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Associate General Counsel

$220k - $260k

SCAN Health Plan

  • # Associate General Counsel, HealthcareApply: Long Beach Office 3800: Full time: Posted Yesterday: JR3587Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do.Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults.Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity.At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.**About SCAN**SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 500,000 members in California, Arizona, Nevada, Oregon, Washington and Texas. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit or follow us on LinkedIn; Facebook; and Twitter.**The Job**The Associate General Counsel, Healthcare will serve as legal counsel to SCAN’s care delivery organizations, including Healthcare in Action, myPlace Health, Welcome Health, Embrace, and other affiliated care delivery entities, while also providing healthcare regulatory and transactional support to SCAN Group and SCAN Health Plan. Reporting to the Deputy General Counsel, this role will function as the primary legal point of contact for assigned care delivery businesses, providing practical, business-oriented advice on operational, regulatory, contracting, governance, and strategic matters, and coordinating support from other members of the Legal Department as needed. The work is varied and complex, requiring a high degree of discretion, flexibility, and independent judgment, and is done with the highest level of ethics and integrity.The candidate is an excellent communicator, an enthusiastic and curious learner, and can work autonomously on a variety of assignments and projects in a fast-paced, high-volume environment. The Associate General Counsel should possess a strong drive for excellence, attention to detail, an ability to adapt to change, and a “can do” positive attitude. Extensive experience advising medical groups, provider organizations, and other care delivery organization, together with strong healthcare regulatory and contracting expertise.**You Will**Serves as primary legal counsel and strategic advisor to SCAN’s care delivery organizations, including Healthcare in Action, myPlace Health, Welcome Health, Embrace, and other affiliated provider and care delivery entities. Acts as the principal legal point of contact for business leaders, providing practical advice on operational, regulatory, contracting, governance, and strategic matters, and coordinating with other members of the Legal Department as necessary to ensure appropriate legal support.Provides legal and regulatory counsel regarding medical group, provider, and integrated care delivery operations, including physician and advanced practice clinician contracting, professional services arrangements, corporate practice of medicine, fee-splitting, provider compensation models, credentialing, delegation, risk-bearing and value-based care arrangements, licensure and scope-of-practice requirements, and other federal and state laws applicable to healthcare providers, medical groups, IPAs, PACE organizations, and risk-bearing entities.Drafts, reviews, negotiates, and advises on a broad range of contracts, including provider, payer, value-based care, risk-sharing, pharmacy, PBM, vendor, professional services, and strategic partnership agreements.Advises on federal and state healthcare laws and regulations on issues relating to managed care organizations and medical group operations, federal and state healthcare laws (e.g., Stark Law, Anti-Kickback Statute, HIPAA, licensing, scope of practice), PACE programs, Medicare, Medicaid, telehealth, etc.Actively oversees and manages outside counsel, including setting case strategy, reviewing work product, and managing legal spend to ensure cost-effective, high-quality results.Acts independently to provide well-informed and timely legal advice on a variety of complex and sensitive healthcare matters.Monitors and researches market and industry trends of interest to the organization in connection with its business activities. Anticipate changes impacting operations, notifies management and recommend preparatory actions. Works collaboratively with a broad range of stakeholders throughout the organization to develop and maintain strong relationships with SCAN business units and affiliates.We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.Actively support the achievement of SCAN’s Vision and Goals.Other duties as assigned.**Your Qualifications**Juris Doctor from a top-tier, ABA-accredited law school. Active membership in good standing with the California State Bar, or eligibility to practice as Registered In-House Counsel (RIHC) required. Minimum 8 years of relevant legal experience at a top-tier law firm. Experience may be a combination of top-tier firm and in-house at an established legal department. Significant experience advising healthcare providers, medical groups, integrated care delivery organizations, risk-bearing entities, and/or managed care organizations is required. Strong working knowledge of physician contracting, professional services arrangements, corporate practice of medicine, fee-splitting, provider compensation models, scope-of-practice requirements, licensure, delegation, and other laws governing healthcare providers and care delivery organizations is required. Strong knowledge of federal and state healthcare regulatory requirements, including healthcare fraud and abuse laws, and related healthcare compliance frameworks is required. Experience negotiating and advising on provider, payer, health system, value-based care, risk-sharing, management services, and other complex healthcare agreements is preferred. Experience serving as counsel to a medical group, provider organization, IPA, ACO, PACE organization, FQHC, health system, or other care delivery entities are highly desirable. Demonstrated ability to provide practical legal advice directly to executive leadership and business stakeholders on complex regulatory, operational, and strategic matters. Strong drafting, negotiation, analytical, project management, and relationship management skills required. **What's in it for you?*** Base Pay Range: $220,000-$260,000, Salary + Incentive Plan* Work Mode: Mostly Onsite- reporting Tuesdays, Wednesdays and Thursdays to SCAN’s HQ* An annual employee bonus program* Robust Wellness Program* Generous paid-time-off (PTO)* 11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days* Excellent 401(k) Retirement Saving Plan with employer match* Robust employee recognition program* Tuition reimbursement* An opportunity to become part of a team that makes a difference to our members and our community every day! We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now! At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more. SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.#LI-JA1 #LI-Hybrid
  • J-18808-Ljbffr SCAN Health Plan

Vacancy posted 3 days ago
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