Compliance Counsel

Overview

This role involves serving as General Counsel to support the implementation of a Compliance program within a Medicare health insurance distribution organization. The position requires advanced knowledge of federal, state, and local laws, rules, and regulations applicable to health insurance agencies.

Responsibilities

• Work independently to assist the Compliance Department in implementing the Compliance program.
• Research and provide legal advice on federal, state, and local laws impacting health insurance agencies, including HIPAA and TCPA.
• Conduct contract reviews and draft legal documents as assigned.
• Assist in developing and implementing policies and procedures consistent with legal requirements.
• Escalate compliance and privacy concerns to General Counsel.
• Provide oversight in assessing product, compliance, privacy, or operational risks and contribute to risk management strategies.
• Assist in managing litigation as needed.
• Contribute to the annual Compliance Work Plan.
• Maintain expert-level knowledge of compliance trends and applicable laws to ensure adherence.
• Perform other duties as assigned.
• Maintain predictable and reliable attendance.

Role Competencies

• Results oriented
• Risk assessment and interpretation
• Adaptability
• Ethical conduct
• Problem solving and critical thinking
• Teamwork
• Relationship building and people skills
• Commitment to career
• Detail oriented

Requirements

• Juris Doctor (J.D.) degree from an accredited law school.
• Admission to at least one state bar in good standing.
• Minimum of 5 years of related legal experience.
• Law license in at least one state.
• Healthcare compliance and privacy certifications are a plus.

Skills and Specialties

• Thorough understanding of HIPAA and TCPA.
• Prior experience in health insurance compliance.
• Strong attention to detail and acute listening skills.
• Excellent legal research abilities.
• Excellent written and verbal communication skills.
• Ability to work independently and collaboratively.
• Well-developed interpersonal skills to work effectively with diverse cultures and personalities.
• Ability to establish credibility, be decisive, responsive, and align with organizational priorities.
• Self-motivated.

Work Environment and Physical Demands

• Moderate noise level.
• Occasionally lift and/or move up to 10 pounds.
• Vision abilities required include close vision, distance vision, color vision, peripheral vision, and ability to adjust focus.
• Occasionally required to stand, walk, reach, climb, balance, stoop, kneel, crouch, crawl, hear, taste, or smell.
• Frequently required to sit, use hands, talk, or hear.

Compensation and Benefits

• Remote work environment with equipment provided.
• Competitive compensation.
• Medical, dental, and vision benefits after a short waiting period.
• 401(k) matching program.
• Generous paid time off program with an additional company break during the holidays.
• Annual Volunteer Time Off (VTO) and donation matching program.
• Life insurance and Employee Assistance Program.
• Maternity and parental leave.
• Training program and ongoing career support.
• Diverse, inclusive, and welcoming culture.
• Optional enrollment in HSA/FSA, AD&D, spousal/dependent life insurance, short-term/long-term disability, travel assist, and legal plans.

Security Responsibilities

• Operate in alignment with policies and standards.
• Report security incidents.
• Complete assigned training.
• Protect assigned organizational assets.

Location

• Remote work environment

Additional Information

• The workplace is HIPAA compliant.
• Equal Opportunity Employer.