Description:
Who we are:An Insurance Company is a fast growing Medicare Advantage HMO health insurer. We aspire to be the employer of choice in our industry, attracting and retaining a highly talented workforce. Our passion is Genuine Care and Optimal Health for the members we serve. We are unique by providing high touch, high value and a partnership to our members. We go above and beyond to provide personalized, engaging, and responsive services to our members. We work hard to offer affordable health insurance coverage with the benefits people truly want and need. It is our hope to be more than just a health insurance company we want to be long-term partners with our members. We are looking for future employees who exude our core values of taking accountability through ownership, being driven, innovative and who have a passion for continuous learning.
Who You Are:
Reporting to the Legal Department this position is responsible for contract review and record management, drafting legal opinions/memos, researching legal/compliance questions, and reviewing materials and company correspondence to ensure compliance with applicable laws and regulations.
Essential Job Functions:
- Oversees in-house contract management. Drafts, reviews, and edits written contracts within contract management system in compliance with applicable laws and/or regulations. Organizes and ensures appropriate retention of documents as required.
- Conducts legal/regulatory research and provides guidance and recommendations to employees and management team.
- Reviews marketing materials, outgoing correspondence, memos, file documents, etc. for regulatory compliance.
- Resource for legal and regulatory compliance matters.
- Prepares written reports, legal memos, and correspondence.
- Drafts written responses to regulatory agency requests, audits, and investigations.
- Informs to supervisor of significant legal/regulatory compliance matters and concerns and makes recommendations.
- Investigates possible violations of laws, regulations, rules, policies, procedures, and/or Code of Conduct and recommends appropriate action (e.g., disclosure, reporting to regulatory agency/authority, disciplinary action, etc.).
- Serves as lead counsel in representation of the company in certain disputes, including Independent Dispute Resolution and Administrative Law hearings.
- Monitors changes in federal and state legislation and educates company stakeholders on upcoming changes that may or will impact operations.
- Serves as a liaison with outside counsel engaged for litigation and arbitration matters and serves as a liaison between outside counsel and company leadership.
- Must maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy.
- Other duties and responsibilities as assigned.
Qualifications:
Education and Experience:
- Juris Doctor (JD) degree from an ABA accredited law school
- License to practice law in the state of Oklahoma with not less than two years' experience
Knowledge, Skills and Abilities:
- Superb analytical and organizational skills with ability to multi-task/simultaneously handle multiple projects and deadlines
- Superior oral and written communication skills
- Understanding of applicable federal and state laws, regulations and policies
- Research skills ability to research complex legal/regulatory matters and provide recommendations/advice
- Excellent computer skills; experience with Microsoft Office (e.g., Word, Excel, Outlook)
- Ability to maintain a high-level of confidentiality
- Must be able to read, write, and speak in English.
- Experience in the insurance and healthcare industry (desirable)