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Assistant General Counsel (Full-Time Remote, North Carolina Based)

Role overview

Qualifications

  • Juris Doctorate from an ABA-accredited law school and licensed to practice law in North Carolina.
  • Minimum 5 years of applicable legal experience, including representing state agencies or local governments, with knowledge of Medicaid, healthcare, and publicly funded healthcare services.
  • Strong legal research, analysis, drafting, and memo-writing skills; ability to communicate conclusions clearly in oral and written form; ability to work independently under supervision.
  • Willingness to reside in North Carolina, travel to court appearances in Eastern North Carolina, and onsite work at Alliance offices as needed.

Responsibilities

  • Provide legal support across contracts necessary to Alliance functions, including drafting, negotiating, and advising on Medicaid and State contracts, provider contracts, delegated services agreements, and administrative contracts, with emphasis on NC Medicaid 1115 and 1915(b/c) waiver compliance.
  • Mitigate legal risk by delivering day-to-day legal advice, establishing relationships with Alliance departments, creating training resources, performing legal research, drafting memos, reviewing investigations, and presenting trainings.
  • Represent Alliance in litigation and quasi-judicial settings (Office of Administrative Hearings, EEOC, and state/federal courts); perform research, develop case strategy, and conduct civil/administrative litigation.
  • Collaborate with external stakeholders, support consumer relations, and maintain accessibility to Alliance's interests while avoiding external legal practice; participate in collaborations with judicial and healthcare bodies as needed.

About the company

Alliance Health logo

Alliance Health

Health Insurance (Payers)

Alliance Health manages the public mental health, intellectual/ developmental disability, and substance abuse services for over 230,000 Medicaid-eligible citizens within a total population of 1.8 million in Cumberland, Durham, Harnett, Johnston, Mecklenburg, Orange, and Wake counties. Alliance's vision is to be a leader in North Carolina in transforming the delivery of whole-person care in the public sector. This vision guides us on our mission to improve the health and well-being of the people we serve by ensuring highly effective, community-based support and care. Further shaping our work are our core organizational values of accountability and integrity, collaboration, compassion, dignity and respect, and innovation. Alliance manages a diverse network of over 2300 private service providers and strives to ensure a dynamic, collegial workplace that provides opportunities for growth, success, and job satisfaction for its 800+ professional staff. Alliance has received full Health Network, Health Utilization Management, and Health Call Center accreditation from URAC.

Company details

Company typeSME
IndustryHealth Insurance (Payers)
Company size1001 - 5000

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Job description

The Assistant General Counsel is responsible for performing a full range of legal services in support of Alliance as a member of the Alliance Office of Legal and Public Affairs. The work of the Assistant General Counsel will serve to mitigate legal risk to the organization through practice in a variety of legal areas pertinent to Alliance’s mission and to do so with a measured approach to utilization of outside counsel.   

This position is full-time remote. Selected candidate must reside in North Carolina and be willing to travel to court appearances in the Eastern part of the state as needed. Additionally, job duties may require selected candidate to be onsite at Alliance’s offices, judicial forums, and other community locations as needed.

Responsibilities & Duties

General Legal Support

  • Provide legal support to Alliance in all contracts necessary to Alliance functions including drafting, negotiating and advising on contracts such as Medicaid and State contracts, provider contracts, delegated services agreements, administrative contracts and others.  Primary emphasis will be on all aspects of contract compliance with the North Carolina Medicaid 1115 and 1915 b/c waiver.  
  • Mitigation of legal risk to the organization by providing sound and competent day to day legal advice under the supervision of the Deputy General Counsel in a variety of legal areas pertinent to Alliance’s mission and to do so with a measured approach to utilization of outside counsel.   Establish stable working relationships with assigned Alliance departments to facilitate access to legal advice, review and advise on needed changes to agency and departmental practices, create training resources as needed, all with the objective to mitigate legal risk to the organization. Perform legal research and analysis, gather and analyze information; write legal memos and papers; draft responses; review investigative reports, processes and related documentation as needed and may be required to make presentations and trainings to employee groups, provider and/or member groups and other external stakeholders such as advocacy and judicial organizations. Represent Alliance’s legal interests by participating in collaborations with external stakeholders such as judicial and healthcare bodies and supporting consumer relations. Alliance attorneys are expected to be accessible to Alliance as needed and to the exclusion of any other clients.  Alliance attorneys are prohibited from engaging in the practice of law on behalf of clients external to Alliance. Alliance attorneys are expected to be accessible to Alliance as needed and to the exclusion of any other clients. Alliance attorneys are prohibited from engaging in the practice of law on behalf of clients external to Alliance.
  • The attorney is expected to make complex legal decisions that have impacts agency wide.  Work is for the most part done autonomously; the attorney must have the ability to work independently and be dynamic. The work is dynamic and fast paced.

Litigation

  • Represent and defend Alliance in all stages of legal challenges including quasi-judicial settings such as the Office of Administrative Hearings, EEOC and courts of competent jurisdiction, such as State and Federal courts of both original and appellate jurisdiction.  Possess and maintain a working knowledge of governmental and public sector law, Medicaid, health regulations. knowledge of judicial and quasi-judicial procedures regarding the rules of evidence; ability to perform legal research in accordance with initial guidance as to methods of approach, source materials available, ability to understand and interpret constitutional provisions, statutes, administrative regulations, and precedents; ability to analyze facts, evidence, and legal instruments; ability to express conclusions and arguments clearly and logically in oral and written form. 
  • Review and determine the merits of a case; develop a case strategy, perform research to prepare for litigation, and conduct civil and administrative litigation. Legal research activities involve the review of the case, determination of its merits and points of law, analysis of pertinent statutory and case law, analysis of administrative and procedural rules, and development of legal arguments. 
  • Communicate with others outside of the organization, exercising participative management and negotiation skills that support agency strategy and organizational goals.

Knowledge, Skills, & Abilities

  • Knowledge of case, statutory, regulatory, and common law
  • Knowledge of judicial and quasi-judicial procedures regarding the rules of evidence
  • Knowledge of the rules of evidence
  • Ability to perform legal research in accordance with initial guidance as to methods of approach, source materials available, and policy and precedent of the office
  • Ability to understand and interpret constitutional provisions, statutes, administrative regulations, and precedents
  • Ability to analyze facts, evidence, and legal instruments
  • Ability to express conclusions and arguments clearly and logically in oral and written form
  • Ability to maintain effective working relationships

Required Experience

Juris Doctorate from an ABA-accredited law school and licensed to practice law in NC.

At least 5 years of applicable legal experience. Legal experience representing state agencies or local governments; Knowledge and experience with State and Federal laws, rules and regulations governing Medicaid, Healthcare, Managed Care operations and/or publicly funded healthcare services.

Management Preferences

Management prefers applicants with experience in judicial settings and with judicial stakeholders in and around Johnston, Harnett, and Cumberland counties.

Management prefers applicants with Medicaid law experience and experience representing governmental entities.

Clinical or healthcare law experience is also preferred

Employment for this position is contingent upon a satisfactory background check and credit check, which will be performed after acceptance of an offer of employment and prior to the employee's start date. 

Salary Range

$101,764 -$129,749/ Annually

Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.  

 An excellent fringe benefit package accompanies the salary, which includes:    

  • Medical, Dental, Vision, Life, Long and Short Term Disability
  • Generous retirement savings plan
  • Flexible work schedules including hybrid/remote options
  • Paid time off including vacation, sick leave, holiday, management leave
  • Dress flexibility

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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