Description:

Description:
Remote from any KP location in CA, OR, CO, WA, GA, MD, VA, or D.C. Only.

Please Note: Salary ranges are geographically based and the posted range reflect the Northen CA region. Lower salary ranges will apply for other labor markets outside of NCAL

Overview:
The Counsel II, Health Plan and Care Delivery Operations-Core Care and Coverage position will provide strategic counsel to An American Integrated Managed Care Consortium Company's health plan business partners and advise on a wide range of healthcare regulatory matters impacting ­innovative care and coverage programs for commercial health plans and self-funded arrangements, including but not limited to: product and plan strategy and design, state and federal mandated coverage and benefits, wellness programs and other consumer-focused initiatives. Utilizing expert knowledge, Counsel II will also advise on compliance with state/federal laws, including but not limited to health plan licensure and scope of authority laws, ACA, CAA, COBRA, ERISA, and HIPAA (data privacy and security). As a member of the Core Care and Coverage Team, the Counsel II position will support An American Integrated Managed Care Consortium Company's delivery of care and coverage within its integrated delivery system.

Job Summary:
Provides counsel and advice on a wide range of health care-related matters and assesses legal risk impacting KP business and/or clinical operations, proposing solutions. Conducts legal research, interprets laws and rules, and regulations, and analyzes judicial decisions by applying advanced and in-depth knowledge of legal principles. Preparing, drafting, creating, and reviewing training materials, reviewing and providing in-depth provides actionable feedback to clients and other legal professionals.

Essential Responsibilities:
Promotes learning in others by communicating information and providing advice to drive projects forward; builds relationships with cross-functional stakeholders. Listens, responds to, seeks, and addresses performance feedback; provides actionable feedback to others, including upward feedback to leadership and mentors junior team members. Practices self-leadership; creates and executes plans to capitalize on strengths and improve opportunity areas; influences team members within assigned team or unit. Adapts to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Models team collaboration within and across teams.

Conducts or oversees business-specific projects by applying deep expertise in subject area; promotes adherence to all procedures and policies. Partners internally and externally to make effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Develops work plans to meet business priorities and deadlines; coordinates and delegates resources to accomplish organizational goals. Recognizes and capitalizes on improvement opportunities; evaluates recommendations made; influences the completion of project tasks by others.

Participates in the creation and review of legal documents by: preparing, drafting, creating, and reviewing training materials, complex written legal advice, contracts, policies and procedures, and other documents, as needed; and reviewing and providing in-depth actionable guidance to clients and other legal professionals (e.g., paralegals, and legal assistants).

Performs and analyzes legal research by: leveraging in-depth and advanced knowledge to interpret and review legal documents (e.g., contracts, memoranda, and policies); analyzing judicial decisions as well as statutory/regulatory authority; addressing complex research issues including but not limited to federal and state laws, rules, and regulations, accreditation standards, and/or other applicable guidance; escalating highly complex research issues to other senior-level attorneys as needed; and identifying patterns and trends impacting legal questions or issues and communicating legal research findings, and legal analysis to senior counsel and business stakeholders, escalating complex research issues to other senior-level attorneys as needed.

Assesses legal risk and/or provides legal guidance by: applying advanced and in-depth knowledge of legal principles, business risks, regulatory landscape, and compliance considerations that have a significant impact on the organization; proposing solutions that mitigate legal risks, drive business strategy, and facilitate cost efficiencies; providing legal advice, risk assessments, and/or case recommendations to senior level attorneys and or business leadership; consulting, managing, and overseeing outside counsel on legal matters; and providing guidance to paralegals and other legal professionals.

Contributes to legal planning and strategy by: identifying and providing strategic solutions to complex issues, escalating highly complex legal issues as needed; and guiding the creation of product, network, business, and/or clinical strategies as well as supporting responses to regulatory actions (e.g., audits and enforcement actions),with review by more senior-level attorneys.

Minimum Qualifications:
  • Juris Doctorate (JD) or equivalent (e.g., Legum Baccalaureus [LLBs], Legum Magister [LLMs], and Postgraduate Certificate in Laws [PCLLs]) AND minimum five (5) years of related legal experience as an attorney.
  • Minimum one (1) year of experience in a leadership role (e.g., leading projects, significant matters, and/or workstreams) with or without direct reports.

Additional Requirements:
Knowledge, Skills, and Abilities (KSAs): Change Management; Written Communication; Confidentiality; Contract Law; Deadline Oriented; Business Relationship Management; Conflict Resolution; Consulting; Interpersonal Skills; Managing Diverse Relationships; Relationship Building; Legal And Regulatory Requirements; Legal Counsel; Legal Documentation; Legal Process; Legal Research; Risk Assessment; Service Focus; Big-Picture Thinking; Discretion; Stress Tolerance; Microsoft Office; Presentation Skills; Legal Risk Management; Personal Courage; Legal Acumen; Legal Record Platforms; Company Representation; Legislation Awareness; Investigations Management

Preferred Qualifications:
  • Two (2) years of experience in a leadership role (e.g., leading projects, significant matters, and/or workstreams) with or without direct reports.
  • Two (2) years of experience providing legal advice to leadership (e.g., Director level and above)