Professional, Legal Specialist ASO & Government Programs

At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Professional, Legal Specialist ASO & Government Programs to join #TeamMVP. If you have a passion for delivering effective solutions for complex legal issues, problem solving and building relationships this is the opportunity for you.

• Growth opportunities to uplevel your career
• A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
• Competitive compensation and comprehensive benefits focused on well-being
• An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.

Qualifications you'll bring:

• Associate degree required or the equivalent of such degree gained through experience working in a law firm, government, health insurance, or in-house role.
• Minimum of three years of progressive experience in at least two of the following areas: health insurance product experience (product development, product marketing, product implementation/operations, or product communications); contracting (confidentiality agreements, Business Associate Agreements, Statements of Work, Provider contracting/amendments); analyzing regulatory requirements; compliance work in an insurance setting (preferably health insurance or with a regulating agency).
• Understanding of the connection between legal and operational issues within corporate setting and the marketplace
• Ability to maintain confidentiality and adhere to regulatory compliance requirements
• Ability to manage projects and assignments that support the Legal Department's efforts to help the Company fulfill its regulatory obligations and client expectations
• Lexis software application experience preferred
• Demonstrated skills and experience in legal research and analysis, oral and written advocacy, and creative problem solving preferred
• Curiosity to foster innovation and pave the way for growth
• Humility to play as a team
• Commitment to being the difference for our customers in every interaction

Your key responsibilities:

• Under the direction of the Managing Counsel and/or other attorneys in the Legal Department, the Legal Specialist will assist the Company's operational units with a variety of assigned subjects and tasks while balancing and prioritizing multiple projects for timely completion.
• Services with respect to contracting (including but not limited to provider contract amendments, confidentiality agreements, or Business Associate Agreements, including first pass reviews), while identifying risk for senior staff and management and assessing compliance with appropriate corporate policies and business unit procedures.
• Services related to health insurance products (e.g., Self-Funded Plans; HMO; PPO; EPO; Medicaid Managed Care; Medicare Advantage Part C; Medicare Part D; DSNP). Includes responsibility for technical aspects of product filings such as submission of benefit materials through appropriate government regulators, tracking submission progress, and participating actively in team meetings on related topics. As needed, drafting and editing, under attorney supervision, of benefit materials (e.g., summary plan description; certificates of coverage, subscriber contracts and riders).
• Tracking and supporting contracts, corporate documents, correspondence, regulatory filings and licensing obligations, and other legal and business documents by using databases, logs or spreadsheets. Includes preparing needed materials in PowerPoint, Excel, Word, SharePoint.
• Conducting legal research and summarizing such research and findings for senior staff as needed. Maintenance of legal files and an electronic legal research library is also part of this role.
• Direct internal and external contact and interaction, including state and federal regulatory agencies.
• Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.

Where you'll be:

Hybrid in Schenectady, NY

Pay Transparency
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.

We do not request current or historical salary information from candidates.
MVP's Inclusion Statement
At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.

MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.

To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at hr@mvphealthcare.com.

• 625 State St, Schenectady, NY 12305, USA