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Lead Legal Counsel

Job Description

We are conducting a search for a Lead Legal Counsel on behalf of one of our subsidiary companies. This subsidiary company is committed to the improvement of how healthcare is accessed and delivered.

About the Role
The Lead Legal Counsel will lead corporate strategic and tactical legal initiatives. In this crucial and dynamic position, you will offer senior leadership insightful legal counsel on corporate strategies and their execution, while ensuring adherence to all applicable laws and regulations. The Lead Legal Counsel will be directly involved in complex business transactions, negotiation of critical contracts, employee matters and supervision of litigation/dispute resolution. The incumbent will be part of a broader Corporate Center legal team and work with other lawyers on some of the above-referenced matters.

Primary Responsibilities

  • Manages the day-to-day activities and responsibilities of the organization’s Law and Compliance Department and its staff.
  • Participates in the development of corporate policies, procedures and programs and provides continuing counsel and guidance on legal matters and on legal implications of all corporate governance, business and compliance matters
  • Serves as primary lawyer/legal advisor on all major business transactions
  • Ensures that each subsidiary conducts its business in compliance with applicable statutory and regulatory mandates of the EEOC, DOL, and other federal and state laws and regulations, including without limitation, ERISA, Affordable Care Act, and HIPAA
  • Oversees procurement and maintenance of all applicable licensees and business registrations across all US states.
  • Advises on legal aspects of each subsidiary, including assessing and advising on current and future business structures and legal entities
  • Analyzes legal and regulatory issues affecting operations; anticipates and identifies legal issues of concern to the Senior Leadership team, develops legal strategies and solutions; provides advice for strategic planning purposes
  • Drafts and reviews, and supervises drafting and review, of contracts and related documents including client, provider, and vendor agreements
  • Negotiates, supervises and provides advice regarding litigation and settlements involving claims by and against the Companies
  • Identifies, oversees and recommends to the organization’s CEO the selection, work and compensation of outside counsel
  • Handles risk management functions including procuring corporate insurance (not limited to E&O, D&O, Excess Liability) to proactively manage the Companies’ risk exposure
  • Integrate with the Corporate Center Legal Department which would include, but not limited to, reporting material legal and compliance issues, conferring on parent company corporate matters such as litigation,  and receiving support as applicable.
  • Maintains professional affiliations to proactively identify strategic and operational risks and issues and keep abreast of developments and trends with the rules and regulations impacting operations

Essential Qualifications

  • Progressively responsible experience in the health care industry to include at least five years of leadership experience and demonstrated track record, preferably in companies providing administrative services to self-insured, commercial and Taft-Hartley health and welfare plans, managed care, provider network contracting, corporate law and risk management.
  • Prior experience in a senior role of a national healthcare law firm and/or General or Deputy General Counsel of a healthcare or health insurance company or third-party administrator of employer and union based health and welfare plans
  • Expertise in ERISA statutory and regulatory compliance matters applicable to self-insured health and welfare plans
  • Experience resolving statutory, regulatory and health benefit compliance issues under federal and state law including but not limited to the Consolidated Appropriations Act (Transparency, No Surprises Act, MHPAEA), ERISA, HIPAA and PPACA, internal and external claims review and Department of Labor regulations
  • Understanding of litigation, corporate transactions, M&A, general law, other legal processes
  • Business acumen, including a well-developed understanding of managed care and the ability to diagnose corporate legal problems and present positive, creative solutions and alternatives
  • Manage responsibilities with an appropriate sense of urgency; the ability to function effectively and efficiently in a fast-paced and dynamic environment
  • Experience resolving conflict and establishing priorities between groups with opposing perspectives and agendas
  • Proficiency with software utilized to manage electronically stored information and experience addressing electronic discovery issues
  • Must be well-organized, hands on, self-directed, confident, and trustworthy
  • Ability to handle long-term and/or complex legal projects with significant financial or other business impact
  • Must also possess excellent interpersonal and communication skills with the ability to brief individuals at all levels of the organization, including top executives and outside counsel, on complex contracting issues

Education and Experience

  • JD degree from an accredited law school, licensed to practice law and at least one state, preferably admitted to the New York and  New Jersey bars
  • 10 years of professional legal experience
  • 5 years of leadership experience

This role will be hybrid, working in New York City metro area offices.

Annual Salary Range: $250,000 - $300,000

The salary range and/or hourly rate listed is a good faith determination that may be offered to a successful applicant for this position at the time of the posting of an advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable by law including but not limited to location, years of relevant experience, education, credentials, skills, budget and internal equity.

#LI-DNI 

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets,  licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. 

*Based on annual corporate goal achievement and individual performance.
 

Average salary estimate

$275000 / YEARLY (est.)
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$250000K
$300000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Lead Legal Counsel, Blue Cross and Blue Shield of North Carolina

Are you ready to take the reins as a Lead Legal Counsel with an innovative subsidiary dedicated to transforming healthcare? At Blue Cross NC, we’re searching for an exceptional legal leader to join our remote team in North Carolina. In this pivotal role, you will spearhead corporate legal initiatives, ensuring that our strategies align seamlessly with legal standards while providing expert guidance on complex transactions and contracts. Your days will involve collaborating with a dynamic legal team, managing the Law and Compliance Department, and advising on critical business matters that impact the organization. Your profound knowledge of healthcare laws, especially ERISA and HIPAA, will be invaluable as you navigate compliance landscapes and protect our interests. You will also have the opportunity to strengthen corporate policies and procedures while overseeing litigation and advising our senior leadership on vital strategic decisions. We’re looking for someone with at least ten years of professional legal experience and a track record of success in the healthcare industry. A JD degree from an accredited law school is essential, along with a solid understanding of corporate law and risk management. If you thrive in fast-paced environments and have impeccable negotiation skills, we encourage you to apply for this fantastic opportunity to shape the future of healthcare services!

Frequently Asked Questions (FAQs) for Lead Legal Counsel Role at Blue Cross and Blue Shield of North Carolina
What are the primary responsibilities of the Lead Legal Counsel at Blue Cross NC?

As the Lead Legal Counsel at Blue Cross NC, your primary responsibilities will include managing day-to-day activities of the Law and Compliance Department, advising on legal implications of corporate governance, and providing counsel on major business transactions. You will oversee contract drafting and review, manage litigation matters, and ensure compliance with relevant regulations such as ERISA and HIPAA, making sure our subsidiaries adhere to all legal requirements.

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What qualifications are necessary for the Lead Legal Counsel position at Blue Cross NC?

The ideal candidate for the Lead Legal Counsel position at Blue Cross NC should have a JD degree and be licensed to practice law. You should possess at least ten years of professional legal experience, including five years in a leadership role within the healthcare sector. Expertise in ERISA compliance, corporate law, and a strong understanding of healthcare regulations is essential to successfully navigate the complexities of this role.

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How does the Lead Legal Counsel at Blue Cross NC contribute to corporate strategy?

The Lead Legal Counsel at Blue Cross NC plays a crucial role in shaping corporate strategy by providing insightful legal counsel to the senior leadership team. By identifying legal risks, advising on compliance issues, and developing strategic legal solutions, you help ensure that the organization's strategies align with regulatory requirements, ultimately supporting Blue Cross NC's mission to improve healthcare access and delivery.

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What experience is preferred for the Lead Legal Counsel role at Blue Cross NC?

Preferred experience for the Lead Legal Counsel role at Blue Cross NC includes a demonstrated track record in a senior position at a national healthcare law firm or as General Counsel for a healthcare organization. Candidates should have experience dealing with statutory and regulatory compliance, particularly involving self-insured health and welfare plans, managed care, and corporate transactions, which are vital to supporting organizational objectives.

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What is the compensation range for the Lead Legal Counsel position at Blue Cross NC?

The compensation range for the Lead Legal Counsel position at Blue Cross NC is between $250,000 and $300,000 annually. This range reflects a fair determination based on factors such as experience, education, and skills. Additionally, Blue Cross NC offers a comprehensive benefits package, including performance-based bonuses, health benefits, and a 401(k) plan with employer match, ensuring a competitive and supportive employment experience.

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Common Interview Questions for Lead Legal Counsel
Can you describe your experience with ERISA and HIPAA compliance?

When preparing to answer this question, focus on your specific experiences related to ERISA and HIPAA compliance. Discuss any roles where you ensured adherence to these regulations, mentioning particular challenges you faced and how you addressed them. Provide examples of policies you developed or implemented to maintain compliance and highlight any successful outcomes.

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How do you approach the negotiation of contracts?

In answering this question, outline your negotiation strategy, which could include thorough research, understanding the interests of all parties, and clear communication. Discuss your experience in negotiating significant contracts, emphasizing how you find win-win solutions. Highlight your ability to analyze contract language and work collaboratively to resolve conflicts.

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What steps do you take to identify legal risks in corporate strategy?

To effectively respond, explain your methodical approach to risk assessment, which should involve staying updated on legal trends, consulting with various departments, and using risk management tools. Share past experiences where your proactive measures helped avoid litigation or non-compliance. Emphasize your analytical skills and ability to devise strategies to mitigate identified risks.

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How would you handle a conflict with another department regarding compliance issues?

Your answer should illustrate your conflict resolution skills, emphasizing collaboration and communication. Describe how you would initiate constructive dialogue, seek to understand the other department's perspective, and work towards a mutual resolution. Providing an example where you successfully mediated such a conflict will strengthen your response.

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Tell us about a time you led a significant legal project.

In your answer, be sure to outline the project's scope, your role, and the challenges you faced. Focus on your leadership skills, how you managed your team and resources, and the impact of the project on the organization. Use metrics or outcomes to measure success, and emphasize your strategic thinking throughout the project lifecycle.

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What are your views on fostering a culture of compliance within an organization?

When answering this question, discuss the importance of a strong compliance culture and how it protects the organization. Share your strategies for fostering this culture, such as training programs, transparent communication, and leading by example. Providing real-world examples of how you cultivated compliance in past roles will demonstrate your commitment and effectiveness.

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How do you ensure that your legal advice aligns with the business objectives?

Your answer should outline your understanding of the business's goals and how you incorporate those into your legal advice. Describe your cooperative approach with other departments to align legal guidance with strategic objectives, ensuring that legal considerations support rather than hinder business decisions. Offering examples from previous roles will enrich your response.

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What strategies do you utilize for managing external counsel?

Share strategies that highlight your ability to manage relationships with external legal counsel effectively. Discuss how you ensure alignment on objectives, set clear expectations, and monitor performance. Examples where you successfully coordinated with outside counsel on litigation or compliance matters can effectively illustrate your management approach.

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What has been your experience with managing litigation?

In your response, provide an overview of your litigation management experience, including types of cases you have overseen. Discuss your role in directing litigation strategy, coordinating with outside counsel, and advising senior management. Highlight any successful outcomes from your litigation management that underscore your ability to navigate complex legal challenges.

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How do you keep yourself updated with changes in healthcare laws and regulations?

Discuss your proactive approach to staying informed about evolving healthcare laws, such as subscribing to industry publications, participating in professional networks, and attending relevant seminars or webinars. Explain how you apply this knowledge to your role and share examples of how staying updated has benefitted your previous employers in navigating compliance challenges.

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Our Purpose is to improve the health and well-being of our customers and communities - we won't stop until health care is better for all.

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Full-time, remote
DATE POSTED
April 10, 2025

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