Associate General Counsel

Blue Cross and Blue Shield Association•Chicago, WA

About The Position

The Healthcare Solutions Counsel-Federal Employee Program (FEP) provides legal and strategic guidance to the FEP team and the broader BCBSA Business Operations division on high profile matters related to healthcare delivery, with an emphasis on managing the ongoing interpretation of regulatory requirements promulgated by, and contractual arrangements with, the U.S. Office of Personnel Management (OPM) and the Centers for Medicare and Medicaid Services (CMS). This role involves representing BCBSA in healthcare benefits negotiations for FEP, supporting internal client and Plan legal and policy questions related to healthcare benefits and payments, and supporting the resolution of complex government audits. The position requires deep healthcare knowledge and experience, including within the Federal Employees Health Benefits Program and Medicare Advantage, in order to provide advice and counsel across FEP business teams.

Requirements

Required Juris Doctor
Required 5+ Years legal practice experience
Proficient written and oral communication skills
Proficient organizational and project management skills, including follow through skills
Strong legal research, analysis and drafting
Problem solving skills
Bar Admission - Various

Nice To Haves

Preferred knowledge of healthcare insurance industry, including state and federal regulatory environment
Legal, Policy or Audit experience in Healthcare, FEP, CMS, OPM, Medicare Advantage

Responsibilities

Deep knowledge of US healthcare industry
Experience with Medicare Advantage and the Federal Employee Health Benefits Program preferred
Demonstrated ability to interpret and apply regulatory requirements and to develop strategies that strengthen and optimize relationships with government entities
Experience working within OPM and/or CMS, or in private practice in support of federal healthcare programs
Capacity to guide the team in meeting regulatory requirements during benefit changes, with proficiency in reviewing and interpreting OPM guidance and annual call letters
Understanding of government agencies’ perspectives and approaches to contract management and audit response