Job Details

Health Insurance Regulatory, Corporate Counsel

Company name

Wellcare

Organization Type

In-House

Job Type

Attorney

Years of Experience

Min 5 yrs required

Location

Cypress, CA

Date Last Verified

Nov 15,2017

Posted on

Sep 07,2017
Practice Area
Insurance Coverage >> Insurance Coverage
Health Care >> Health Care
Apply for this job
 
Your Email:
Upload Resume:

 
48 hits

Profile

Health Insurance Regulatory, Corporate Counsel The candidate will support the company's Compliance and Regulatory Affairs teams, as well as several local markets across company's growing national footprint. Will report to the Vice President, Assistant General Counsel, Litigation and Regulatory. Support the Legal department and company business clients in providing legal advice and solutions on complex state and federal regulatory issues, including Medicare, Medicaid, CHIP programs, HIPAA, data privacy, health care operations, DOI and other regulatory regimes. Provide legal counsel on federal and state regulatory inquiries, audits, hearings and investigations, including drafting of and consultation on responses and discovery, advising on privilege, scope and other regulatory engagement issues, preparing witnesses, statements and testimony and directly engaging with regulators as required. Provide proactive Legal counsel and support for Regulatory Affairs team in monitoring and analyzing emerging regulatory issues/developments. Provide legal counsel on various regulatory requirements related to overall company business operations, including health care provider relationships, utilization and medical management, claims/appeals and data privacy and security issues.

Qualification and Experience

The candidate should be a member in good standing of a relevant State Bar. Must have strong academic credentials and 5+ years of legal experience in national law firm or in-house settings, with demonstrated expertise in developing and implementing strategic, proactive legal solutions on a range of regulatory issues impacting health insurance and managed care businesses. Experience with regulatory regimes and issues for Medicare, Medicaid, state CHIP programs, DOI regulation and general and health care data privacy/HIPAA, plus front-line experience with formal and informal federal and state regulatory inquiries, audits, hearings and investigations strongly preferred. Experience in various regulatory aspects related to health care provider relationships, utilization and medical management and claims/appeals desired. Litigation/dispute management and/or health insurance Compliance function experience a plus. Periodic travel may be required.

Additional info

Ref. #: 1703466

Company info

Apply Now

Similar Jobs:

Growing insurance company in the health industry seeks a talented attorney to join its legal department. Successful candidate will report to the General Counsel and provide legal support across an array of practice areas, inclu...
Senior Health Plan Corporate Counsel The candidate will report to the VP Assistant General Counsel. Will manage complex legal projects and provide appropriate advice that is informed by realistic risk assessment. Provide legal su...
Senior Counsel / General Counsel Duties: Reports to the Chief Operations Officer and The Executive Officer, and is responsible for the areas of Contracts, HR, Compliance, Securities, M & A/Asset Purchase, Asset Protection and Lit...