey & Africa
Founded in 1982, Major, Lindsey & Africa is the world’s largest and most experienced legal search firm. Combining local market knowledge and a global recruiting network, MLA has earned recognition for its track record of successful General Counsel, Corporate Counsel, Partner, Associate and Law Firm Management placements. With offices throughout the U.S., Hong Kong, London, and Tokyo, MLA recruiters are dedicated to understanding and meeting clients’ and candidates’ needs while maintaining the highest degree of professionalism and confidentiality. MLA considers every search a diversity search, and has been committed to diversity in the law since its inception. For these reasons, MLA was voted “Best Legal Search Firm in the U.S.” in the most recent national survey of America’s top law firms. To learn more about MLA, please visit our website at www.mlaglobal.com.