Senior Legal Specialist

Job Summary

Acts as the primary organization-wide contact and subject matter expert for regulatory, policies and/or contracting processes and procedures that are complex or of a high level of importance to the organization; takes the lead role in consultation and education for business units. For contracting, identifies and develops standard contract terms, client self-help tools, and drafts, negotiates and manages the review process and execution of complex contracts within their area of expertise. For regulatory processes, interacts with applicable state or federal agencies or regulating or accrediting bodies; identifies, prepares and submits complex documents and forms; takes a lead role in ensuring compliance with legal and regulatory requirements as required by the regulating bodies. For policies, acts as the subject matter expert for the policies process and in that capacity leads education, training and communication on policy making process including proactive review and auditing. Identifies and initiates complex legal projects that impact client and legal department processes that are of a high level of importance to the organization. Possesses and applies specialized expertise in relevant subject matter to support complex client and legal department needs. Takes the lead on analyzing, interpreting, and responding to client requests, recommends direction, coordinates and implements process change, and identifies client education and process improvement needs and provides education to promote efficiencies and standard work in area of responsibility. Regularly provides oversight, guidance and training to team members. Carries out job duties in a confidential and professional manner.

Essential Functions

• Develops and reviews contracts and/or complex legal and regulatory documents that are of a high level of importance for the organization.
• Provides oversight and supervision of other individuals and functions as requested.
• Regularly leads complex projects from start to finish; including creating an effective project plan, presenting recommendations, meeting deadlines, proactively investigating and resolving problems, and collaboratively coordinating and leading others around process change.
• Manages, documents and regularly finds improvements and efficiencies for complex processes, procedures and outcomes to seek continuous improvement related to projects.
• Conducts research applicable to project assignment, gathers and complies data, interpret and analyze data, including creating written recommendations and reports with research findings with little direction required from manager.
• Regularly develops complex educational materials and communications, takes the lead on proposing, creating, and presenting educational programs and/or conducting training on subject matters with effective presentation skills for small or large groups.
• Designs, develops and maintains complex system programs and applications . Works on complex matters with a high level of importance to the organization independently or taking the lead to collaborate with a group of people and act as a change agent to advance initiatives.
• Takes the lead to effectively communicate and collaborate with others on complex matters, and act as a liaison to stakeholders/business partners in areas of a high level of importance to the organization. Cultivates relationships across the organization. Maintains a current level of knowledge and expertise in complex areas specific to assigned projects and documents knowledge, materials and advice to be used by others in the future.

Qualifications

Required

• Bachelor's Degree or equivalent in legal, compliance, managed care, health plan administration, process improvement or project management

• 5 years of relevant experience Substantive knowledge of the legal and regulatory environment applicable to the business unit(s) or subject matter area assigned

Preferred

• 7 years of relevant experience Substantive knowledge of the legal and regulatory environment applicable to the business unit(s) or subject matter area assigned  
• 5 years of relevant experience Previous leadership experience for projects and/or staff  
• Project management  

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

#CorewellHealthCareers

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance
• Traditional and Roth retirement options with service contribution and match savings
• Eligibility for benefits is determined by employment type and status

Primary Location

SITE - 1700 Magnavox Way Suite 201 - Fort Wayne

Department Name

Physicians Health Plan of Northern Indiana Admin - PH Managed Benefits

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8 a.m. to 5 p.m.

Days Worked

Monday to Friday

Weekend Frequency

N/A

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Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.