The Association of Corporate Counsel (ACC) is the world's largest organization serving the professional and business interests of attorneys who practice in the legal departments of corporations, associations, nonprofits and other private-sector organizations around the globe.
POSITION SUMMARY: This position primarily provides legal counseling in the areas of TRICARE (the health care program for uniformed service members, retirees, and their families) and Commercial Health Plans (Small and Large Group and Individual). This position supports both the Legal Department's Government Programs Practice Group and Health Plan and Payor Operations Practice Group. This is a broad regulatory practice supporting Kaiser Permanente’s operations as an integrated delivery system in California and the eight other jurisdictions where Kaiser Permanente operates. The position will also work closely with colleagues supporting Provider Operations, Medicare, FEHBP, and other practice areas, as well as with colleagues supporting other Kaiser regions.
Provide legal regulatory and business counseling support related to Kaiser’s participation in TRICARE.
Serve as a subject matter expert and educational resource on all aspects of TRICARE for business leaders and colleagues.
Advise Health Plan leadership regarding Commercial Health Plan regulatory and operational matters, including but not limited to, federal and state payor regulation and compliance, new product development and design, employer group agreements, health care reform, member contracts and benefits, 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 8 years of regulatory health care law experience, including a minimum of 3 years of Commercial Health Plan and/or TRICARE.
Active membership in the California or Maryland bar (as applicable) (or membership within 1 year from date of hire).
Juris Doctorate required.
Successful candidate will have a working knowledge of TRICARE (including direct and purchased care) and Commercial Health Plans, including individual, small and large group.
Superior writing and analytical skills based on substantial experience advising Managed Care Organizations, TRICARE managed care support contractors, and/or government agencies that administer or regulate services provided to TRICARE or commercial coverage enrollees.
Experience providing interpretation and analysis of statutes, regulations and sub-regulatory guidance.
In addition to the above, experience in one or more of the following areas is a plus: recent TRICARE managed care support contractor procurements; ERISA; Affordable Care Act; Federal Employee Health Benefits Program: pricing and underwriting; Government reporting and audits.
Law Firm experience is a plus.
Primary Location: Oakland, CA, Pasadena, CA, or Rockville, MD.
Internal Number: 110193
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.
ACC is committed to compliance with all applicable equal employment laws. ACC In-house Jobline listings may not explicitly or implicitly discriminate on the basis of any prohibited factor.
Listings on the ACC In-house Jobline are for in-house attorney positions only. While we do not accept non-attorney corporate job listings, if you are hiring a corporate legal operations professional, contact LawDepartmentOps@ACC.com. By posting a job on the ACC In-house Jobline or using the service as a job seeker, you are agreeing to comply with our Terms and Conditions, including those relating to discrimination. The system administrator may delete postings, which do not comply. Employer postings removed by ACC are not subject to refund.
We are very interested in your thoughts as we continue to develop the ACC In-House Jobline to better serve your needs. If you have questions about ACC In-house Jobline, please call our helpdesk at: 1-888-491-8833 Ext. 1125 (Extension Required).