Job Description

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:

  • Hybrid People Leaders: must reside in AZ, required to be onsite at least once per week

  • Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month

  • Onsite: daily onsite requirement based on the essential functions of the job

  • Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building

Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per month.

This position is hybrid within the state of AZ only.  This hybrid work opportunity requires residency, and work to be performed, within the State of Arizona.

PURPOSE OF THE JOB

  • Provide necessary in-house legal services including primary function of litigation support.

REQUIRED QUALIFICATIONS

Required Work Experience

  • 7 years of experience as a practicing attorney
  • 5 years litigation experience

Required Education

  • Juris Doctorate

Required Licenses

  • Active, current, and unrestricted license to practice law from the State Bar of Arizona, or ability to secure such license within one year of hire

PREFERRED QUALIFICATIONS

Preferred Work Experience
  • Experience in the healthcare industry, such as with an insurer, provider or regulatory agency.
  • Experience handling issues and disputes related to provider networks, health plan claims, health care appeals and/or appeals and grievances
  • Experience with administrative hearings
  • Experience with liability insurance coverage and/or captive carriers

Preferred Education

  • N/A
Preferred Licenses
  • N/A
Preferred Certifications
  • N/A
 

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES

  • Assist Director-Litigation with the Company’s mediation, arbitration and litigation proceedings in administrative, state, and federal forums. Advise business managers and other in-house attorneys about litigation risks, potential outcomes (favorable and unfavorable), litigation procedures, and strategy and tactics, as well as:
  • Compile and review evidence and help manage the discovery process
  • Analyze the strengths and weaknesses of claims and defenses
  • Prepare witnesses to testify in investigative interviews, depositions, and at hearings
  • Draft and file pleadings in Arizona state, federal, and administrative forums
  • Assess risk and exposure and overall case values
  • Recommend settlement parameters to Company executives and negotiate settlements as directed by Company executives
  • Respond to subpoenas and manage the associated information-gathering process
  • Collaborate with outside counsel on strategy and direction and manage budgets and invoicing process
  • Advance the Company’s diversity strategies in the retention of outside counsel
  • With Director-Litigation, work closely with Finance team on reserves and other risk assessment activities.
  • With Director-Litigation, work closely with Risk Team and Captive Carrier leadership on claims assessment, liability policies, reinsurance and excess coverage and contract interpretation.
  • Negotiate and draft contracts, including liability insurance policies, broker agreements, and other contracts as needed, such as vendor agreements and provider agreements.
  • Advise various Company divisions/departments concerning healthcare and corporate issues including statutory and regulatory compliance, litigation avoidance, and prospective corrective action.
  • Respond to attorney, provider, and member complaints, including drafting responses, reviewing responses drafted by paralegal and/or others, and consulting with other Company employees on responses.
  • Work may also involve provider network issues and legal support of the appeals and grievances team.
  • Represent the Company at certain local and national conferences, as needed.
  • Perform public speaking activities both in the Company and to community organizations concerning relevant legal and healthcare issues.
  • Perform all other duties as assigned, including those unique to an insurance payor and its subsidiaries.
  • The position requires a full-time work schedule.  Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.

REQUIRED COMPETENCIES

Required Job Skills

  • 5+ years’ experience in corporate civil litigation in state and federal forums
  • Strong legal writing and advocacy skills and the ability to communicate and collaborate effectively and efficiently with business managers
  • Experience representing clients in state and federal administrative investigations  
  • Intermediate proficiency in spreadsheet, database, and word processing

Required Professional Competencies

  • Maintain organization confidentiality and privacy
  • Analytical knowledge necessary to generate reports based on available data and then make decisions based on reported data
  • Capable of legal and analytical research
  • Practice interpersonal and active listening to achieve high customer satisfaction and departmental communication standards
  • Establish and maintain working relationships in a collaborative team environment

Required Leadership Experience and Competencies

  • Make use of employees' skill and abilities to deliver business objectives

PREFERRED COMPETENCIES

Preferred Job Skills

  • N/A

Preferred Professional Competencies

  • Willingness and ability to learn wide range of subjects pertaining to an insurance payor’s service and operations.

Preferred Leadership Experience and Competencies

  • N/A

Our Commitment

AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.

Thank you for your interest in Blue Cross Blue Shield of Arizona.  For more information on our company, see azblue.com.  If interested in this position, please apply.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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