Staff Attorney

Overview

This position manages, leads, and oversees legal matters to ensure compliance with applicable laws and regulations. The role provides regulatory and legal guidance for the Medicare Advantage, Commercial, and any other business segment. Responsibilities include contract review and record management, drafting legal opinions/memos, legal/compliance research, and reviewing materials and correspondence to ensure compliance.

Responsibilities

• Oversee in-house contract management, including drafting, reviewing, and editing written contracts within the contract management system in compliance with applicable laws and/or regulations.
• Organize and ensure appropriate retention of documents as required.
• Conduct legal and regulatory research and provide guidance and recommendations to employees and management.
• Review marketing materials, outgoing correspondence, memos, file documents, and other materials for regulatory compliance.
• Serve as a resource for legal and regulatory compliance matters.
• Prepare written reports, legal memos, and correspondence.
• Draft written responses to regulatory agency requests, audits, and investigations.
• Inform the supervisor of significant legal/regulatory compliance matters and concerns and make recommendations.
• Investigate possible violations of laws, regulations, rules, policies, procedures, and/or Code of Conduct, and recommend appropriate action (e.g., disclosure, reporting to regulatory agency/authority, disciplinary action, etc.).
• Serve as lead counsel in representation of the organization in certain disputes, including Independent Dispute Resolution and Administrative Law hearings.
• Monitor changes in federal and state legislation and educate company stakeholders on upcoming changes that may impact operations.
• Serve as a liaison with outside counsel engaged for litigation and arbitration matters, and between outside counsel and company leadership.
• Maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy.
• Perform other duties and responsibilities as assigned based on education and experience.

Requirements

• 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.
• Understanding of applicable federal and state laws, regulations, and policies.
• Ability to conduct research on complex legal/regulatory matters and provide recommendations/advice.
• Superb analytical and organizational skills with the ability to multi-task and manage multiple projects and deadlines.
• Superior oral and written communication skills.
• Excellent computer skills, including 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).

Preferred Qualifications

• Experience in the insurance and healthcare industry.

Compensation & Benefits

• Salary range: Undisclosed.

Location & Work Conditions

• Job Location: Remote (Any Location Remote US), Oklahoma City, OK.
• Position Type: Full Time.
• Job Shift: Day.
• Travel Percentage: Occasional (some overnight).
• Working conditions:
  • Remote environment; some state exclusions apply.
  • Must have access to a reliable and secured internet connection.
  • Must maintain confidentiality of business information, including PHI, as required by HIPAA and company policy.
  • Required to use reasonable and necessary safeguards to protect organization records from unauthorized access, disclosure, or damage and adhere to all privacy and security policies.
  • Must maintain confidentiality of business information, including PHI, as required by HIPAA and company policy.

Additional Requirements

• Must have a valid Oklahoma driver’s license and be able to drive a car.

Reporting & Working Relationships

• Reports directly to the Legal Department.
• Interacts with all levels of employee and management staff.
• Interacts with delegated entities, agents, vendors, outside attorneys, and regulatory agency personnel.