Regulatory Counsel - Highmark Health
Pittsburgh, PA
About the Job
Company :
Highmark Health
Job Description :
JOB SUMMARY
This role will analyze existing and newly enacted laws in healthcare insurance and managed care areas at applicable state and federal levels impacting Highmark’s government programs business and provide nuanced, effective advice to legal and business stakeholders, in partnership with subject matter experts, in those areas. The incumbent will advise government programs lines of businesses on the legal significance and interpretation of applicable laws and regulations tailored to specific business processes and practices. The incumbent will serve as the first legal touchpoint for all new laws, rules, and regulations that may be applicable to Highmark’s Government programs lines of business, and, as needed, draft accurate and understandable summaries for business lines.
ESSENTIAL RESPONSIBILITIES
+ Provide regular legal support for one or more discrete units of the Corporation; demonstrate significant knowledge of the Corporation’s business, while retaining the discipline of legal analysis; provide timely and accurate legal advice and prepare effective documents based upon knowledge of federal, state and other applicable law and the regulatory environment in which the Corporation functions; apply sound business judgment to the provision of legal advice; have advanced expertise in areas of legal practice that are necessary to effectively provide legal counsel; provide results of analysis to other attorneys in the Law Department (“Department”) or, under the direction of a managing attorney, directly to appropriate management and staff of the Corporation; provide legal advice to management and staff of the Department.
+ Maintain positive and effective relationships with other members of the Department, as well as management and other staff of the Corporation, and outside counsel; maintain and foster productive relationships between the Corporation and external parties.
+ Manage litigation, transactions or other matters and/or assist and work cooperatively with and/or supervise outside legal counsel from approved law firms used by the Corporation in support of one or more projects in the lawyer’s area of practice for the Corporation; may direct such work of outside legal counsel or facilitate such work of outside counsel to address issues effectively and efficiently, including minimizing outside legal counsel fees and expenses, as appropriate.
+ Have well-developed skills in preparing legal memoranda, contracts, pleadings, analyses, correspondence and other relevant documents, while continuing to strengthen one or more other skills; perform legal research and investigate facts.
+ Should have strong decision-making capability and should be proficient in being able to make business-oriented yet legally compliant recommendations. Investigate both straightforward and complex situations and present well-reasoned and creative solutions and alternatives based upon independent legal research and analysis of the facts and the law.
+ Will demonstrate very good to excellent oral and written communication and information sharing skills.
+ Very good to excellent negotiating skills with outside parties.
+ Able to juggle multiple matters and effectively multi-task and prioritize tasks to ensure that work is completed in a timely, thorough and efficient manner.
+ Effectively work in the midst of change and is willing to shift priorities and focus.
+ Will seek out challenging tasks and assignments, engage in frequent development discussions and is open to feedback.
+ Other duties as assigned or requested.
EDUCATION
Required
+ Juris Doctorate
Substitutions
+ None
Preferred
+ None
EXPERIENCE
Required
+ 5 years of related, progressive law experience that is deeper in the area of relevant specialization.
+ 3 years in related disciplines, such as insurance regulation, health law, general corporate law, mergers and acquisitions, contracts, antitrust, employee benefits, intellectual property and litigation
Preferred
+ None
LICENSES or CERTIFICATIONS
Required
+ License to practice law in the Commonwealth of Pennsylvania or applicable state (DE, WV or NY); or eligible for admission within one year of hire
+ For Privacy Counsel positions only: Obtain and maintain certification as a privacy professional within one year of employment
Preferred
+ None
SKILLS
+ Strong written and oral communication skills
+ Strong relationship building skills
+ Client focused with strong business acumen
+ Self-starter with the ability to work under pressure independently and as part of a team
+ Ability to think strategically and act proactively to create strong trust and confidence with business units
+ Strong innovative problem-solving capabilities
+ Keep current on recent developments in the law and develop in-depth knowledge of one or more areas of the law which are applicable to the Corporation’s business
+ Observe high standards of confidentiality consistent with all applicable laws, professional standards and requirements of the Corporation
+ Observe high personal and professional ethics
LICENSES or CERTIFICATIONS
Required
+ None
Preferred
+ None
SKILLS
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Frequently
Travel regularly from the office to various work sites or from site-to-site
Occasionally
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
_Disclaimer:_ _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
_Compliance Requirement_ _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( _https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf_ )
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J252293
Highmark Health
Job Description :
JOB SUMMARY
This role will analyze existing and newly enacted laws in healthcare insurance and managed care areas at applicable state and federal levels impacting Highmark’s government programs business and provide nuanced, effective advice to legal and business stakeholders, in partnership with subject matter experts, in those areas. The incumbent will advise government programs lines of businesses on the legal significance and interpretation of applicable laws and regulations tailored to specific business processes and practices. The incumbent will serve as the first legal touchpoint for all new laws, rules, and regulations that may be applicable to Highmark’s Government programs lines of business, and, as needed, draft accurate and understandable summaries for business lines.
ESSENTIAL RESPONSIBILITIES
+ Provide regular legal support for one or more discrete units of the Corporation; demonstrate significant knowledge of the Corporation’s business, while retaining the discipline of legal analysis; provide timely and accurate legal advice and prepare effective documents based upon knowledge of federal, state and other applicable law and the regulatory environment in which the Corporation functions; apply sound business judgment to the provision of legal advice; have advanced expertise in areas of legal practice that are necessary to effectively provide legal counsel; provide results of analysis to other attorneys in the Law Department (“Department”) or, under the direction of a managing attorney, directly to appropriate management and staff of the Corporation; provide legal advice to management and staff of the Department.
+ Maintain positive and effective relationships with other members of the Department, as well as management and other staff of the Corporation, and outside counsel; maintain and foster productive relationships between the Corporation and external parties.
+ Manage litigation, transactions or other matters and/or assist and work cooperatively with and/or supervise outside legal counsel from approved law firms used by the Corporation in support of one or more projects in the lawyer’s area of practice for the Corporation; may direct such work of outside legal counsel or facilitate such work of outside counsel to address issues effectively and efficiently, including minimizing outside legal counsel fees and expenses, as appropriate.
+ Have well-developed skills in preparing legal memoranda, contracts, pleadings, analyses, correspondence and other relevant documents, while continuing to strengthen one or more other skills; perform legal research and investigate facts.
+ Should have strong decision-making capability and should be proficient in being able to make business-oriented yet legally compliant recommendations. Investigate both straightforward and complex situations and present well-reasoned and creative solutions and alternatives based upon independent legal research and analysis of the facts and the law.
+ Will demonstrate very good to excellent oral and written communication and information sharing skills.
+ Very good to excellent negotiating skills with outside parties.
+ Able to juggle multiple matters and effectively multi-task and prioritize tasks to ensure that work is completed in a timely, thorough and efficient manner.
+ Effectively work in the midst of change and is willing to shift priorities and focus.
+ Will seek out challenging tasks and assignments, engage in frequent development discussions and is open to feedback.
+ Other duties as assigned or requested.
EDUCATION
Required
+ Juris Doctorate
Substitutions
+ None
Preferred
+ None
EXPERIENCE
Required
+ 5 years of related, progressive law experience that is deeper in the area of relevant specialization.
+ 3 years in related disciplines, such as insurance regulation, health law, general corporate law, mergers and acquisitions, contracts, antitrust, employee benefits, intellectual property and litigation
Preferred
+ None
LICENSES or CERTIFICATIONS
Required
+ License to practice law in the Commonwealth of Pennsylvania or applicable state (DE, WV or NY); or eligible for admission within one year of hire
+ For Privacy Counsel positions only: Obtain and maintain certification as a privacy professional within one year of employment
Preferred
+ None
SKILLS
+ Strong written and oral communication skills
+ Strong relationship building skills
+ Client focused with strong business acumen
+ Self-starter with the ability to work under pressure independently and as part of a team
+ Ability to think strategically and act proactively to create strong trust and confidence with business units
+ Strong innovative problem-solving capabilities
+ Keep current on recent developments in the law and develop in-depth knowledge of one or more areas of the law which are applicable to the Corporation’s business
+ Observe high standards of confidentiality consistent with all applicable laws, professional standards and requirements of the Corporation
+ Observe high personal and professional ethics
LICENSES or CERTIFICATIONS
Required
+ None
Preferred
+ None
SKILLS
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Frequently
Travel regularly from the office to various work sites or from site-to-site
Occasionally
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
_Disclaimer:_ _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
_Compliance Requirement_ _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( _https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf_ )
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J252293
Source : Highmark Health