This position is responsible for providing legal services to all areas of the company (which includes Louisiana Health Service & Indemnity Company d/b/a Blue Cross and Blue Shield of Louisiana, HMO Louisiana, Inc., Southern National Life Insurance Company, Inc., and Southern National Marketing Company, Inc.), with responsibilities as assigned by legal department management according to the skills of the incumbent.
Nature and Scope
This role does not manage people
This role reports to this job: CORPORATE CONTRACTS SPECIALIST COUNSEL
Necessary Contacts: In order to effectively fulfill this position, the incumbent will be in contact with: Senior management, officers of the company, fellow employees, outside counsel, professional associations, governmental entities, regulatory agencies, and consultants.
J.D. required. Eligible to practice law in Louisiana. Admission to Louisiana Bar or limited admission to Louisiana Bar as in house counsel required within twelve months of hire date .
Minimum of five years’ experience in the practice of law, with at least two years in the insurance or healthcare industry, is required.
Must have health law experience.
Experience can run concurrently.
Skills and Abilities
Must have broad legal knowledge, extending beyond the insurance legal and regulatory fields.
Must have excellent organizational skills.
Must have excellent organizational and oral and written communication skills.
Must be self-motivated and have the ability to motivate others. Must have the ability to work with others. Ability and willingness to take actions necessary to improve departmental performance is necessary.
Must be willing to promote and support department and company projects and strategies.
Licenses and Certifications
Accountabilities and Essential Functions
Performs high level legal research and analysis in numerous areas of law and policy, often involving novel and complex issues, to provide a thorough legal analysis with regard to pending legal issues.
May prepare, negotiate and evaluate contracts and other legal documents associated with transactions for the company, including health care provider services, outsourcing, professional services agreements, delegated entity contracting, administrative services only agreements, reinsurance and stop-loss contracting, risk management and risk sharing agreements, and vendor agreements to contractually mitigate risks and protect the competitive interests of the company.
Advises senior management of the legal ramifications of proposed corporate strategies, resolution of corporate legal issues, and legislative and regulatory developments, to position the company as the preeminent health care company.
May participate in dispute resolution and administrative and medical necessity appeals meetings.
Drafts, edits and analyzes a wide variety of documents, such as legal memoranda, and actively participates in the state and federal regulatory processes to maximize the company’s strategic position in the marketplace.
Additional Accountabilities and Essential Functions
The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions
Perform other job-related duties as assigned, within your scope of responsibilities.
Job duties are performed in a normal and clean office environment with normal noise levels.
Work is predominately done while standing or sitting.
The ability to comprehend, document, calculate, visualize, and analyze are required.