CareFirst Careers

Assistant General Counsel I

Resp & Qualifications

PURPOSE:  CareFirst, Inc. and its affiliates (“CareFirst”) is a family of mission-driven nonprofit health insurers serving more than 3.2 million members in Maryland, the District of Columbia, and Northern Virginia. CareFirst seeks to add two skilled attorneys to its legal team.  CareFirst seeks a proactive business partner who will learn and understand both business and regulatory requirements to achieve novel solutions and assist in serving the Company’s mission while preventing problems before they arise.  The level of the position and compensation offered will be commensurate with experience. 

CareFirst is seeking candidates with experience counseling large organizations in one or more of the following areas;

  • Health insurance regulatory issues at the state level, with particular focus on Maryland, the District of Columbia, or Virginia.  Other state-level regulatory and/or legislative health-care related experience also may be considered.
  • Pharmaceutical pricing, contracting, and distribution as it relates to health care payers, particularly the negotiation and implementation of pharmacy benefits management contracts and programs, and related state and federal regulation.
  • Medical care and clinical issues in an insurance and payer setting, particularly including mental health parity and related federal and state regulation.
  • Federal health program experience, with a particular focus on Medicare Advantage plans, and State Medicaid programs.

In addition to this experience and the skills identified below, the successful candidate will demonstrate the key features required for success on the CareFirst team, including the ability to work well in a fast paced, collaborative environment, the ability to fully understand complex legal and business issues and clearly communicate on legal aspects pertaining to them, intellectual curiosity and flexibility, and emotional maturity.  Counsel should have demonstrated ability to counsel and communicate with senior executive management in a large, fast paced organization.

The essential duties and responsibilities include, but are not limited to, the following:  

1. Strategic Legal Counseling.  Provides advice, strategic direction and guidance, directly to senior management and/or their designees on all legal issues affecting the Division(s) to which assigned and assists in development of business strategies within legal constraints.  Evaluates divisional initiatives and represents the Corporation’s legal interests on intercompany management.

2. Legal Advice.  Provides written and oral advice directly to senior management and/or their designees in complex and rapidly evolving areas of the law.  Analyzes and provides legal guidance on a wide range of regulatory, contractual, compliance and operational matters, including the interpretation and implementation of legislation.  Provides clear, succinct, and “actionable” written advice to key executive stakeholders that reflects full understanding of the pertinent operations of the Division(s) to which assigned. Renders legal guidance to counsel supporting other Divisions in specialized areas of expertise.

3. Contract Drafting and Negotiation.  Provides advice and counsel to senior management and/or their designees on contractual matters, including issues arising from alliances and partnerships with, and investments in, start-up and established companies.  Provides strategic analysis of available alternatives and associated legal risks.  Drafts, analyzes, and negotiates contracts and complex agreements involving multiple companies and significant financial resources with outside vendors.   Represents the Company in disputes and/or negotiations arising from contractual relationships and/or performance.

4. External Representation.  Represents the Corporation’s legal interests by interfacing with opposing counsel and regulatory agencies on issues having significant impact on company operations and/or finances.  Supports clients in managing communications with external parties in areas of conflict.  Builds and maintains key regulatory relationships related to matters that primarily affect the Division assigned.  Represents the company on legal issues arising from regulatory investigations, subpoenas, or external audits. 

SUPERVISORY RESPONSIBILITY:  This individual may supervise Paralegals/Legal Assistants, Legal Secretaries and/or Administrative Assistants and may provide guidance to less experienced attorneys.  This individual in addition will have matrix management responsibilities with respect to cross-functional projects and work performed by individuals employed in other areas.

QUALIFICATION REQUIREMENTS:
Required:  Admission to the MD bar within one year of hire date.  Juris Doctor Degree (J.D.) is required. For the position of Assistant General Counsel I / II, at least 5 to 8 years of legal experience will be required. At least
3 of the years of required experience must be as an attorney representing clients in health care, insurance, health related technology, or related field for the Assistant General Counsel II position.


Abilities/Skills:  This position demands strong analytical, interpersonal, and written and verbal communication skills.  This individual must have the ability to follow instructions, to be flexible/versatile, and to work independently.  Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time.  Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence.  Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.  Experience and knowledge in the areas to be supported is essential.

Preferred:  Demonstrated expertise in advising clients in a complex regulatory environment.  Demonstrated leadership within a legal department or organization. 

Department

Department: Office of Corporate Counsel I

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.  It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Hire Range Disclaimer

Actual salary will be based on relevant job experience and work history.

Where To Apply

Please visit our website to apply: www.carefirst.com/careers

Closing Date

Please apply before: 8/15/2019

Federal Disc/Physical Demand

Note:  The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position.  Occasional walking or standing is required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The associate must frequently talk and hear.  Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

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