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Carl Gardner Email & Phone Number
Adjunct Lecturer in Law
at
USC Gould School of Law
1 work email found
@molinahealthcare.com
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✓ Verified Jun 2026
4 data sources
Profile completeness 100%
Current company
Role
Adjunct Lecturer in Law
Location
Carmichael, California, United States
Who is Carl Gardner? Overview
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Quick answer
Carl Gardner is listed as Adjunct Lecturer in Law at USC Gould School of Law, based in Carmichael, California, United States. AeroLeads shows a work email signal at molinahealthcare.com and a matched LinkedIn profile for Carl Gardner.
Carl Gardner previously worked as Assistant General Counsel at Molina Healthcare and Senior Counsel at Crowell & Moring Llp. Carl Gardner holds Doctor Of Law - Jd, Law from University Of San Francisco School Of Law.
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{first}.{last}@molinahealthcare.com
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Profile bio
About Carl Gardner
Senior attorney to managed health care organizations with a 26-year career as inhouse and law firm counsel. Expertise in licensing, regulation, operations, and contracting. Lead legal counsel for national health insurer pharmacy benefit contracting, compliance and operations. Lead attorney for managed Medicaid business development activities including licensing, proposals, and bid protest prosecution and defense.• Health Insurer Licensing: Lead inhouse attorney for new state insurance licensing activities of 4.6-million-member national health care enterprise. Secured 14 new state HMO or health insurer licenses. Lead counsel for successful nine state Accountable Care Act new health insurance exchange product offering.• Pharmacy Benefit Management: Lead inhouse pharmacy benefit operations and contracting attorney for national enterprise operating in 14 states. Lead attorney for two successful PBM RFPs and three market pricing adjustments. Negotiated national specialty pharmacy contract. Three years as in-house counsel for national PBM organizations. • Medicaid Contract Proposals: Lead inhouse attorney for 15 state Medicaid contract bid proposals and related administrative protest proceedings. • California Knox-Keene Act: More than ten years as law firm and inhouse counsel for HMOs licensed by the California Department of Managed Health Care. Counsel at Department of Managed Health Care predecessor agency. • State Plan Counsel: General counsel support for HMO operations in four states, including governance, compliance, contracting, credentialing, and litigation.• Training and Mentoring: Supervised direct reports and mentored new hires and junior team members on technical subject matter issues, client service, and business acumen.
Listed skills include Group Health Insurance, Health Law, Health Insurance Exchanges, Contract Law, and 23 others.
Current workplace
Carl Gardner's current company
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9 roles
Carl Gardner work experience
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Adjunct Lecturer In Law
Current- Online Lecturer in Contract Drafting and Strategy, and Mergers and Acquisitions. Instruct candidates for Master of Laws and Master of Studies in Law and legal subject matter Graduate Certificates.
- Prepare and deliver weekly online live video student sessions.
- Grade student assignments.
- Hold weekly office hours to address student questions.
Aug 2021 - Present
Assistant General Counsel
- Lead attorney for national HMO new licensing activities, Medicaid contract bids, pharmacy benefit operations and PBM contracting. Legal support to enterprise corporate functions and operating HMO subsidiaries.
- Filed new HMO license applications in 11 states to support managed Medicaid and Medicare contract bids and negotiated with insurance departments regarding approval.
- Led proposal development legal support for 15 managed Medicaid contract procurements, including eight successful contract awards, and five administrative protest actions.
- Lead attorney for two successful PBM RFPs and three price guarantee market adjustments. Negotiated national specialty pharmacy contract.
- Primary plan counsel to affiliated HMOs in four states, acting as main legal point of contact for all operational, regulatory, compliance, contracting, governance, privacy, credentialing, and litigation matters.
Mar 2013 - Jun 2021
Senior Counsel
Represented commercial and government-contracting HMOs and health insurance companies on federal and state licensing, regulatory, litigation and business matters.
Nov 2012 - Mar 2013
Senior Counsel
- Represented HMOs and health insurance companies in business, licensing and regulatory matters before the California Department of Managed Health Care and state insurance departments.
- Negotiated licensing, enforcement, investigatory and oversight matters with California Department of Managed Health Care and state insurance agencies.
- Advised clients on federal and state managed health care laws and regulatory issues concerning mergers, outsourcing, intercompany transactions, non-profit financial transfers, and other business matters.
Aug 2010 - Nov 2012
Senior Corporate Counsel
- Inhouse counsel supporting retail pharmacy chains and their PBM and Medicare Part D HMO subsidiaries.
- Drafted and negotiated contracts with PBM commercial and government benefit health plan clients, subcontractors and vendors.
- Advised clients on Medicare and state regulatory requirements applicable to PBMs providing prescription benefit management to Medicare Advantage, Medicaid and commercial health insurers.
- Advised clients regarding regulatory requirements applicable to PBMs, prescription drug insurance, and retail pharmacy business, including HIPAA, Medicare contracting and marketing regulations and other requirements.
Aug 2007 - Aug 2010
Senior Counsel
- Represented HMOs and health insurance companies in business and regulatory matters before the California Department of Managed Health Care and state insurance departments.
- Drafted benefit materials; affiliate contracts for administrative services, reinsurance and investment services; third-party contracts; and regulatory filings and communications.
- Corresponded and negotiated with regulatory agencies regarding licensing, enforcement, provider disputes, member grievances, and agency audits.
- Analyzed legislation, and commented on proposed agency regulations.
May 2000 - Aug 2007
Corporations Counsel
California Department Of Corporations, Health Plan Division
At the predecessor agency of the California Department of Managed Health Care, regulated HMOs licensed under the Knox-Keene Health Care Service Plan Act of 1975.
Jul 1999 - May 2000
Associate
Louderback & Louderback
Associate at litigation and general law firm focused on recovery of high dollar hospital patient accounts.
Aug 1993 - Jul 1999
6 education records
Carl Gardner education
Doctor Of Law - Jd, Law
Bachelor'S Degree, Sociology
Education record
Education record
San Rafael High School
Education record
Mendocino High School
Education record
FAQ
Frequently asked questions about Carl Gardner
Quick answers generated from the profile data available on this page.
What company does Carl Gardner work for?
Carl Gardner works for USC Gould School of Law.
What is Carl Gardner's role at USC Gould School of Law?
Carl Gardner is listed as Adjunct Lecturer in Law at USC Gould School of Law.
What is Carl Gardner's email address?
AeroLeads has found 1 work email signal at @molinahealthcare.com for Carl Gardner at USC Gould School of Law.
Where is Carl Gardner based?
Carl Gardner is based in Carmichael, California, United States while working with USC Gould School of Law.
What companies has Carl Gardner worked for?
Carl Gardner has worked for Usc Gould School Of Law, Molina Healthcare, Crowell & Moring Llp, Locke Lord Llp, and Cvs Health.
How can I contact Carl Gardner?
You can use AeroLeads to view verified contact signals for Carl Gardner at USC Gould School of Law, including work email, phone, and LinkedIn data when available.
What schools did Carl Gardner attend?
Carl Gardner holds Doctor Of Law - Jd, Law from University Of San Francisco School Of Law.
What skills is Carl Gardner known for?
Carl Gardner is listed with skills including Group Health Insurance, Health Law, Health Insurance Exchanges, Contract Law, U.S. Health Insurance Portability And Accountability Act, Medicare, Regulatory Filings, and Medi Cal.
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