Looking for a way to make an impact and help people?
Join PacificSource and help our members access quality, affordable care!
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.
Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths.
Position Overview
Serve as associate legal counsel on internal and external affairs for PacificSource and its subsidiaries and affiliates. Review and recommend appropriate action based on legal principles, case histories, regulations, statutes, and laws governing the insurance industry. Serve as an in-house resource to internal staff on points of law related to specific functional areas of the company, and recommend other resources as needed. Work with Deputy General Counsel and/or Chief Legal & Risk Officer on issues relating to negotiation and mediation services and represent PacificSource in litigation.
Essential Responsibilities:
- Assist in organizing and directing the organization’s legal activities to protect the organization’s interests from a legal perspective.
- Provide advice and counsel in reference to relations with municipal, state and federal bureaus, departments, and agencies.
- Assist with any legal action on behalf of the company and defend the organization in any legal action initiated against it.
- Within assigned responsibility, negotiate agreements with representatives of insureds who exhaust the appeals process. Work with internal representatives prior to litigation as needed to explore alternative settlement options.
- Review internal policies and documents to ensure compliance with relevant state, federal, and local laws, and assist with and/or develop policies and documents as necessary and appropriate.
- Provide advice and counsel to internal clients on impacts of new laws, regulations, and caselaw.
- Provide advice and counsel to organization executives on the legal aspects of activities within their assigned areas such as provider network, product development, finance, human resources, taxes, insurance, service, and trademarks, and the acquisition, protection, and disposal of real and personal property and businesses.
- Analyze developing trends in legal areas such as legislative issues, statutes, and decisions, ERISA, PPACA, Medicare, and Medicaid.
- Responsible to assist with development, implementation, and communication of department programs.
- Assist in the development of annual department budgets. Monitor spending versus the planned budgeted throughout the year and take corrective action where needed.
- Responsible to participate in process improvement work and working with other departments to improve interdepartmental processes. Utilize lean methodologies for continuous improvement.
- Actively participate as a key team member in Manager/Supervisor meetings.
- Actively participate in various strategic and internal committees in order to disseminate information within the organization and represent company philosophy.
Supporting Responsibilities:
- Meet department and company performance and attendance expectations.
- Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
- Perform other duties as assigned.
SUCCESS PROFILE
Work Experience:
JD or JD candidate for Oregon Bar. Minimum of five years of previous legal work experience. General knowledge of insurance, litigation, regulatory compliance, employment, contracts, and business practices required. Prior healthcare industry experience a plus.
Education, Certificates, Licenses:
JD, Member of a State Bar Association. Licensed to practice law in the State of Oregon; or pass the Oregon State Bar examination within 9 months of employment. Licensure in Idaho and/or Montana a plus.
Knowledge:
Requires excellent verbal and written communication skills, including the ability to communicate sensitive issues with all levels of employees and management. Ability to read, analyze, and interpret documents, schedules, reports, budgets, and correspondence. Ability to develop presentations and reports. Ability to effectively present information and respond to questions from a variety of groups, including staff, management, boards of directors, employees, and vendors. Must be a versatile, business-minded individual. Ability to prioritize multiple urgent demands and work under pressure with a high attention to detail and quality in the work product. Established success in participating in a team-oriented work environment.
Competencies:
- Building Trust
- Building a Successful Team
- Aligning Performance for Success
- Building Partnerships
- Customer Focus
- Continuous Improvement
- Decision Making
- Facilitating Change
- Leveraging Diversity
- Driving for Results
Environment:
Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately less than 5% of the time.
Skills:
Accountable leadership, Communication, Data-driven & Analytical, Delegation, Listening (active), Situational Leadership, Strategic Thinking
Our Values:
We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
- We are committed to doing the right thing.
- We are one team working toward a common goal.
- We are each responsible for customer service.
- We practice open communication at all levels of the company to foster individual, team and company growth.
- We actively participate in efforts to improve our many communities-internally and externally.
- We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
- We encourage creativity, innovation, and the pursuit of excellence.
Physical Requirements:
Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer:
This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
#J-18808-Ljbffr
