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General Counsel, Santa Barbara, CA


CenCal Health

Professional

Santa Barbara, CA

July 30, 2019


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General Counsel

Director GENER01143
Posted: March 15, 2019
Full-Time
Santa Barbara, CA, USA

Job Details

Description

  • Advise CenCal Health management on all legal matters pertaining to Medi-Cal and any other health plans or programs administered by CenCal Health
  • Advise management on organizational strategy and development, including consideration of both legal and non-legal issues, such as financial and operational concerns
  • Serve as legal counsel to CenCal Health’s Board of Directors; attend all Board of Director meetings and ensure that such meetings are conducted in strict adherence to Brown Act provisions and CenCal Health’s Bylaws; draft and approve Board resolutions and other Board documents as required; ensure compliance with all requirements of public agency law, including Public Records Act and Political Reform Act
  • Negotiate and draft or review provider and vendor contracts and contract revisions; deal with contractual nonperformance issues and contract terminations
  • Respond to HIPAA compliant Public Record Act, Member Record requests and subpoenas for records
  • Assist outside employment counsel to CenCal Health in advising the Human Resources Director on labor and employment law issues
  • Act as legal counsel to the CenCal Health Credentialing and Peer Review Committee
  • Prepare for and represent CenCal Health at State member or provider administrative hearings and draft any related position statements or other documents
  • Retain and manage outside counsel where required for litigation, legal opinions or expertise on specific matters
  • Respond to specific issues as they may arise, including researching law and facts and developing solutions both independently and collaboratively
  • Manage a staff of two Associate Legal Counsel and two Legal Specialists
  • Other duties and projects as assigned by the Chief Executive Officer

Qualifications

Education

Required

  • Doctorate or better in Law.

Experience

Required

  • Graduation from an ABA-approved law school
  • Active California State Bar License
  • Experience in government agency and contract law
  • Excellent knowledge of core operation functions of a managed care organization
  • Experience with Federal and California managed care regulations and mandates
  • 10 years: Experience in managed healthcare and/or public agency law

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