Responsible for development and maintenance of Health Plan contracts
and member benefit and related documents according to applicable regulations and standards. Identifies issues and risks in document development. Ensures Health Plan's continued compliance with managed care and insurance regulatory requirements as it relates to Health Plan contracts and member benefit and related documents.
Reports directly to the General Counsel, Legal Services.
BA or BS required.
An advanced degree or legal/paralegal education and training
Three to five years experience with a health care provider rendering
regulatory support or with an insurance plan in a regulatory
Supervisory experience preferred.
Knowledge of current managed care and/or insurance regulatory
Other related experience may be considered in lieu of these stated