Assistant General Counsel – General Regulatory

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🇺🇸 United States – Remote

💵 $180k - $292.5k / year

⏰ Full Time

🟠 Senior

🔴 Lead

⚖️ Legal Counsel / General Counsel

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GuideWell Source

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

🏛️ Government

🏢 Enterprise

Healthcare Insurance • Government • Enterprise

GuideWell Source is a company within the GuideWell Family that focuses on accelerating innovative health solutions to market, transforming and reshaping the health industry. It specializes in healthcare delivery, providing new models and superior outcomes for patients. The company emphasizes consumerism in healthcare, engaging clients in meaningful ways. GuideWell Source offers healthcare insurance, protecting employers and consumers with coverage plans and services. The company also provides administrative and claims processing services for state and federal Medicare and Medicaid programs, establishing itself as a trusted business partner in the healthcare sector with a focus on operational excellence.

📋 Description

• Monitor and interpret federal and state healthcare laws, regulations, regulatory guidance, and enforcement activities affecting GuideWell, its subsidiaries, and business operations. • Advise business units, operational leaders, and compliance functions on regulatory requirements, compliance obligations, and implementation strategies across the enterprise. • Develop, review, and update regulatory compliance policies, procedures, and guidance documents; ensure organizational policies reflect current regulatory requirements and best practices. • Provide legal analysis and counsel on healthcare regulatory matters including health insurance regulations, and managed care operations. • Conduct regulatory risk assessments for new products, services, business arrangements, and operational changes; advise on regulatory implications and mitigation strategies. • Coordinate with external counsel and consultants on complex regulatory matters; manage outside counsel relationships within budgetary parameters. • Support compliance program development and implementation to address federal and state regulatory requirements and mitigate regulatory risk. • Advise on regulatory aspects of contracts, partnerships, service agreements, and business transactions involving healthcare providers, vendors, and business partners. • Provide legal research, analysis, and written opinions on regulatory questions and emerging regulatory issues affecting the organization. • Prepare regulatory analysis and summary documents for Board committees, executive leadership, and business stakeholders on matters such as regulatory enforcement trends, legislative developments, and compliance priorities. • Participate in regulatory examinations, requests for information, and inquiries from state and federal regulators; coordinate appropriate organizational response. • Monitor healthcare industry regulatory trends, legislative developments, and enforcement priorities at federal and state levels; advise leadership on implications for organizational strategy and operations. • May assume additional legal responsibilities and special projects as needed to support organizational objectives and the broader legal department.

🎯 Requirements

• Juris Doctorate degree from an accredited law school with a strong academic record and 10+ years of professional legal experience. • Admission to at least one state bar. If bar admission is in a state other than Florida, then the ability to be certified in Florida as Authorized House Counsel. • Comprehensive knowledge of federal and state healthcare regulatory framework including HIPAA, Health Insurance Portability and Accountability Act regulations, CMS rules and guidance, managed care regulations, and health plan operations requirements. • Strong knowledge of state insurance laws and regulations governing health insurers, health plans, and managed care entities across multiple states. • Demonstrated expertise in healthcare provider regulations, network adequacy standards, credentialing and peer review requirements, and other provider-related regulatory matters. • Advanced knowledge of federal healthcare compliance programs and requirements including anti-kickback statutes, Stark law, fraud and abuse regulations, and False Claims Act implications. • Demonstrated experience providing regulatory advice and counsel to healthcare organizations or business units on compliance and operational matters. • Proven ability to analyze complex regulatory requirements and develop practical compliance solutions aligned with business objectives. • Strong knowledge of healthcare industry operations, business models, and regulatory challenges affecting insurers, health plans, and integrated delivery systems. • Excellent written and verbal communication skills with the ability to translate complex regulatory concepts for non-attorney business audiences.

🏖️ Benefits

• Medical, dental, vision, life and global travel health insurance; • Income protection benefits: life insurance, short- and long-term disability programs; • Leave programs to support personal circumstances; • Retirement Savings Plan including employer match; • Paid time off, volunteer time off, 10 holidays and 2 well-being days; • Additional voluntary benefits available; • A comprehensive wellness program