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SCAN

Not-for-profit Medicare Advantage plan for seniors

Associate General Counsel

Legal Counsel & Legal SupportConfirmed live in the last 24 hours
Full-timeLong Beach, CA, USA

About the Job

Requirements

  • Juris Doctor from a top-tier, American Bar Association-accredited law school.
  • Active membership in good standing with the California State Bar, or eligibility to practice as Registered In-House Counsel.
  • Minimum 8 years of relevant legal experience, which may be a combination of top-tier firm and in-house experience at an established legal department.
  • Substantial civil litigation experience, including arbitration and administrative proceedings.
  • Ability to directly represent SCAN in administrative hearings and smaller litigation and arbitrations.
  • Strong organizational skills and the ability to multitask.
  • Strong analytical and critical thinking skills.
  • Ability to collaborate as a team player, adapt to change, master new skills, and assume additional responsibilities as needed.
  • Professional demeanor needed to work with individuals at all levels throughout the organization.
  • Practical, business-oriented judgment and the ability to work effectively in a fast-paced team environment while balancing competing priorities.
  • Ability to maintain confidentiality appropriately.
  • Mission-driven and ethical.

Responsibilities

  • Manage and provide strategic direction on all phases of litigation, including labor and employment, provider reimbursement, vendor disputes, and general liability disputes.
  • Directly represent SCAN in administrative proceedings and some arbitrations or litigation.
  • Draft, review, advise on, and negotiate contracts for vendors, providers, payors, and grants.
  • Conduct internal investigations into compliance, regulatory, employment, and operational matters, including coordinating fact finding, preparing investigative reports, and partnering with outside counsel.
  • Perform legal research and provide legal and regulatory counsel on health plan and medical group operations and federal and state healthcare laws, including the Stark Law, Anti-Kickback Statute, HIPAA, licensing, scope of practice, PACE programs, Medicare, Medicaid, and telehealth.
  • Oversee and manage outside counsel, including setting case strategy, reviewing work product, and managing legal spend.
  • Provide independent, well-informed, and timely legal advice on complex and sensitive matters.
  • Monitor and research market and industry trends relevant to the organization's business activities.
  • Anticipate operational changes, keep management informed of developments, and recommend preparatory actions.
  • Collaborate with stakeholders throughout the organization to develop and maintain relationships with SCAN business units and affiliates.
  • Support the achievement of SCAN's vision and goals.
  • Perform other duties as assigned.

Desired Qualifications

  • Experience negotiating, drafting, and interpreting complex vendor contracts.
  • Knowledge of federal and state healthcare law related to managed care, Medicare Advantage, HIPAA, Fraud Waste and Abuse, including the Stark Law and Anti-Kickback Statute.

About the Company

SCAN

Not-for-profit Medicare Advantage plan for seniors

SCAN provides health coverage for seniors through Medicare Advantage and offers community programs like Independence at Home and Volunteer Action for Aging. Members enroll in SCAN’s Medicare Advantage plan to receive medical benefits, and SCAN also runs in-home care and community services that support aging in place, funded by the organization and partners. It differentiates itself as a not-for-profit with a long history (since 1977) focused on seniors and caregivers and backed by strong employee benefits and community engagement. The goal is to help seniors stay healthy and independent by improving access to care and strengthening the communities the organization serves.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Long Beach, CA
Founded
1977

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