Description:
Who we are:Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.
We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.
Job Summary:
Responsible for protecting the combined Harvard Pilgrim Health Care and Tufts Health Plan organization's legal interest for Point32Health and maintaining its operations within the scope established by law. Provides advice and support to the management and staff of the combined organization and its affiliates within assigned business areas. Responsible for representing the organization in legal disputes and litigation, identifying and analyzing legal issues, presenting clear recommendations, drafting key documents, and directly managing legal aspects of complex corporate initiatives.
Job Description:
Key Responsibilities/Duties – what you will be doing (top five):
- Represents corporate client in litigation and pre-litigation claims, administrative hearings and arbitration; works with outside counsel, as appropriate.
- Negotiates and drafts contracts, including leases, provider agreements, employer group agreements, confidentiality and business associate agreements, vendor agreements, computer hardware purchases and leases, software licenses and other agreements relating to operations.
- Provides legal services in connection with regulatory examinations and investigations, regulatory implementations, regulatory filings, and new product development; establishes and maintains direct relationships with state and federal regulatory authorities.
- Performs legal research and provides verbal and/or written legal advice to management and staff in various departments across the combined organization.
- Provides education to staff on legal issues, including risk management, confidentiality, and member rights.
- Perform other duties and projects as assigned.
Qualifications – what you need to perform the job
Certification and Licensure
License to practice law in Massachusetts.
Education:
Required (minimum): Juris Doctor (J.D.) degree from an accredited law school.
Preferred:
Experience:
- Required (minimum): 5 years relevant legal and civil litigation experience in a law firm or in-house environment
- Preferred: 3 years health or insurance law experience
Skill Requirements:
- Excellent verbal and written communication and advocacy skills.
- Excellent document drafting and negotiation skills.
- Excellent research skills with strong analytic ability to interpret contracts, legislation, laws, and regulations, identify issues and develop innovative solutions and strategies to reach satisfactory resolution.
- Mature judgment on relevant matters of business and law.
- Proactive – actively identify legal issues and time manage the legal aspects of projects.
- Ability to see the “big picture” as well as pay close attention to detail.
- Must be able to work under normal office conditions and work from home as required.
- May be required to attend meetings at other company locations or other external meetings.
- Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
- May be required to work additional hours beyond standard work schedule.
Disclaimer:
The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.
Salary Range:
$149,798.10 -$224,697.14
Compensation & Total Rewards Overview
The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.
Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:
For more details on our total rewards programs, visit https://www.point32health.org/careers/benefits/
We welcome all
All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact TA_operations@point32health.org
The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.
Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:
- Medical, dental and vision coverage
- Retirement plans
- Paid time off
- Employer-paid life and disability insurance with additional buy-up coverage options
- Tuition program
- Well-being benefits
- Full suite of benefits to support career development, individual & family health, and financial health
For more details on our total rewards programs, visit https://www.point32health.org/careers/benefits/
We welcome all
All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact TA_operations@point32health.org