What are the responsibilities and job description for the Legal Counsel position at HealthCHEC?
About SCAN
SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, and Texas. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn; Facebook; and Twitter.
The Job
The position is hybrid, with some on-site days per week (currently Tuesdays and Wednesdays) at SCAN's headquarters in Long Beach, California.
The Legal Counsel provides advice and counsel on a broad range of issues related to the operations of a Medicare Advantage health plan, and is responsible for preparing, negotiating, and reviewing vendor and provider contracts. The Legal Counsel will also provide advice and counsel on health information, privacy and security regulatory matters. The work is varied and complex, requiring a high degree of discretion, flexibility, and independent judgment, and is done with the highest level of ethics and integrity.
The successful candidate will have outstanding contracting skills, be an excellent communicator, an enthusiastic and curious learner, and can work autonomously on a variety of assignments and projects in a fast-paced, high-volume environment. The Legal Counsel should possess a strong drive for excellence, attention to detail, an ability to adapt to change, and a "can do" positive attitude. The position requires strong contracting experience and a general health law background.
You Will
- Work collaboratively with members of the legal department to fulfill the legal, contractual, and regulatory obligations of the organization (specifically, health information, privacy and security matters).
- Draft, review, advise, and negotiate a broad range of contracts, with a focus on vendor services (including SaaS, professional services, and consulting) and provider agreements (hospitals, primary care, specialist, ancillary providers, telehealth providers, etc.).
- Provides advice and assistance to the Compliance department in drafting and responding to filings or inquiries from regulators (g. U.S. Department of Health & Human Services Office for Civil Rights, Centers for Medicare and Medicaid Services, California Department of Managed Health Care, and California Department of Health Care Services), and in ensuring compliance with statutory, regulatory, contractual and other requirements.
- Conducts legal research and provides analysis on state and federal laws pertaining to health plans, medical groups, managed care, provider contracting.
- Acts independently to provide well-informed and timely legal advice on a variety of complex and sensitive healthcare matters.
- Monitors and researches market and industry trends of interest to the company in connection with its business activities. Anticipates changes impacting operations, notifies management and recommend preparatory actions.
- Works collaboratively with a broad range of stakeholders throughout the organization to develop and maintain strong relationships with SCAN business units and portfolio companies.
- Actively supports the achievement of SCAN's Vision and Goals.
- Other duties as assigned.
Your Qualifications
What's in it for you?
We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!
At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.
SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.
LI-JB1 #LI-Hybrid
Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
Salary : $147,900 - $236,600
