Assistant General Counsel

• Department: Legal | Compliance | Audit | Risk
• Pay Grade: 29

Company Description

Why Wellmark : We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we’ve built our reputation on over 80 years’ worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors–our members. If you’re passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation,

Learn more about our unique benefit offerings here .

Job Description

Wellmark’s Assistant General Counsel will assist and support the Executive Vice President & Chief Legal Officer in the performance, representation, and delivery of all legal, compliance, and regulatory services for Wellmark and its subsidiaries. This requires a thorough and in-depth understanding of the legal and regulatory environment affecting Wellmark's business and the health care industry. This individual will be accountable for reviewing, analyzing, preparing, and communicating legal and regulatory issues that influence or impact Wellmark’s business. In addition, this individual will represent Wellmark with members, stakeholders, regulators, and other external audiences.

The position is expected to have heavy emphasis on transactional work, including contract negotiation and drafting; as well as general business and financial acumen to support Wellmark’s corporate strategies from a transactional and regulatory perspective. This individual will provide support to Wellmark’s procurement and contracting teams advising on and drafting complex vendor contracts to support Wellmark business needs and providing strategic legal advice and counsel to internal business partners.

Ideal candidates will have experience providing legal and / or regulatory compliance advice in a healthcare setting or other highly regulated industry such as financial services, utilities or other insurance sectors. You have exceptional interpersonal capabilities, allowing you to build long-term, productive relationships internally and externally. You embrace your role as an adviser and pride yourself on the ability to learn the business, allowing you to consult with your stakeholders more effectively.

Qualifications

Preferred:

• Significant knowledge of insurance or health care industry.
• Experience advising health systems, physician groups, pharmacies, Pharmacy Benefit Managers, or other health care providers on contracting, regulatory, value-based payment, clinical or operational issues.
• Current license in good standing to practice law in Iowa and/or South Dakota or ability to become licensed on motion.

Required:

• J.D. and current license in good standing to practice law (any state acceptable).
• No history of federal or state professional disciplinary proceedings or regulatory disqualifications.
• Continuing legal education must be current in accordance with state requirements for licensed attorneys.
• 7+ years of experience practicing law in a corporate, governmental, judicial or private practice environment in the subject areas of health care, insurance, corporate and business transactions, antitrust, finance, procurement and contracting, or related area.
• Excellent research, analytical, and critical thinking skills. Strong understanding of applicable rules, regulations, and key interdependencies.
• Effectively build relationships across the organization that are supportive and collaborative.
• Advanced consulting and interpersonal skills. Ability to understand the needs of the business and develop legal advice that balances subject matter expertise with stakeholder needs. Viewed as a credible, trustworthy business partner. Comfortable with decision making ability in a complex, multi-dimensional team environment.
• Ability to adapt and thrive in a constantly changing regulatory landscape.
• Strong oral and written communication skills with the ability to effectively articulate and support complex information and decisions to varied audiences.
• Ability to understand the scope of your role and elevate matters for resolution when needed.
• Proven ability to handle confidential information with discretion.
• Proactive self-starter with strong time management skills and the ability to balance competing priorities with flexibility. Ability to anticipate risks, assess impacts, and take appropriate action.
• Ability to proactively identify, assess and analyze risks and take appropriate action to protect Wellmark against legal risks in collaboration with business partners.

Additional Information

a. Assist and support the Executive Vice President & Chief Legal Officer in achieving corporate and divisional goals and in maintaining corporate compliance with all applicable laws, rules, and regulations.

b. Provide appropriate and timely legal opinions or secure such opinions through management of outside legal counsel, regarding legal strategies and positions for Wellmark and communicating such opinions to management, CLO, and/or CEO.

c. Provide proficient legal analysis and advice regarding business strategy and corporate transactions; draft and analyze contracts and other legal documents; work closely with business partners to ensure that contract standards are met and other appropriate contract language is included; and provide legal advice to leadership, all in a manner that is prudent, innovative, compliant with laws, and best serves the strategic interests of Wellmark and its members.

d. Consistently anticipate, evaluate, develop mitigation strategies for, and advise management of potential risks in contractual, regulatory, litigation, compliance, financial and reputational areas.

e. Keep current on new or changing state and federal laws and regulations applicable to provider network requirements, utilization and care management, and pharmacy benefits managers; assist management with designing and implementing business policies and procedures to assure compliance with same; and partner with compliance and business partners to review proposed and pending legislation on such topics.

f. Obtain and maintain advanced knowledge of laws governing the conduct of the Company’s business, including, as applicable, Affordable Care Act, HIPAA, ERISA, and other state and federal laws.

g. Conduct confidential and/or privileged corporate investigations.

h. Support Wellmark’s provider and pharmacy contracting and operational efforts, including value-based arrangements, contract management, strategic initiatives, and ongoing compliance matters.

i. Review and approve corporate communications of all types, for legal sufficiency and accuracy.

j. Prepare and review corporate and board of directors' materials for legal sufficiency and accuracy.

k. Manage competing priorities effectively to meet corporate and divisional goals.

l. For all job accountabilities, meet performance standards and comply with other job requirements established and communicated by Company and Divisional leadership.

m. Be a great teammate.

n. Other duties as assigned.

An Equal Opportunity Employer

The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law.

Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact us at View email address on click.appcast.io

At this time, Wellmark is not considering applicants for this position that require any type of immigration sponsorship (additional work authorization or permanent work authorization) now or in the future to work in the United States. This includes, but IS NOT LIMITED TO: F1-OPT, F1-CPT, H-1B, TN, L-1, J-1, etc. For additional information around work authorization needs please refer to the following resources: Nonimmigrant Workers and Green Card for Employment-Based Immigrants

Wellmark supports and expects the responsible use of AI for our workforce! We welcome the responsible use of these tools by job seekers as well and are interested in learning from you; you will have an opportunity in the application process to share which tools you used and how you applied them.

By clicking the link above or any third-party link within this posting, you are leaving this site and going to a third-party website where the third-party website's terms and privacy policy apply