Assistant General Counsel

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds.

• Directs staff to ensure overall client satisfaction and appropriate level of service delivery.

• Develops and monitors goals for staff and provides ongoing feedback and coaching.

• Conducts performance reviews on an annual basis and administers salaries for the staff.

• Directs the employment activities of the office that include staffing, development, and training.

• Ensures staff meets all regulatory requirements and comprehends and complies with best practices, professional standards, internal policies, and procedures.

• Provides advice to management on legal issues concerning company business.

• Handles legal inquiries from within the company. Responds with legal opinion as appropriate.

• Prepares summaries of legal matters, as necessary.

• Serves on various internal committees as both participant and counsel, as required.

• Performs other duties as assigned by management.

Healthcare:

• Provides advice to management on legal issues relating to marketing requirements, claims, subscriber contracts, ERISA, utilization management, provider contracting and provider credentialing and agreements.

• Monitors changes in the legal environment and assists business to come into compliance.

• Supports business units with product and process changes and liaise with regulatory agencies, as appropriate.

• Represents the company in matters before regulatory agencies.

• Bachelor degree is required and requires Juris Doctor from accredited law school.

• Requires minimum of ten (10) years experience in the practice of law, preferably in a corporate legal department or law firm, as appropriate.

• Requires supervisory experience.

• Requires experience in the health care insurance and managed care industry.

• Active NJ Bar Admission or eligibility to obtain limited license for in-house counsel required.

• Knowledge of health insurance industry required.

• Knowledge of state and federal laws, rules, regulations applicable to the health insurance and managed care industry.

• Must be proficient in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint) and Lotus Notes; Should be knowledgeable in the use of intranet and internet applications.

• Analytical & Problem Solving Skills

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware

Salary Range:

This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:

• Comprehensive health benefits (Medical/Dental/Vision)

• Retirement Plans

• Generous PTO

• Incentive Plans

• Wellness Programs

• Paid Volunteer Time Off

• Tuition Reimbursement

Disclaimer:
This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.

Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.