About this role

Advising on business initiatives, product design, filings, claims, utilization management, pharmacy, and provider network matters;
Leading responses to regulatory inquiries, investigations, and market conduct exams;
Providing proactive guidance on evolving state laws and requirements.
Serving as counsel to the Banner | Aetna joint venture in Arizona, advising on governance, regulatory strategy, and business initiatives.

7+ years of legal experience with a law firm or in-house with a health plan or other highly regulated healthcare organization
Juris Doctor (JD) and active bar membership
Significant experience advising health plans or highly regulated healthcare organizations
Experience managing regulatory inquiries, investigations, and enforcement matters, including those involving CDI, DMHC and Knox-Keene Act requirements
Strong knowledge of insurance regulation, managed care law, or healthcare compliance
Demonstrated ability to advise senior leaders and operate in high-risk, fast-paced environments
Experience partnering cross-functionally with Compliance, Government Affairs, and business teams
Ability to collaborate effectively and work as a team player
Excellent written and oral communication skills, initiative, intellectual curiosity, and drive.

Senior Legal Counsel, West Regional

Key skills