Description
A bit about this role:
The Assistant General Counsel for Regulatory Affairs (“AGC”) serves a critical, strategic role in creating opportunities and safeguarding Devoted's operations within the highly complex and ever-evolving regulatory landscape of the insurance and healthcare industries. The AGC provides leadership, direction, and guidance regarding all relevant requirements of applicable federal and state laws and regulations that govern Devoted’s products and services.
In addition to the responsibilities listed below, the AGC will be called upon to provide legal advice to senior Devoted leaders on compliance with complex federal and state laws and regulations in a constantly evolving industry landscape; driving the development of legal strategies to create future-oriented initiatives; overseeing legal support of the completion and filing of complex regulatory responses and other government submissions as needed; partnering with others to advise on high priority internal investigations or government inquiries; furthering developing collaborative relationships among senior leaders and stakeholders to advance Devoted’s mission; and synthesizing complex legal concepts and providing thoughtful and future-oriented insights regarding federal and state statutes and regulations affecting health plan and care delivery operations.
Your Responsibilities and Impact will include:
Lead Devoted’s regulatory legal function, advising on a broad range of legal, legislative and policy matters across all jurisdictions where Devoted does or may do business, including support of federal, state, and international activities and matters.
Provide strategic counsel to senior leadership on issues related to the company’s policy agenda, including de novo licensing, maintenance, and continued compliance for all regulated entities, data privacy, artificial intelligence, corporate practice of medicine, direct-to-consumer telehealth, and more.
Oversee and support the review of regulatory comment letters, affirmative and defensive legislative initiatives, federal and state rulemaking, policy communications, and more.
Advise on the legal impact of proposed laws, rules, and regulations at all levels of government.
Collaborate with the Chief Legal and External Affairs Officer on government affairs, and in coordination with other legal and operational stakeholders.
Consult with operational units on new initiatives to identify potential legal risks, implement appropriate controls, and investigate and respond to regulatory agency inquiries and matters.
Lead engagement with NAIC and certain trade/industry associations and collaborate with external consultants and partners.
Mentor and manage a team of legal professionals, contributing to a culture of collaboration, excellence, and professional growth.
Manage outside counsel when needed.
Requirements
Licensed to practice in at least one state with at least five (5) years of experience.
Prior in-house experience for a Medicare Advantage plan will be considered an invaluable asset but is not required.
In-depth knowledge of HMO, PPO, TPA, URA, and related licensing requirements, coupled with overall broad legal knowledge (regulatory, corporate law, privacy, litigation, labor, etc.).
Proven ability to follow-through on complex issues, meet regulatory deadlines, proactively anticipate requirements, and build strong, collaborative relationships with regulators, legislators, and internal business partners.
Outstanding interpersonal, organizational, and communication skills (effective speaking and written presentation) to drive complex legal and compliance processes to conclusion by working effectively across departmental lines.
Proactive, solutions-oriented mindset, with the ability to navigate ambiguity and scale legal processes in a growing organization.
Identifiable leadership and team development experience, with a track record of mentoring and managing attorneys and other legal professionals.
