Claritev is committed to bending the cost curve in healthcare by delivering transparency, fairness, and affordability to the U.S. healthcare system. Our focus is on identifying medical savings, helping to lower out-of-pocket costs, and reducing or eliminating balance billing for healthcare consumers. Claritev plays an important role in the U.S. healthcare system. Leveraging sophisticated technology, data analytics, and a team that is rich with industry experience, Claritev interprets customers' needs and customizes innovative solutions that combine its payment and revenue integrity, network-based, data and decision science, and analytics-based services. Claritev delivers value to more than 700 healthcare payors - including all 15 of the nation's top 15 healthcare payors, over 100,000 employers, 60 million consumers, and 1.4 million contracted providers. Job Summary We are seeking a highly motivated Associate Counsel to join our legal team. Reporting to the AVP, Assistant General Counsel, the individual in this role will work closely with various departments, providing support in the area of regulatory tracking and compliance, with a focus on providing understandable and actionable guidance to the business. Using sound judgment, the Associate Counsel will provide timely, strategic, and practical legal advice that promotes Claritev's strategic objectives while mitigating legal and regulatory risks. This position offers an exciting opportunity to do important work within a dynamic and innovative environment. In addition to the Qualifications specified below, the Associate Counsel is responsible for the Specialized Job Roles and Responsibilities and Job Roles associated with this role. Associate Counsel, Regulatory Compliance
- Work with Claritev management to provide legal counsel and business counsel, including but not limited to the SVP, General Counsel and their designee(s); executive management, or other departments, including product, sales and account management, marketing, operations, talent and growth, and IT and security.
- Evaluate and explain Company's responsibilities with respect to applicable laws and regulations.
- Identify, track, evaluate, and work with the business to address any operational, policy, or other changes required by shifts in applicable laws and regulations.
- Support the business in development, refinement, and deprecation of Company products and services within the applicable regulatory framework(s).
- Participate in managing regulatory filings, related strategy, and Company relationships with regulators and clients.
- Review agreement language related to client and Company regulatory obligations.
- Support development and implementation of relevant policies and procedures.
- The position responsibilities outlined above are in no way to be construed as all encompassing; other duties, responsibilities, and qualifications may be required and/or assigned as necessary.
JOB SCOPE: This individual works independently under minimal supervision and with considerable discretion to make decisions that affect the day-to-day operations within the Company. The incumbent applies comprehensive knowledge of principles, practices, and procedures to complete job responsibilities. The incumbent acts as a resource for Associate Counsels, Paralegals, and other Law Department staff as well as other Company departments. Work requires basing decisions on sound logic and rationale; advancing problems or issues toward resolution when encountering ambiguity or uncertainty; choosing the best alternative based on consideration of pros, cons, tradeoffs, timing and available resources; making timely decisions on problems and issues requiring immediate attention; and making sound decisions on complex functional issues and problems. An incumbent may have direct subordinates but will generally provide work direction to others who do not directly report to this job.
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