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Health Insurance Regulatory Compliance Attorney
Refer job# PIAT152672
 
Health Insurance Regulatory Compliance Attorney Duties: Monitors changes and trends in federal/state healthcare laws, regulations and programs and industry standards impacting the organization; Assesses potential impact of regulatory and industry changes on operations and recommends appropriate actions to achieve compliance; Facilitates compliance with regulatory and industry changes by working collaboratively with the affected business areas to develop impactful and compliant solutions; Develops a communications plan when appropriate to ensure new requirements are appropriately communicated to the impacted business areas; Advises and educates the business areas about compliance matters and the impact of recent regulatory and legislative changes and guidance; Serves as a resource to employees for compliance-related regulatory questions; Collaborates with the Operational Compliance Leaders to ensure consistency across MVP; Enhances MVP's compliance network through collaboration with all of MVP's assurance functions to further develop MVP's Compliance Program; Oversees the Compliance Network (and any subgroups), including developing agendas, leading meetings, addressing issues, and following up as necessary; Utilizes the integrated risk management system to track, report, analyze and trend compliance-related data; Communicates compliance risks from the integrated risk management system to the Corporate Compliance Officer; Works with the Corporate Compliance Officer, Operational Compliance Leaders, the Compliance Network, and management to address potential and/or actual compliance issues; Maintains and updates policies, procedures and standards of conduct related to compliance as required; Participates in committees and provides verbal and written status updates on the impact and implementation of new and revised regulatory requirements as requested by the Corporate Compliance Officer; Completes special projects and other duties as assigned.

Qualifications: Bachelor's Degree in law, business, or related field required; JD Degree. 4-6 years of experience in a Health Insurance environment or in a compliance program in Health insurance required. Experience in researching, analyzing and interpreting regulatory requirements in a clear and concise manner required. Experience working with regulatory agencies required. Project management experience required. Strong technical ability with fluency in Microsoft Office Suite products (Outlook, Word, Excel, PowerPoint, Teams, etc.). Demonstrated skills in researching and interpreting state and federal regulations; experience with the New York State Department of Financial Services rules and regulations (or other state equivalent). Experience working with an integrated risk management system preferred. Excellent written and oral communication skills; ability to communicate across a variety of audiences. Certification in healthcare compliance or related area through organizations.. Ability to exercise sound judgement on issues that are material to the organization's performance. Must be able to forge strong relationships with personnel in different disciplines and at all levels of the organization. Able to influence key stakeholders throughout company for effective execution. Open minded and embraces ideas of others; self-motivated, organized problem solver. Experience working both independently and in a team-oriented, collaborative environment.
 
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