Assistant General Counsel – Clinical

Role Overview

• Provide prompt and actionable legal advice to business and legal partners on a variety of moderately complex projects or business offerings relating to health care management, clinical initiatives, benefit plan design, pharmacy and other miscellaneous initiatives.
• Provide legal support on more routine day-to-day business matters with reasonable degree of independence.
• Work with the business and legal colleagues to understand impact of and ensure compliance with new and proposed legislation, regulations, rules and court rulings.
• Work proactively with business and legal partners to identify and address potential regulatory, legal and business risks.
• Exercise judgment and ability to manage competing deadlines.
• Provide functional advice and guidance to legal support staff when assigned.
• Collaborate with legal colleagues to identify legal issues with potential cross-functional impact.
• Communicate and interact effectively and professionally with co-workers, management, customers, and other stakeholders.
• Demonstrate ability and interest in learning and willingness to take on new challenges.
• Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies, and other applicable corporate and departmental policies.
• Maintain complete confidentiality of company business.

Requirements

• Juris Doctor Degree and a license to practice law in the state where the legal department is located.
• 5 years’ experience as a practicing attorney after receiving a law degree.
• Clear and concise verbal and written communication skills.
• Knowledge or understanding of the health care, health insurance, or claim administration field (preferred).
• 3+ years’ experience advising insurers, third-party administrators, or health plans on health plan administration, laws and regulations relating to commercial health plans (self-funded and fully insured), managed care plans, Affordable Care Act plans, HIPAA and relevant healthcare privacy laws, and other relevant federal and state healthcare laws (preferred).
• Knowledge and understanding regarding federal and state fraud and abuse laws relating to health care and health plans (preferred).
• Strong business collaboration and writing skills (preferred).

Benefits

• Health insurance
• 401(k) savings plan
• Pension plan
• Paid time off
• Paid parental leave
• Disability insurance
• Supplemental life insurance
• Employee assistance program
• Paid holidays
• Tuition reimbursement
• Other incentives