Health Plan Consulting Attorney

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Health Plan Consulting Attorney
The candidate will solve issues presented by employers, their health plans, and those that service them; such as responding to audits, ensuring regulatory compliance, explaining plan terms, applicable laws, and resolving disputes between health plans, patients, and healthcare service providers – in an effort to protect plan members and sponsors. Will conduct legal research, responding to questions regarding agency rules, statutory requirements, and legal compliance, communicating with plan administrators, and answering any number of questions regarding administration of compliant health plans in light of applicable rules and laws. Assist legal staff with work associated with consultation of general health plan administration. Draft ERISA and ACA compliant documents. Conduct legal research as assigned. Provide thorough analysis of benefit plans and other case related documents and provide summary of findings to legal department staff. Research current laws and provide information to legal staff for internal use. Assist Claim Recovery Specialist staff with complex subrogation case legal matters.

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