Senior Director Legal Counsel

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Senior Director, Legal Counsel
Responsibilities: Function as the general counsel of the business and functional units assigned, and coordinate all legal services required by those units as an integral member of the units’ leadership team. Provide significant experience and knowledge of the California health care regulatory environment. Communicate with the Department of Managed Health Care and the California Department of Insurance to submit and seek approval of regulatory filings and responses. Having a working knowledge of Medicaid and Medicare regulations is beneficial. Advise at all levels within the company on legal, regulatory, governmental agency, and contractual matters having a material impact on strategic, operational, and reputational goals. Able to apply a general knowledge of medical policy development, utilization management, pharmacy benefits management and specialty coverages to develop and work on novel arrangements for health benefits. Lead and manage teams of inside and outside counsel, and business teams, on critical projects, initiatives, and transactions, requiring specialized legal knowledge and management skills. Developing new concepts regarding delivery of healthcare and managing health plan and health insurance coverage. Able to effectively work with sophisticated healthcare vendors and novice alike, bringing together effective solutions and agreements obtaining regulatory approval. Design and implement policies, in consultation with the SVP/GC, governing Law Department organization, mission, strategy, and goals. Create, foster, and maintain relationships with internal and external clients and constituents that enhance Blue Shield’s reputation as a health plan, employer, and corporate citizen. Manage and be accountable for planning, budgeting, organizational design, and results of operations of the Law Department unit assigned. Other duties as assigned.

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