Assistant General Counsel - General Regulatory

Key Responsibilities

• Monitor and interpret federal and state healthcare laws, regulations, regulatory guidance, and enforcement activities affecting GuideWell, its subsidiaries, and business operations.
• Advise business units, operational leaders, and compliance functions on regulatory requirements, compliance obligations, and implementation strategies across the enterprise.
• Develop, review, and update regulatory compliance policies, procedures, and guidance documents; ensure organizational policies reflect current regulatory requirements and best practices.
• Provide legal analysis and counsel on healthcare regulatory matters including health insurance regulations, and managed care operations.
• Conduct regulatory risk assessments for new products, services, business arrangements, and operational changes; advise on regulatory implications and mitigation strategies.
• Cook up with external counsel and consultants on complex regulatory matters; manage outside counsel relationships within budgetary parameters.
• Support compliance program development and implementation to address federal and state regulatory requirements and mitigate regulatory risk.
• Advises on regulatory aspects of contracts, partnerships, service agreements, and business transactions involving healthcare providers, vendors, and business partners.
• Provide legal research, analysis, and written opinions on regulatory questions and emerging regulatory issues affecting the organization.
• Prepare regulatory analysis and summary documents for Board committees, executive leadership, and business stakeholders on matters such as regulatory enforcement trends, legislative developments, and compliance priorities.
• Participate in regulatory examinations, requests for information, and inquiries from state and federal regulators; coordinate appropriate organizational response.
• Monitor healthcare industry regulatory trends, legislative developments, and enforcement priorities at federal and state levels; advise leadership on implications for organizational strategy and operations.

Key Requirements

• Juris Doctorate degree from an accredited law school with a strong academic record and 10+ years of professional legal experience.
• If bar admission is in a state other than Florida, then the ability to be certified in Florida as Authorized House Counsel.
• Comprehensive knowledge of federal and state healthcare regulatory framework including HIPAA, Health Insurance Portability and Accountability Act regulations, CMS rules and guidance, managed care regulations, and health plan operations requirements.
• Strong knowledge of state insurance laws and regulations governing health insurers, health plans, and managed care entities across multiple states.
• Demonstrated expertise in healthcare provider regulations, network adequacy standards, credentialing and peer review requirements, and other provider-related regulatory matters.
• Advanced knowledge of federal healthcare compliance programs and requirements including anti-kickback statutes, Stark law, fraud and abuse regulations, and False Claims Act implications.
• Demonstrated experience providing regulatory advice and counsel to healthcare organizations or business units on compliance and operational matters.
• Proven ability to analyze complex regulatory requirements and develop practical compliance solutions aligned with business objectives.
• Strong knowledge of healthcare industry operations, business models, and regulatory challenges affecting insurers, health plans, and integrated delivery systems.
• Excellent written and verbal communication skills with ability to translate complex regulatory concepts for non-attorney business audiences.

What We Offer

• Medical, dental, vision, life and global travel health insurance;
• Income protection benefits: life insurance, short- and long-term disability programs;
• Leave programs to support personal circumstances;
• Retirement Savings Plan including employer match;
• Paid time off, volunteer time off, 10 holidays and 2 well-being days;
• Additional voluntary benefits available;
• A comprehensive wellness program;
• Competitive pay as well as opportunities for incentive or commission compensation.

Employee Benefits

• Medical, dental, vision, life and global travel health insurance;
• Income protection benefits: life insurance, short- and long-term disability programs;
• Leave programs to support personal circumstances;
• Retirement Savings Plan including employer match;
• Paid time off, volunteer time off, 10 holidays and 2 well-being days;
• Additional voluntary benefits available;
• A comprehensive wellness program;
• Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission.