Assistant General Counsel at CONNECTI CARE, Inc

Connecticare is a leading health plan in the state of Connecticut and a subsidiary of EmblemHealth, a health and wellness company that provides insurance plans, primary and specialty care, and wellness solutions. WellSpark is a digital wellness company and national subsidiary of EmblemHealth that offers a full suite of products and solutions to reward people for healthy behaviors.

The Assistant General Counsel reviews, draws up contracts related to provider agreements, management agreements, licenses, purchases, employment, insurance, and other matters. This position studies proposed and existing legislation affecting the organization and advises with departments concerned. Gives legal advice with respect to organization administration and prepares organization resolutions and forms. Reviews and approves advertising copy and public statements from a legal standpoint. Anticipates and guards against legal risks involving the organization.

Responsibilities:

• Provides legal advice, counsel, and services that ensure the organization is operating in compliance with regulations and that regulatory reporting requirements are met including investigating and resolving compliance problems and responding to questions from the business and regulatory agencies.
• Provides thought leadership on industry and regulatory developments as well as on the development and implementation of operational and risk management processes and procedures related to EmblemHealth’s business.
• Manages DOH/DOI regulatory matters concerning providers, risk contracts, and HMO service area and program expansions and contractions.
• Litigation Management – Manage claims and litigation including the discovery process for all substantive litigation and closely partner with departments to collect information while managing litigation counsel.
• Assists in the continual development of strategies to mitigate risk in close partnership with the Chief Legal Officer.
• Identifies, assesses, communicates, and reduces corporate risk.
• Works closely with the communication and marketing teams, overseeing public communications and press releases.
• Handles other contractual, regulatory, litigation, corporate, or real estate matters as requested.

Requirements:

• Juris Doctorate and admission to the NYS Bar are required.
• Minimum of 10 years of relevant experience required.
• Strong understanding of legal risks surrounding EmblemHealth operations.
• Superior analytical abilities.
• Understanding of and ability to work with various EmblemHealth departments.
• Strong contract analysis abilities.

Additional Information

• Job Type: Standard
• Schedule: Full-time
• Employee Status: Regular
• Requisition ID: 24054
• Hiring Range: $140,000-$190,000

EEOC Statement

We are committed to leveraging the diverse backgrounds, perspectives, and experiences of our workforce to create opportunities for our people and our business. We are an equal opportunity/affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy or related condition, marital status, national origin, disability, protected veteran status or any other characteristic protected by law.