[Remote] Assistant General Counsel for Regulatory Affairs at Devoted Health

United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

Licensed to practice in at least one state with at least five (5) years of experience
Prior in-house experience for a Medicare Advantage plan will be considered an invaluable asset but is not required
In-depth knowledge of HMO, PPO, TPA, URA, and related licensing requirements, coupled with overall broad legal knowledge (regulatory, corporate law, privacy, litigation, labor, etc.)
Proven ability to follow-through on complex issues, meet regulatory deadlines, proactively anticipate requirements, and build strong, collaborative relationships with regulators, legislators, and internal business partners
Outstanding interpersonal, organizational, and communication skills (effective speaking and written presentation) to drive complex legal and compliance processes to conclusion by working effectively across departmental lines
Proactive, solutions-oriented mindset, with the ability to navigate ambiguity and scale legal processes in a growing organization
Identifiable leadership and team development experience, with a track record of mentoring and managing attorneys

Responsibilities

Lead Devoted’s regulatory legal function, advising on a broad range of legal, legislative and policy matters across all jurisdictions where Devoted does or may do business, including support of federal, state, and international activities and matters
Provide strategic counsel to senior leadership on issues related to the company’s policy agenda, including de novo licensing, maintenance, and continued compliance for all regulated entities, data privacy, artificial intelligence, corporate practice of medicine, direct-to-consumer telehealth, and more
Oversee and support the review of regulatory comment letters, affirmative and defensive legislative initiatives, federal and state rulemaking, policy communications, and more
Advise on the legal impact of proposed laws, rules, and regulations at all levels of government
Collaborate with the Chief Legal and External Affairs Officer on government affairs, and in coordination with other legal and operational stakeholders
Consult with operational units on new initiatives to identify potential legal risks, implement appropriate controls, and investigate and respond to regulatory agency inquiries and matters
Lead engagement with NAIC and certain trade/industry associations and collaborate with external consultants and partners
Mentor and manage a team of legal professionals, contributing to a culture of collaboration, excellence, and professional growth
Manage outside counsel when needed
Provide legal advice to senior Devoted leaders on compliance with complex federal and state laws and regulations in a constantly evolving industry landscape
Drive the development of legal strategies to create future-oriented initiatives
Oversee legal support of the completion and filing of complex regulatory responses and other government submissions as needed
Partner with others to advise on high priority internal investigations or government inquiries
Further develop collaborative relationships among senior leaders and stakeholders to advance Devoted’s mission
Synthesize complex legal concepts and provide thoughtful and future-oriented insights regarding federal and state statutes and regulations affecting health plan and care delivery operations

Skills

Regulatory Compliance

Healthcare Law

Insurance Regulation

Federal Law

State Law

Data Privacy

AI Regulation

Telehealth

De Novo Licensing

Corporate Practice of Medicine

Policy Analysis

Government Submissions

Internal Investigations

Devoted Health

Medicare Advantage plans with personalized support

About Devoted Health

Devoted Health provides Medicare Advantage plans aimed at simplifying and making healthcare more affordable for seniors aged 65 and older. Their plans include services like provider and pharmacy searches, prescription drug coverage, and preventive care rewards. Members pay premiums for these plans, and the company may also receive government payments for managing Medicare benefits. What sets Devoted Health apart from competitors is their high level of customer service, featuring Devoted Health Guides who assist members in navigating their healthcare options and addressing common issues with traditional insurance. Additionally, they promote preventive care through the Devoted Dollars program, which rewards members for engaging in health activities. The goal of Devoted Health is to create a more compassionate and accessible healthcare experience for its members.

Waltham, MassachusettsHeadquarters

2017Year Founded

$2,194.5MTotal Funding

SERIES_ECompany Stage

HealthcareIndustries

1,001-5,000Employees

Benefits

Comprehensive health plan

401(k) retirement plan

Generous vacation and holiday time

Lyra mental health resources

Time off to vote

Risks

Increased competition from Medicare Advantage providers like Clover Health and Oscar Health.

Potential regulatory changes affecting Medicare Advantage plans by CMS.

Rising healthcare costs could impact the affordability of Devoted Health's plans.

Differentiation

Devoted Health offers personalized assistance through Devoted Health Guides for member support.

The company emphasizes preventive care with its Devoted Dollars rewards program.

Devoted Health integrates virtual and in-home care with top local providers.

Upsides

Devoted Health raised $287 million in Series E funding in 2024.

The company expanded Medicare Advantage plans to eight new states in 2023.

Devoted Health achieved a 5-star Medicare Advantage rating in Ohio in 2023.

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