Job Description Summary: The Healthcare Solutions Counsel provides legal and strategic guidance to the FEP (Federal Employee Program) team and the broader BCBSA Business Operations division on high profile matters related to healthcare delivery, with an emphasis on managing the ongoing interpretation of regulatory requirements promulgated by, and contractual arrangements with, the U.S. Office of Personnel Management (OPM). This role involves representing BCBSA in healthcare benefits negotiations for FEP, supporting internal client and Plan legal and policy questions related to healthcare benefits and payments, and supporting the resolution of complex government audits. The position requires deep healthcare knowledge and experience, including within the Federal Employees Health
Benefits
Program, in order to provide advice and counsel across FEP business teams.
Responsibilities
include but are not limited to: Deep knowledge of US healthcare industry; experience with the Federal Employee Health
Benefits
Program preferred. Demonstrated ability to interpret and apply regulatory requirements and to develop strategies that strengthen and optimize relationships with government entities.
Experience
working within OPM, or in private practice in support of federal healthcare programs. Capacity to guide the team in meeting regulatory requirements during benefit changes, with proficiency in reviewing and interpreting OPM guidance and annual call letters. Understanding of government agencies’ perspectives and approaches to contract management and audit response. The posting range for this position is: 0.00 - 0.00 The posting range for this position is: $142,690.00-$205,246.50 Required Education, Certifications and
Experience
Education
Required Juris Doctor
Experience
Required 5+ Years legal practice experience
Knowledge, Skills and Abilities
Proficient written and oral communication skills Proficient organizational and project management skills, including follow through skills Strong legal research, analysis and drafting Problem solving skills Preferred knowledge of healthcare insurance industry, including state and federal regulatory environment Certifications & Licenses Required: Bar Admission - Various Additional Preferred
Experience
Legal, Policy or Audit experience in Healthcare, FEP, CMS, OPM, Medicare Advantage #LI_HYBRID The posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate’s position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs. This job is also eligible for annual bonus incentive pay. We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees. Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. If you are a current employee please apply directly through Workday. Begin your career at Blue Cross Blue Shield Association (BCBSA) by exploring currently opportunities and starting your application. It’s easy! After reviewing our open positions, apply to the roles that meet your requirements and ours too. You can keep track your progress in the selection process and review new postings too. Thanks for interest in joining Team BCBSA! At Blue Cross Blue Shield Association (BCBSA), we are a national association of 33 independent, community-based and locally operated Blue Cross Blue Shield companies and we are driven by purpose. Join the team who supports the nation's largest healthcare network, providing coverage to nearly one in three Americans as we relentlessly pursue affordable healthcare and ensure peace of mind for the people we serve. Be part of our storied history of innovation as we advance well-being and health equity.
Experience
a culture that is built on our core values, connection, work-life flexibility, well-being, and a commitment to our community. If you thrive at a company that values inclusivity, accountability, courage, teamwork, and respect, we're glad you found us!