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Community Health Plan of Washington Associate Counsel I - Hybrid, Seattle in Seattle, Washington

Working Each Day to Make a Difference

At Community Health Plan of Washington, we're driven by our belief that everyone deserves access to quality health care.

More than 25 years ago, we made a commitment to improve the health of our communities by making quality health care accessible to all Washington state residents.

We continue that pledge today by providing affordable comprehensive coverage to more than 315,000 individuals and families throughout the state.

  • We are a local not-for-profit health plan in Washington State.
  • We are committed to keeping Washington families healthy.
  • We connect our communities to the health resources they need.
  • We provide access to high-quality care for our members.
  • We connect and empower our members through technology.
  • The Community Health Centers we partner with strive to support members with a comprehensive mix of medical resources in one convenient location.
  • Our partnerships with Community Health Centers and our extended provider network help us improve the health care delivery system.

To learn more about how you can make a difference working at Community Health Plan of Washington, visitwww.chpw.org{rel="nofollow"}.

 

Associate Counsel I

This is a hybrid role expected to maintain a regular in-office presence in Seattle, Washington at least two days per week.

[POSITION PURPOSE:]{.underline}

The Associate Counsel I is responsible for providing legal advice and counsel to divisions within the organization in support of CHPW's Medicaid and Medicare managed care plans. The primary purpose of this position is to help ensure that the organization complies with all relevant laws, regulations, and contractual requirements and to protect the organization's reputation and business interests.

[PRINCIPAL DUTIES:]{.underline}

  • Provide day-to-day legal advice on a wide range of Medicaid and Medicare managed care matters to functional area leaders to ensure their activities, policies, business practices, and transactions comply with all relevant laws, regulations, and contractual requirements.
  • Provide legal services on a variety of aspects of health plan operations, including vendor contracting, information technology, appeals and grievances, regulatory matters, human resources, and compliance, among others.
  • Review and/or draft new or modified policies, procedures, contracts, and other documents.
  • Conduct legal research and communicate recommended courses of action to ensure appropriate compliance with existing laws and regulations. Other duties as assigned.
  • Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion.

[QUALIFICATIONS:]{.underline}

[Education]{.underline} & [Prior Related Experience]{.underline}:

  • Have a Juris Doctor Degree (JD) from ABA accredited law school.
  • Are licensed to practice law by the bar of at least one state, preferably in Washington (or ability to waive in or gain admission in Washington)
  • Have two (2) years of experience in a law firm, health insurer, hospital, or similar organization; and have experience providing legal advice and counsel concerning managed care Medicaid and Medicare issues.

[Employment Eligibility:]{.underline}

  • Candidate has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency.
  • Complete and successfully pass a criminal background check.

[Knowledge, Skill]{.underline}

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