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DESCRIPTION OF MARKET AREA/SCOPE

This position will: (1) have primary accountability for providing legal advice on care delivery matters in Kaiser Permanente’s Mid-Atlantic Market and Georgia Market; (2) provide hospital and ambulatory support in California; and (3) provide legal support to national functions, including support of pharmacy and other ancillary care operations. This position will join the Hospital Operations and Care Delivery Legal Team and also provide support to the Continuum Care, Revenue Management & Strategic Initiatives Legal Team.

Job Summary:

This position is also responsible for leading KP legal advice to senior leaders on compliance with highly dynamic, technical and complex federal and state laws and regulations in a constantly evolving industry landscape; developing legal strategy for support of significant KP strategic initiatives; directing legal support of the completion and filing of complex and highly significant regulatory responses and other government submissions as needed; directing and/or advising on high priority internal investigations or government inquiries; fostering collaborative relationships among senior leaders and stakeholders to advance Kaiser Permanentes mission; and synthesizing highly complex legal concepts and providing strategic insights regarding federal and state statutes and regulations affecting health plan and care delivery operations

Essential Responsibilities:

• Participates in the creation, review, and negotiation of legal documents by: preparing, drafting, creating, and reviewing highly complex and nuanced written legal advice, contracts, and/or other documents related to subject matter expertise; overseeing work product of others; and providing highly technical, expert and actionable guidance to clients and other legal professionals (e.g., legal counsel, paralegals, and legal assistants).

• Performs and analyzes legal research by: performing or managing highly complex research and analyses of case law and statutory/regulatory authority including but not limited to federal and state laws, rules, regulations, accreditation standards, and/or other applicable guidance; analyzing highly complex industry patterns and trends impacting legal questions or issues; and effectively synthesizing and communicating legal research findings and legal analysis to cross-functional senior business stakeholders to inform program-wide strategy and critical business decisions.

• Assesses legal risk and/or provides legal guidance by: applying expert knowledge of legal principles, business risks, regulatory landscape, and compliance considerations to provide legal advice and recommendations on matters highly critical to the organization; leading legal strategies for senior business stakeholders and implementing innovative solutions that mitigate legal risks, drive program-wide business strategy, and further advance Kaiser Permanentes mission; managing and overseeing outside counsel on highly technical and complex legal matters; effectively collaborating with other attorneys to leverage and share expertise and resources in a highly matrixed environment; and overseeing junior-level attorneys and other legal professionals or guiding more junior attorneys in their area of expertise, and as appropriate.

• Contributes to legal planning and strategy by: formulating and managing legal strategy for the implementation of significant and innovative solutions to unique issues; driving the resolution of highly complex legal issues through collaboration among legal colleagues and stakeholders; advising senior stakeholders on health plan and/or care delivery business and/or clinical strategies; engaging with regulatory services and government relations on Kaiser Permanentes advocacy strategies to address legislative, regulatory and litigation risk; and managing, leading, or guiding responses to regulatory actions as appropriate for practice areas (e.g., audits and enforcement actions).

Basic Qualifications:

Experience

• Minimum of five (5) years of experience in health care law.

• Minimum ten (10) years of experience as a practicing lawyer.

Education

• Juris Doctorate (JD) or equivalent (e.g., Legum Baccalaureus [LLBs], Legum Magister [LLMs], and Postgraduate Certificate in Laws [PCLLs])

License, Certification, Registration

• State Bar License (California)

  OR

• State Bar License (from any State where KP does business) AND State Bar License (California) within 24 months of hire

• State Bar License (California)

Additional Requirements:

• N/A

Preferred Qualifications:

• One (1) year of experience working on highly complex remediation and/or compliance projects

• Two (2) years of managed care/health insurance experience (for health plan regulatory applicants).

• Two (2) years of experience advising hospitals, health systems and/or provider networks (for hospital and care continuum applicants).

• Four (4) years of experience working with or representing managed care organizations that provide services to enrollees of government programs (e.g., Medicare or Medicaid).

**This position has a target base salary of $234,000 to $292,500 and is eligible for incentive compensation, comprehensive health, wellness, time off, savings, and retirement benefits, as well as relocation support, as applicable.

** Can Work Remote while residing in one of these areas - California; Atlanta, GA and Rockville, MD.

COMPANY: KAISER

TITLE: Senior Counsel, Health Care / Regulatory

LOCATION: Oakland, California

REQNUMBER: 1320575

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.