Overview
This remote position, open to candidates located anywhere in the US, involves providing legal advice and strategic support to a commercial health plan business serving millions of members nationwide.
Responsibilities
- Serve as a lead resource for regulatory matters related to commercial health plans, including Ambetter Health and Solutions
- Advise business and compliance teams on federal and state healthcare laws, regulations, guidance, and market requirements impacting commercial product lines and programs
- Research, analyze, and interpret complex healthcare regulatory requirements, including ACA/Exchange operations, mental health parity, No Surprises Act, essential health benefits, and broker-related issues
- Review, draft, and negotiate contracts, policies, procedures, and related documents
- Provide practical legal guidance to support implementation of new laws, regulatory changes, business initiatives, policies, procedures, and operational workflows
- Manage or support subpoenas, disputes, and engagement of outside counsel as needed
- Collaborate with Compliance, Regulatory Operations, Product, Clinical, Network, Finance, and other business leadership to identify legal risks, develop practical solutions, and support timely decision-making
- Perform other duties as assigned
- Comply with all organizational policies and standards
Requirements
- Juris Doctor (JD) degree required
- Minimum 5 years of experience in corporate or health law
- Preferred: 1+ years of experience with government contract law, health law, and managed care
- Preferred: Knowledge of Medicare and/or Medicaid insurance, state insurance, and HMO regulations
- Strong legal research, analysis, and writing skills
- Demonstrated ability to provide practical, business-oriented legal advice in a complex regulatory environment
- Bar admission and current good standing preferred
Compensation & Benefits
- Salary range: $185,700.00 - $352,500.00 per year
- Comprehensive benefits package including competitive pay, health insurance, 401(k) and stock purchase plans, tuition reimbursement, paid time off plus holidays
- Flexible work arrangements including remote, hybrid, field, or office schedules
- Actual pay will be adjusted based on skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status
- Total compensation may include additional incentives
- Benefits may be subject to program eligibility
Equal Opportunity
The employer is an equal opportunity organization committed to diversity and inclusion. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.
Qualified applicants with arrest or conviction records will be considered in accordance with applicable local ordinances and fair chance laws.