Full-time General Counsel, Blue Shield of California

01Your Role

• The Government Programs Legal team is responsible for supporting all government

programs lines of business. The Associate General Counsel, Distinguished, will

report to the Managing Associate General Counsel, Government Programs. In this

role you will provide advice and counsel on a broad range of health law issues

impacting Blue Shield of California and Promise Health Plan’s government

programs lines of business. These programs include Medicare, Medi-CaI

(Medicaid), and Duals Special Needs Plans (DSNP). The AGC must comfortably adapt

to change, skillfully and quickly master new responsibilities, demonstrate

strong business acumen, and possess a strong drive for excellence. In this role,

the AGC will be responsible for working on regulatory filings for Promise Health

Plan, supporting day-to-day operations of the Medicare and Medi-Cal lines of

business, and working with the Compliance teams to provide legal support.

02RESPONSIBILITIES

Your Work

In this role, you will:

• Research and advise all levels of the company on legal, regulatory, and
• contractual matters for the government lines of business which include
• Medi-Cal and Medicare
• Manage the work of outside counsel and ensure adherence to outside counsel
• budget
• Review and advise on vendor agreements for Blue Shield's Medicare line of
• business and Promise Health Plan's Medi-Cal line of business and support key
• regulatory filings for those lines of business
• Create, foster, and maintain relationships with internal  and constituents
• that enhance the Company’s reputation as a health plan, employer, and
• corporate citizenship
• Work directly with Medicare and Medi-Cal Compliance teams to provide legal
• and regulatory guidance on regulatory audits and notifications to regulators
• Advise Medicare and Medi-Cal business units on strategic projects and
• initiatives
• Work with Law Department leadership to define and execute on Law Department
• operational plans
• Support the Network Legal Team for the government programs lines of business
• to ensure regulatory requirements are met when contracting with providers
• Other duties, as assigned.

03QUALIFICATIONS

Your Knowledge and Experience

• Requires a Juris doctorate degree from a law school accredited by the
• American Bar Association
• Requires one to be an active member in good standing of the California bar,
• or active licensee in good standing of the bar of any state of the United
• States or the District of Columbia who maintains or is eligible to obtain
• Registered In-House Counsel status with the State Bar of California
• Requires a successful track record of at least 8 years of experience
• providing legal advice on relevant areas of the law (e.g., corporate,
• privacy, health care regulatory, litigation, contracts, et al) at a top law
• firm or in-house corporate law department
• Requires excellent communication skills, both written and verbal, as well as
• relationship building skills to collaborate with and influence all relevant
• stakeholders, both internal and external
• Requires strong independent judgment, problem-solving, critical, and
• analytical thinking skills, including a “moral compass” and high integrity
• Requires ability to work with minimal supervision, to multi-task, and to
• deliver a high-quality work product in a highly regulated, demanding, and
• constantly changing corporate environment
• Requires ability to lead individuals and teams and to work both independently
• and collaboratively on teams, applying people management and mentoring
• skills
• Requires expertise providing legal advice to managed care organizations,
• preferably with a focus on Medicare, Medi-Cal and DSNP
• Requires knowledge of the Knox-Keene Health Care Service Plan Act and
• understanding of Medicare rules and regulations (CMS), Department of Health
• Care Services contract and associated all plan letters (Medi-Cal)
• Requires experience providing interpretation and analysis of statutes,
• regulations and sub-regulatory guidance
• Requires experience interacting and working with the Department of Managed
• Health Care as well as providing clients with regulatory advice on Department
• filings
• Requires strong ability to provide risk assessment/risk mitigation support

04Hybrid

• This role requires employees to be in-office based on our hybrid workplace

model, balancing purposeful in-person collaboration with flexibility. For most

teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their

manager to determine in-office time based on business need.

05About Blue Shield of California

• As of January 2025, Blue Shield of California became a subsidiary of Ascendiun.
• Ascendiun is a nonprofit corporate entity that is the parent to a family of
• organizations including Blue Shield of California and its subsidiary, Blue
• Shield of California Promise Health Plan; Altais, a clinical services company;

and Stellarus, a company designed to scale healthcare solutions. Together, these

organizations are referred to as the Ascendiun Family of Companies.

At Blue Shield of California, our mission is to create a healthcare system

worthy of our family and friends and sustainably affordable. We are transforming

health care in a way that genuinely serves our nonprofit mission by lowering

costs, improving quality, and enhancing the member and physician experience.

To achieve our mission, we foster an environment where all employees can thrive

and contribute fully to address the needs of the various communities we serve.

We are committed to creating and maintaining a supportive workplace that upholds

our values and advances our goals.

Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best

Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360

as a Top Regional Company, and one of the 50 most community-minded companies in

the United States by Points of Light. Here at Blue Shield, we strive to make a

positive change across our industry and communities – join us!

Our Values:

• Honest. We hold ourselves to the highest ethical and integrity standards. We
• build trust by doing what we say we're going to do and by acknowledging and
• correcting where we fall short.
• Human. We strive to listen and communicate effectively, showing empathy by
• understanding others' perspectives.
• Courageous. We stand up for what we believe in and are committed to the hard
• work necessary to achieve our ambitious goals.

06Our Workplace Model

• We believe in fostering a workplace environment that balances purposeful
• in-person collaboration with flexibility - providing clear expectations while

respecting the diverse needs of our workforce. Our workplace model is designed

07around intentional in-person interaction, collaboration,

• connection, creativity and flexibility:
• For most teams, this means coming into the office two days per week.
• Employees living more than 50 miles from an office location, out of state
• employees, and employees in certain member-facing roles should work with
• their manager to determine in-office time based on business need.
• For employees with medical conditions that may impact their ability to work
• in-office, we are committed to engaging in an interactive process and
• providing reasonable accommodations to ensure their work environment is
• conducive to their success and well-being.
• The Company reserves the right to require more presence in the office based on
• business needs, and requirements are subject to change with periodic reviews.
• Physical Requirements:
• Office Environment - roles involving part to full time schedule in Office

Environment. Based in our physical offices and work from home office/deskwork -

Activity level: Sedentary, frequency most of work day.

Please click here for further physical requirement detail.

08[https://www.blueshieldca.com/physical-job-requirements]

• Equal Employment Opportunity:

External hires must pass a background check/drug screen. Qualified applicants

with arrest records and/or conviction records will be considered for employment

in a manner consistent with Federal, State and local laws, including but not

limited to the San Francisco Fair Chance Ordinance. All qualified applicants

will receive consideration for employment without regards to race, color,

religion, sex, national origin, sexual orientation, gender identity, protected

veteran status or disability status and any other classification protected by

Federal, State and local laws.