<p>Description</p> <p>Join Elica's mission and become a part of a team where every day is an opportunity to make a positive impact in your community!</p> <p>At Elica Health Centers, we share a common goal: provide the best possible patient care to our growing community! Our passion extends throughout Elica, from the exceptional healthcare services we provide to our underserved patients at our Community Health Clinics and state-of-the-art mobile medicine program, Health on Wheels, to our Resource Center where we empower patients and members of the community to connect with resources to help them build healthy and full lives.</p> <p>WHAT YOU'LL DO:</p> <p>The Litigation and Risk Manager will oversee and manage the company's litigation matters, and risk mitigation. This will include strategy development, case management, and coordination with external legal counsel and be responsible for identifying, analyzing, and mitigating risks that could impact the company's operations, reputation, or financial performance. This role requires a strategic thinker with a deep understanding of corporate law, employment law, contract law and civil procedure, as well as developing and implementing risk management strategies to ensure that risk-related activities align with the company's goals and regulatory requirements. The ideal candidate will have a strong background in civil litigation and risk management and a proven ability to work collaboratively across various departments.</p> <p>BENEFITS:</p> <ul> <li>Retirement Savings Made Easy: Enjoy a 403(b) retirement plan with up to 4% employer matching and 100% immediate vesting-start building your future from day one! </li><li>Comprehensive Healthcare Options: Choose from two Anthem Blue Cross PPO plans for medical, plus dental and vision coverage for you and your family. </li><li>Employer-Funded HRA: Our Health Reimbursement Arrangement helps cover out-of-pocket medical costs, giving you peace of mind. </li><li>Flexible Spending Accounts: Take advantage of two FSA options: Health Care FSA and Dependent Care FSA, tailored to suit your needs. </li><li>Security for the Unexpected: We provide company-paid basic Life and AD&D Insurance, with options to enhance coverage. </li><li>Enhanced Protection: Explore additional benefits like Hospital Indemnity, Critical Illness, and Accident Insurance, plus ID Theft Protection and Pet Insurance. </li><li>Time to Recharge: Enjoy accrued paid time off, paid holidays, and Employee Assistance Plan (EAP) access, which includes counseling, financial, and legal services, along with a vast library of online resources. </li><li>Invest in Yourself: Benefit from our Tuition Reimbursement Program for ongoing education and growth, plus CME/CEU and license reimbursements for eligible roles. </li></ul> <p>This is more than just a benefits package-it's a commitment to your health, well-being, and professional success!</p> <p>Learn more about Elica's services and mission at our website or check us out on Facebook.</p> <p>Requirements</p> <p>Job Duties and Responsibilities</p> <p>Create, implement and facilitate all aspects of Elica's Risk Management and Litigation Management standard operating procedures. Job duties include collaborating with all participating departments including HR, E.H.R, Technology, and the Revenue Cycle Manager. Ensure that all communications and deliverables are planned and implemented within established timeframes. Coordinate civil procedure activities and risk management activities with relevant departments / staff.</p> <p>Responsible for timely response to grievances from health plans and / or IPAs, and follow up with patients, staff, providers, impacted by grievances.</p> <p>WHAT ARE WE LOOKING FOR?</p> <p>Administrative Tasks and Responsibilities</p> <ul> <li>Litigation Management: Oversee all aspects of corporate litigation, including case strategy, legal research, discovery, and assist in settlement negotiations. </li><li>Grievance Management: Track, investigate, and respond timely to grievances received from health plans / IPAs. Complete case summaries and perform data analysis to identify risk areas and trends. Report on grievance data and trends to senior leadership. </li><li>Strategic Planning: Work with corporate / outside counsel to develop and implement litigation strategies that align with the company's goals and risk tolerance. </li><li>External Counsel Coordination: Manage relationships with external law firms, ensuring effective communication and efficient handling of cases. </li><li>Risk Assessment: Identify and assess potential legal risks and develop mitigation strategies while prioritizing risks across the organization, including financial, operational, strategic, and compliance risks. </li><li>Budget Management: Develop and manage litigation budgets, tracking expenses and ensuring cost-effective legal practices. </li><li>Risk Assessment: Identify, assess, and prioritize risks across the organization, including financial, operational, strategic, and compliance risks. </li><li>Risk Management Strategy: Develop and implement risk management strategies and frameworks to mitigate identified risks and manage potential impacts. </li><li>Monitoring and Reporting: Prepare and present regular reports on litigation status, risks, and outcomes to senior management. Continuously monitor risk factors and effectiveness of risk management strategies. </li><li>Compliance: Ensure compliance with relevant laws, regulations, and industry standards; implement controls to manage regulatory risks. Ensure that all litigation activities comply with applicable laws, regulations, and company policies. </li><li>Crisis Management: Work with the Safety Manager and Information Technology Director to develop and maintain crisis management and business continuity plans to address and recover from unforeseen events or disruptions. </li><li>Training and Awareness: Educate and train employees on risk management policies and procedures to promote a culture of risk awareness. </li><li>Vendor Management: Evaluate and manage risks associated with third-party vendors and partners. </li></ul> <p>Knowledge, Skills, and Abilities</p> <ul> <li>Strong investigative skills and ability to see issues as part of an overall system and recommend changes to minimize risk and improve processes. </li><li>Meticulous attention to detail and quality of work product </li><li>Strong interpersonal and customer service skills; professional, friendly and approachable demeanor </li><li>Excellent verbal and written communication skills </li><li>Excellent organizational and time management skills </li><li>Adept at gathering and analyzing information </li><li>Demonstrated resourcefulness, initiative, and proactive approach to identify potential issues and support solutions to improve the products and services of the Compliance department. </li><li>Intermediate to advanced proficiency with Microsoft Word, PowerPoint, Excel </li><li>Familiarity with Google suite including Gmail, hangouts/chat, google drive collaboration tool, etc. required, proficiency preferred. </li><li>Ability to work effectively with a diverse work group of individuals at all organizational levels; multi-cultural sensitivity </li><li>Ability to add value through creative input and forward-thinking </li><li>Ability to prioritize tasks and juggle competing deadlines effectively, remaining calm under pressure </li><li>Skills and experience in facilitating groups and group activities, using adult learning principles. </li><li>Enthusiastic individual passionate about working on a high-performing team </li></ul> <p>Experience & Education</p> <ul> <li>Juris Doctor (JD) from an accredited law school required. Certified Risk Manager (CRM) preferred. </li><li>Minimum 2 years comparable experience in corporate litigation, insurance defense, or risk management. </li><li>Experience with the Epic EHR (specifically OCHIN Epic preferred) </li><li>Knowledge of Medicare, state, Health Information Portability and Accountability Act (HIPAA), Office of Civil Rights requirements, and other applicable state and federal regulations required </li></ul> <p>Additional Requirements</p> <ul> <li>Must have a current and valid California driver's license and the ability to provide proof of personal auto insurance on the vehicle driven during working hours. </li><li>If selected for an employment opportunity with Elica Health Centers, external hires must provide proof of immunizations (Hepatitis B, MMR, Varicella & Tetanus), tuberculosis clearance, and proof of COVID-19 vaccination status* prior to their scheduled start date. Please be advised that this position is subject to criminal background investigation and drug screen. </li></ul> <p>Physical Requirements and Work Environment</p> <p>The work environment is characteristic of normal office conditions. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is frequently required to sit; use hands to handle or lift. The employee is occasionally required to stand; walk; and reach with hands and arms. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision and ability to adjust focus. The employee must also possess hearing and speech to communicate in person and over the phone. The noise level in the work environment is usually quiet.</p> <p>The employee may be required to run agency related errands and attend off-site meetings; the employee must be able to operate, maneuver and/or control a motor vehicle. In performing the driving responsibilities, the driver may sit for long periods. This requires intense concentration, particularly in poor driving conditions.</p> <p>Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</p> <ul> <li>Elica Health Centers is a healthcare facility that adheres to the mandates issued by the California Department of Public Health including the recent orders regarding the COVID-19 vaccine. Medical and religious exemptions will be considered. </li></ul> <p>Compensation - Dependent Upon Experience</p>