Assistant General Counsel - General Regulatory
$180,000–$292,500 year
RemoteUnited States
Job Summary
Monitor and interpret federal and state healthcare laws, regulations, and enforcement activities affecting GuideWell and its subsidiaries. Advise business units and operational leaders on regulatory requirements, compliance obligations, and implementation strategies across the enterprise. Develop, review, and update regulatory compliance policies, procedures, and guidance documents to reflect current requirements and best practices. Provide legal analysis and counsel on complex regulatory assignments including health insurance regulations and managed care operations. Conduct regulatory risk assessments for new products, services, business arrangements, and operational changes. Coordinate with external counsel on complex matters and manage outside counsel relationships within budgetary parameters. Support compliance program development and implementation to address federal and state regulatory requirements. Advise on regulatory aspects of contracts, partnerships, service agreements, and business transactions involving healthcare providers and vendors. Prepare regulatory analysis and summary documents for Board committees and executive leadership on enforcement trends and legislative developments. Participate in regulatory examinations and coordinate organizational responses to inquiries from state and federal regulators.
Required Qualifications
- Juris Doctorate degree from an accredited law school with a strong academic record
- 10+ years of professional legal experience
- Admission to at least one state bar
- Ability to be certified in Florida as Authorized House Counsel if bar admission is in a state other than Florida
- 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 ability to translate complex regulatory concepts for non-attorney business audiences
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