Senior Principal, Associate General Counsel, Appeals & Grievances
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Senior Principal, Associate General Counsel, Appeals & Grievances
About the Role
Greater Oakland, CA Area (Hybrid - Headquarter location)(Oakland, California)
The Company is seeking an Associate General Counsel, Sr. Principal to join their Medical Care Solutions team. The successful candidate will be responsible for supporting the Appeals and Grievances Department in interactions with state regulators, particularly in cases related to member appeals of health plan denials. This role involves legal research, analysis of applicable laws and regulations, and the development of policies and procedures to enhance customer service outcomes. The Associate General Counsel will also be expected to meet with state regulators, lead discussions on legal issues, and provide support to senior attorneys as needed. Applicants must have a Juris Doctorate degree from an accredited law school, be an active member of the California bar or have Registered In-House Counsel status, and have a minimum of 5 years of relevant legal experience. The role requires excellent communication, relationship-building, and independent judgment skills, as well as the ability to work with minimal supervision in a highly regulated environment. Proficiency in Microsoft Office is essential, and a combination of law firm, in-house counsel, and state regulator experience is preferred. The ideal candidate will be adept at influencing policies and procedures, and be committed to the values of honesty, humanity, and courage in their work.
Functions:
- Legal
Compensation
USD $192,720-$311,612 (salary) per year
About the Company
Large regional health insurance provider
Industry
Insurance
Type
Non Profit
Age
employees
5001-10,000
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