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About The Role

We are seeking a detail-oriented Attorney to join our Legal team. This role offers a unique opportunity to work at the intersection of healthcare law, ERISA compliance, and operational claims management. The Associate General Counsel will provide strategic legal counsel and will support a wide range of Company initiatives.

Primary Responsibilities

•    Support regulatory compliance efforts related to healthcare claims administration, including those related to ERISA,            HIPAA, ACA, and state insurance laws.

•    Support the Company’s customer and vendor contracting efforts from start-to-finish.

•    Draft, negotiate and review legal agreements, including provider agreements, NDAs, confidentiality agreements,               independent contractor agreements, IT SaaS and professional services agreements, trademark license agreements,           etc.

•    Draft and review group health plan documents.

•    Conduct legal research and prepare memoranda on emerging regulatory issues.

•    Collaborate with internal departments to ensure legal and operational alignment.

•    Monitor federal and state legislative developments affecting healthcare and benefits administration.

•    Represent the Company before federal and state regulatory authorities.

•    Respond to administrative complaints and information requests and represent the Company in such matters.

•    Participate in audits, investigations, and prepare responses to regulatory inquiries.

•    Monitor and draft updates to contracts required to comply with state and federal law, regulatory or health plan                 requirements.

•    Interpret and develop Company policies.  Assists the Company with implementing existing and new programs,                policies, and procedures.

•    Support legal department and corporate executives on special projects and other legal matters, as requested

•    Other duties as assigned which may include and not limited to litigation support, responses to external requests for           records, including liens, subpoenas, and regulatory complaints and inquiries, corporate governance, preparation and         filing of corporate state filings, perform legal and related research and assist with corporate licensing.

Essential Qualifications

•    JD degree from an accredited law school and active state bar admission in good standing.

•    A minimum of three years' experience practicing law with a background in health care law, health insurance, or               managed care.

•    Three or more years' experience successfully supporting contract negotiations.

•    Ability to work independently and manage multiple projects.

•    Knowledge and experience in PPACA, ERISA, COBRA, HIPAA, and other healthcare regulatory requirements is strongly       preferred.

•    The successful candidate must be personable, collaborative, and self-motivated and have excellent analytical,                   communication, project management, and organizational skills.

This position is fully remote.

Annual Salary Range: $130,000- $150,000

The salary range and/or hourly rate listed is a good faith determination that may be offered to a successful applicant for this position at the time of the posting of an advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable by law including but not limited to location, years of relevant experience, education, credentials, skills, budget and internal equity.

About

At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion, and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all your unique abilities.

Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes, and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today’s challenges into tomorrow’s solutions.

Come be a part of the Brightest Ideas in Healthcare™.

Company Mission

Transform the health plan experience – how health care is accessed and delivered – by bringing outstanding products and services to our partners.

Company Vision

Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways.

DEI Purpose Statement

At BHPS, we encourage all team members to bring your authentic selves to work with all your unique abilities.   We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace.  We are building, nurturing, and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level.

*We are an Equal Opportunity Employer

JOB ALERT FRAUD:  We have become aware of scams from individuals, organizations, and internet sites claiming to represent Brighton Health Plan Solutions in recruitment activities in return for disclosing financial information.  Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All of our career opportunities are regularly published and updated brighonthps.com Careers section.  If you have already provided your personal information, please report it to your local authorities. Any fraudulent activity should be reported to: [email protected]

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