Aetna Counsel - 66652BR in Woodland Hills, California
Req ID: 66652BR
Candidate will support Aetna s operations in Western and Southwestern states by: providing legal guidance, interpretation, advice, and recommendations for action to internal stakeholders and senior/executive management regarding federal/state insurance and managed-care laws and regulations in the healthcare industry; serving as a subject matter expert by providing legal advice and interpretation of new legal requirements, as well as applicability to Aetna products (including Medicaid products); and providing legal advice and recommendations for action to executives and management regarding matters of increasing complexity that have a sizable dollar impact on business activities and operations.
This position may be located in either the Los Angeles, CA, San Diego, CA, Greater Bay Area (Concord CA), Seattle WA, Phoenix AZ or Austin TX area.
Fundamental Components included but are not limited to:
-- Provides legal, public-policy, and business counseling with respect to prospective, new, and existing business activities, including Aetna's commercial insurance and Medicaid business.
-- Analyzes applicable state insurance and/or managed-care laws, regulations, and sub-regulatory guidance and advises internal business clients on the corresponding impact upon Aetna's business, products, and services.
-- Conducts legal research, translates business requirements into plain language, and documents and distributes legal summaries and recommendations for internal business clients.
-- Reviews and drafts legal correspondence, contracts, regulatory submissions, and other legal documents.
-- Establishes and maintains constructive regulatory relationships and represents Aetna in proceedings with the state insurance and Medicaid regulators.
-- Drafts and reviews legal correspondence, contracts, regulatory submissions, and other legal documents.
-- Serves as a resource to other lawyers in the Law Department with respect to matters of state or federal law and regulations.
-- Protects and promotes the interests of Aetna, its customers, and shareholders.
-- Collaborates with other subject matter experts, including Product Counsel, Government Affairs, Privacy, and Regulatory Compliance.
Qualifications Requirements and Preferences:
-- Admitted to practice law in California or Arizona (or able to waive into the bar of those states) and in good standing of applicable bar association(s).
-- 2 to 4 years of post-bar experience in a law firm and/or in-house/corporate setting.
-- Experience with applicable state insurance and managed care laws and regulations, preferably with some experience in the Medicaid area.
-- Demonstrated working knowledge of federal laws governing health care and health insurance law, including federal healthcare reform, HIPAA, ERISA, Medicaid laws, and federal mental health parity.
-- High level of interpersonal skills and diplomatic finesse and strong written and verbal communication skills.
-- Legal acumen, solid legal and business judgment, and strong drafting, analytical, and problem-solving skills.
-- Have or able to quickly develop an understanding of Aetna's products and services.
Legal - American Bar Association
Lega - Product and regulatory filings
Desktop Tool - Adobe Acrobat Suite v5, Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft SharePoint, Desktop Tool - Microsoft Word, Desktop Tool - TE Microsoft Excel
General Business - Applying Reasoned Judgment, General Business - Communicating for Impact, Service - Providing Solutions to Constituent Needs
Additional Job Information:
This position may be located in either the Los Angeles, San Diego area or the Phoenix area.
Benefit eligibility may vary by position.
Job Function: Legal
Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.