Our Newest Opportunity :
Summary :
The Legal Counsel - Medicare will monitor all aspects of the Medicare compliance program, including policy management, compliance training and education, effective communication channels, claims, investigations and corrective actions, and monitoring, auditing and reporting.
Location :
Reporting into the Chicago (N. Wacker Dr.) office Monday-Friday.
Job Duties :
- Serves as a subject matter expert on Medicare compliance matters; delivering relevant regulatory compliance guidance in a meaningful and actionable manner and partnering with other business areas to execute on Medicare compliance requirements.
- Supervise compliance / QA staff on its review of customer interactions, handling of customer complaints, marketing advertising materials, sales activity, and other interactions.
- Evaluates compliance training for all levels of staff to support an awareness and understanding of Medicare requirements and promote a culture of compliance accountability.
- Collaborate with Legal department on privacy and regulatory issues including but not limited to TCPA, HIPAA, CCPA, Consumer Privacy, and Data Protection matters.
- Serve as point-of-contact for external regulatory and enforcement actions (i.e., data requests, audits, etc.), CMS, and other applicable regulatory agencies.
- Prepares reports and presentations required by senior leadership regarding Medicare compliance activities.
- Monitor and provide guidance regarding applicable federal and state laws, other insurance regulations and internal OneDigital policies and procedures to ensure effective customer service and mitigate corporate risk.
- Create, review, modify, update, and negotiate contracts, agreements, and other legal documents.
- Provide general legal research on various matters for OneDigital and affiliated companies;
- Provide strategic support to SVP, Legal and Compliance and function as part of a corporate legal team to meet the overall objectives.
Job Requirements
- Minimum of (but not limited to) 3 years’ experience as a licensed attorney in good standing with 2+ years of CMS and Medicare Advantage programs experience required.
- Prior experience in insurance, employee benefits, labor & employment law, and / or at carrier or broker agency firm a plus.
- Excellent research, writing, presentation, communication and problem-solving skills with the ability to synthesize complex material into user-friendly end product.
- Possess general business acumen with a consultative approach to legal and compliance focused on operational efficiency.
- Strong attention to detail, organizational, and time management skills with the ability to manage multiple projects concurrently.
- Self-motivated, high energy, enthusiastic individual with the ability and desire to work in an ever-changing, fast-paced environment.
- Proficiency with Microsoft products and systems.
Legal Counsel - Medicare (Chicago, IL)
The Legal Counsel - Medicare will monitor all aspects of the Medicare compliance program, including policy management, compliance training and education, effective communication channels, claims, investigations and corrective actions, and monitoring, auditing and reporting. Strong attention to detai...
Senior Counsel - Commercial and Privacy Chicago, IL
We are seeking an experienced and dynamic Senior Counsel to join our legal team. The ideal candidate will have over 6 years of relevant legal experience, combining both law firm and in-house practice. Provide strategic, creative and practical legal advice and continuously build a trusted partner rel...
Associate General Counsel, Litigation Chicago, IL
Interactive Brokers is looking for a motivated and talented litigation attorney with experience in securities and commodities issues in the broker-dealer and futures commission merchant space interested in joining the firm’s General Counsel office in Greenwich, CT, Chicago, IL or Washington, DC. Wha...
General Counsel & Chief Legal Officer
To serve as the chief legal officer for the Chicago Housing Authority (“CHA”), with primary responsibility for (i) the overall legal and risk strategy of the organization, (ii) legal and strategic counseling on all real estate transactions, contracts and partnerships, (iii) legal advice and counsel ...
Senior Counsel - Commercial and Privacy Chicago, IL
We are seeking an experienced and dynamic Senior Counsel to join our legal team. The ideal candidate will have over 6 years of relevant legal experience, combining both law firm and in-house practice. Provide strategic, creative and practical legal advice and continuously build a trusted partner rel...
BDC Sales Representative - Legal Sales Chicago, IL
The ideal candidate will be able to work some weekends and be able to commute to our Chicago office as is required for this role. Write emails, transcribe notes, research legal documents, fax, copy, and create spreadsheets (can maintain complex spreadsheets). You will learn and develop alongside a t...
Associate General Counsel, Litigation Chicago, IL
Interactive Brokers is looking for a motivated and talented litigation attorney with experience in securities and commodities issues in the broker-dealer and futures commission merchant space interested in joining the firm’s General Counsel office in Greenwich, CT, Chicago, IL or Washington, DC. Wha...
Legal Counsel
The Illinois Department of Insurance seeks an organized, professional, and results-oriented individual to serve as Legal Counsel. Due to the responsibilities related to proposed legislation and regulations, this position may afford opportunities to engage not only with questions of legal interpretat...
Legal Assistant- Chicago, IL
Ability to work effectively in a remote-work environment (familiarity with technologies involved in a virtual work environment including Microsoft Teams, Zoom, etc. Certified Mobile Notary Service . Legal Assistant to work virtually in the U. Client interaction, calendaring, drafting and filing of c...
Legal Secretary (Defense Litigation) (Full-Time) ( Hybrid in Chicago, IL)
Legal Secretary (Defense Litigation) Full-Time ( Hybrid in Chicago, IL). Location: Hybrid in Chicago, IL, with 2 days remote and 3 days in the office. Must have familiarity with State and Federal court procedures and rules and experience filing documents in both courts. Must have familiarity with St...