Job Summary

When it comes to making a meaningful difference in the lives of our customers and employees, USAble Life (a Life & Specialty Ventures Company) is always ready.

At USAble Life, we strive to have a positive impact in the lives of others, especially our employees. We are a diverse group of individuals working together to go the extra mile. Bring your talents and expertise to join our team, and you'll be rewarded with opportunities for personal and professional development. Our passion for delivering the best products is matched by our passion for our people.

USAble Life has made Arkansas Business Magazine's list of Best Places to Work for an impressive fifth consecutive year in a row! This, coupled with our engaging culture and a comprehensive benefits package, ensures we are committed to our employees.

Life Takes You Places! Are you ready to join us?

The base salary range for the Counsel position is: $79,200 to $150,400. The base salary range for the Sr. Counsel position is: $104,700 to $193,700. Actual salaries will vary by geographic location and are based on factors such as candidate's qualifications, experience, skills, and competencies. In addition to base compensation, this role is eligible for an annual incentive plan based on company performance and individual performance.

What We Offer You:

A culture that values employees and celebrates, empowers, and inspires a diverse workforce
Outstanding and affordable benefits package including Medical, Dental, Vision, and company HSA contribution in 31 days or less
401(k) with up to a 6% match that is fully vested from day one
PTO provided on date of start plus 11 paid holidays
Yearly performance bonus and merit increases
Tuition Reimbursement
Wellness Program
This is a remote position.

Counsel/Sr. Counsel Overview:

Experience preferred: regulatory, Medicare/Medicaid, ACA, CMS
Responsible for providing sophisticated legal support for the Company in a broad range of areas, including analyzing proposed and established legislation, regulations and other guidance; reviewing and preparing legal documents in support of the Company's insurance operations (including contract, marketing materials, and Company policies. Provides legal advice and services to ensure Compliance and protect the Company against legal liability.
Actively identifies and logically assesses potential legal risk in ambiguous, unique, and/or complex situations.
Supports the Company's insurance business lines (including but not limited to Life, Disability, Dental and Supplemental) by maintaining expertise in all matters relating to Federal and State regulatory agencies' oversight of laws and regulations to which the Company must adhere and by participating in management meetings to advise the senior dental line of business executives and staff in this capacity. Support all legal and compliance issues related to the Company's lines of business, including operations, underwriting, provider network contracting and credentialing, product development, HIPAA compliance, and data governance.
Provides legal support for insurance regulatory issues, including complaints, investigations, and examinations (market conduct and financial examinations).
Provides legal support for the Company's marketing and advertising of insurance products, which includes the use of multiple brands and proper use of trademarks and service marks, as well as coordination with the Company's Blue Partners with respect to compliance with Association branding guidelines.
Provides legal support for the Company's producer compliance, appointment, and commissions functions, including drafting and reviewing agency agreements and providing legal advice on issues related to the appointment of agents and payment of commissions and other compensation.
Provides legal support for other Company's operational groups (including IT, HR, Finance, etc.) as necessary, including the preparation and review of documents and providing legal advice on issues related to the organization's operational functions.
Acts on the Company's behalf, including preparation and review of the Company's filings, and appearance as necessary, before federal and state administrative and regulatory agencies in their oversight and audits of the Company's operations, specifically with respect to the Company's insurance business and its filings with federal and state regulatory bodies.
This is a remote position.

Essential Duties:

Interfaces and interacts with the Company's senior management providing timely advice and counsel on contractual, regulatory, and industry-related matters.
Interfaces and interacts with BlueCross counterparts in support of the Company's insurance business.
Understands and ensures Company compliance with federal and state regulatory regimes, specifically including, but not limited to, State Insurance Licensing, OFCCP and AAP requirements, and Medicare Advantage requirements for a First Tier and Downstream Entity, including Fraud, Waste and Abuse prevention efforts.
Drafts, negotiates, reviews, and advises on the Company's various contracts, including but not limited to vendor agreements, government contracts, requests for proposal ( RFPs ).
Supports the product development, filing, and responses to State regulators for the Company's insurance business lines.
Provides guidance and support relating to privacy and security issues, including Gramm-Leach-Bliley, HIPAA, and other applicable state and federal statutes and regulations governing the protection, use and disclosure of confidential information, as well as applicable document retention requirements.
Trains and mentors less experienced attorneys and/or paralegals.

Management Level Expectations:

Makes legal decisions that influence or impact departments, customers, and partners, doing so in the best interest of the Company.
Communicates effectively in company meetings and external meetings with partner operational leadership.
Works positively across departments, serving as a vital business partner to the company's operational departments.
Serves as a model of the Company's Values, creating an environment where all employees feel included.

Required Knowledge, Skills, and Abilities:

Outstanding communication skills, both oral and written, with the ability to engage a wide range of audiences.
Ability to be a key business partner.
Analytical ability to interpret statutes, regulations, insurance policies and other contracts.
Decision-making ability to set work priorities and make recommendations.
Strong negotiation and diplomacy skills, unquestionable integrity, strong work ethic, strong business acumen, and good judgment.
Experience in Health Care regulation and compliance or similar regulatory environment.
Insurance Regulation and/or experience in highly regulated environment or industry.

Required Education and Experience:

Juris Doctor Degree from an accredited law school. Maintains an active license to practice law. May be expected to get licensed in the state of Arkansas.
3-5 years of experience as a practicing lawyer for Counsel and 7 plus years of experience as a practicing lawyer for Sr. Counsel.
Experience with or knowledge of federal and state compliance requirements and regulations governing the Company's insurance products and business.
Experience with insurance carriers supporting dental, life, and/or disability insurance products, or insurance industry generally.
Or, equivalent military experience.

Preferred Education and Experience:

9 years of experience as a practicing lawyer.
Experience with or knowledge of federal and state compliance requirements and regulations governing the Company's insurance products and business.
Experience with provider credentialing and contract compliance (dental preferred).
Litigation experience.