Tenchijin

AVP, Legal Operations – Network Strategy

Tenchijin

full-time

Posted on:

Location Type: Hybrid

Location: Cleveland • Ohio • United States

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Salary

💰 $157,000 - $175,000 per year

Job Level

Lead

About the role

  • Manage attorney panel including recruiting, training, supervising, evaluating and re-credentialing and communicating with PLFs and visiting PLF offices as appropriate
  • Lead a team 40 relationship managers to engage, support, educate and manage attorney relationships across the country
  • Develop communications and strategies to strengthen our relationships, engage, educate and improve the network NPS
  • Support coverage reviews including coverage determinations and coverage appeals.
  • Manage annual review of network attorney fees to determine if adjustments need to be made to existing fee schedules including negotiation of fees.
  • Maintain and update Participating Law Firm manual on a regular basis.
  • Support and manage virtual panel engagement offering available to members.
  • Lead a team of associates that support scheduling appointments with our attorneys
  • Support Sales department in completing RFP (request for proposal) responses, plan comparisons, and competitor comparisons.
  • Participate in finalist meetings, customer facing sales calls/presentations as requested by the sales/marketing organization.
  • Partner with our Sales and Legal departments in creating new coverages and/or updating coverage definitions and establish alignment of these changes throughout the organization.
  • Partner with Finance and Legal departments in establishing network and out of network attorney fees for new coverage offerings.
  • Approve special fee requests at firm level during recruitment to our network.
  • Manage attorney panel including recruiting, evaluating, and re-credentialing to including malpractice checks.
  • Manage recruiting of network attorneys including: reviewing and approving all attorney applications
  • Manage the attorney audit system including assisting accounting with audit standards and cases, determining PLF status related to audit issues and managing training related audit issues.
  • Support and manage responses for member complaints relating to coverage, claims processing and network attorneys.
  • Support and respond to any litigation which may arise from items directly related to position’s management responsibilities.
  • Support company litigation by researching legal issues and/or coaching members of the organization in their responses.
  • Support and manage audit activity and responses related to the panel and claims departments.
  • Obtain and maintain adjustor licenses as deemed necessary for role responsibilities.
  • Manage, coach, train, supervise and develop direct reports.
  • Manage departmental staffing levels, paid time off, performance reviews and compensation.
  • Support budget planning by ensuring staffing and capacity models are kept up to date and reflects work responsibilities across the Attorney Network and Claims Management teams.
  • Participate in user acceptance testing for any changes in process/technology for the Panel Management and Claims departments.
  • Support training of new team members in the Panel Management and Claims departments.
  • Serve as a resource and provide training for other departments on coverage and attorney network issues.
  • Manage the client inquiry system including: review and resolution of difficult inquiries; review allegations of attorney misconduct or poor service; review of attorney status; and categorization of inquiries.
  • Support Strategic Planning efforts and deliver on the organization’s objectives and key results.
  • Support organization with achieving Service Level Agreements and NPS goals.
  • Manage SLA report out requests for Sponsors.
  • Assist Legal, Panel, and Claims organization with other items as required.
  • Ensure that all employees are adhering to and modeling after company Success Principles.

Requirements

  • Bachelor’s degree from an accredited university
  • J.D. from an accredited law school
  • Must be licensed in good standing in the State of Ohio or have the ability to sit for the State of Ohio bar
  • Possess a minimum of 8 years of experience as a practicing attorney
  • Strong leadership skills and ability to work with internal and external partners at all levels
  • Strong time management skills and an ability to prioritize tasks
  • Ability to motivate a team to work together to achieve and support organizational goals
  • Ability to manage team and support the individual goals and objectives of team members
  • Detail-oriented and well-organized, with the ability to handle a high-volume workload
  • Self-motivated with the ability to take initiative
  • Ability to communicate effectively, both verbally and in writing
  • Ability to analyze and manage client service issues
  • Ability to handle confidential and sensitive situations and documents
Benefits
  • Health insurance
  • 401(k) matching
  • Paid time off
  • Flexible work arrangements
  • Professional development opportunities
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
J.D.attorney recruitmentcoverage determinationsnegotiation of feesaudit standardsmalpractice checksRFP responsesuser acceptance testingbudget planningclient inquiry management
Soft Skills
leadershiptime managementteam motivationdetail-orientedwell-organizedself-motivatedeffective communicationanalytical skillsconfidentiality managementinterpersonal skills
Certifications
licensed attorney in Ohio