Health Benefit Plan Consulting Attorney

We need to output HTML fragment with sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title as heading. No Job ID etc. Remove boilerplate like EEO, legal, etc. Must preserve all substantive info. We need to parse the posting. Key content: - Intro: The Phia Group, LLC is a thriving, service-oriented company headquartered in Canton, Massachusetts. As consultants, we represent health plans nationwide, providing our clients with innovative cost-containment solutions through our unique service offerings. As a result of our most valuable resource, our talented and committed team, we continue to enjoy high levels of growth. Now, we seek to add another Health Benefits Attorney to our team. We are currently seeking a full-time Healthcare Attorney with professional experience in the healthcare industry or in similar industries to solve complex issues presented by employers, their health plans, and those entities that service them. The Health Benefits Attorney will play an instrumental role in supporting our consulting services and the continued growth and expansion of our business. This individual will work closely with other attorneys and consultants on our legal team, providing support on consulting, transactional, regulatory, and compliance matters. At The Phia Group, whose mission is to provide high quality yet affordable healthcare to American employees and their families, you can look forward to not only exceptional benefits for yourself but also being immersed in a company that was named one of USA Today’s Top Workplaces for 2026. Meanwhile, from a regional perspective, The Boston Globe, Courier Journal, and Louisville Business First annually recognize our unwavering commitment to upholding an internal culture of inclusivity, enjoyment, and empathy for our valued employees by listing The Phia Group in their respective lists for the Top Places to Work. Note: This is a hybrid schedule and can provide a flexible teleworking schedule if appropriate. - Essential Duties (list bullet points) - Minimum Qualifications (list bullet points) - Preferred Qualifications (list bullet points) - The Phia Group’s Commitment to Diversity (EEO) - we should remove as boilerplate. - Working Conditions/Physical Demands (maybe we could include under Requirements? But it's more about working conditions; we could include as a section? The instruction: include a section ONLY when posting has real specific content. We could include "Working Conditions" but not in the prescribed list; we only have set headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we need to map content to those. - Base Salary: $90,000 - $110,000 (Pay) - Hybrid schedule note (Schedule) - Benefits: mention "exceptional benefits" but not specific; we should not create Benefits section unless posting actually states them. It says "you can look forward to not only exceptional benefits for yourself". That's vague; not specific. So we should not create Benefits section. - Skills: maybe we can extract from qualifications: superior legal writing, analytical, proofreading, attention to detail, organizational, interpersonal, negotiation, communication, ability to manage multiple projects, ability to participate in calls, anticipate issues, develop understanding, comfortable fast-paced, proficiency with MS Office, self-motivated, meet deadlines. Those are skills. We could put under Skills. - Requirements: Minimum Qualifications (juris doctor, bar admission, 1+ year experience, knowledge of ACA, ERISA, MHPAEA, HIPAA). That's requirements. - Qualifications: Preferred Qualifications (excellent academic credentials, experience with health plans, familiarity with admin rules, knowledge of CMS billing, confidence in public speaking, willingness to travel). Could be under Qualifications. - About the role: introductory paragraph describing company and role. - Responsibilities: Essential Duties list. - Pay: Base Salary. - Schedule: hybrid schedule note. We must not include filler like "commensurate with experience". Not present. We must not include duplicated lines. We must not include EEO etc. We must not include Working Conditions/Physical Demands unless we map to something else; but we could maybe include under Requirements? But it's not a requirement; it's working condition. Could we create a section "Working Conditions"? Not allowed per instruction: only use those headings. So we should omit it. Thus output HTML with sections:

About the role

...

maybe multiple paragraphs. Then

Responsibilities

• ... each duty

Then

Requirements

• ... each minimum qualification

Then

Qualifications

• ... each preferred qualification

Then

Skills

• ... each skill from minimum qualifications list that are skills (maybe combine). But we need to ensure we don't duplicate content. The minimum qualifications list includes both requirements and skills. We could separate: Requirements: juris doctor, bar admission, 1+ year experience, knowledge of ACA, ERISA, MHPAEA, HIPAA. Skills: superior legal writing, analytical, proofreading, attention to detail, organizational, interpersonal, negotiation, communication, ability to manage multiple projects, ability to participate in calls, anticipate issues, develop understanding, comfortable fast-paced, proficiency with MS Office, self-motivated, meet deadlines. We need to extract those from the text. Let's parse Minimum Qualifications paragraph: "Minimum Qualifications Juris doctor from an accredited law school and admittance to a state bar (active)1+ year of experience in the healthcare industry or in similar industries preferred (i.e., employment law, insurance law, disability law, workers’ compensation law)Knowledge of the latest developments in health law, including a working understanding of the ACA, ERISA, MHPAEA, and HIPAASuperior legal writing, analytical, and proofreading skills, as well as strong attention to detailOutstanding organizational, interpersonal, and negotiation skillsAbility to work collaboratively or independently as needed, and to work sensitively with confidential mattersAbility to effectively communicate and interact with various positions throughout our organization as well as with clientsAbility to successfully manage multiple projects, whether large or small, complex or simple, simultaneouslyAbility to participate effectively and confidently in client phone calls, including in occasional video conference callsAbility to anticipate issues and create and implement methods for optimizing results and minimizing risksAbility to develop a deep understanding of the business and our operational goalsComfortable working in a fast-paced environmentHigh level of proficiency using Microsoft Word, Excel and OutlookMust be self-motivated and able to meet deadlines under pressure" We need to split into sensible items. Let's list: - Juris doctor from an accredited law school and admittance to a state bar (active) - 1+ year of experience in the healthcare industry or in similar industries (preferred) (i.e., employment law, insurance law, disability law, workers’ compensation law) - Knowledge of the latest developments in health law, including a working understanding of the ACA, ERISA, MHPAEA, and HIPAA - Superior legal writing, analytical, and proofreading skills, as well as strong attention to detail - Outstanding organizational, interpersonal, and negotiation skills - Ability to work collaboratively or independently as needed, and to work sensitively with confidential matters - Ability to effectively communicate and interact with various positions throughout our organization as well as with clients - Ability to successfully manage multiple projects, whether large or small, complex or simple, simultaneously - Ability to participate effectively and confidently in client phone calls, including in occasional video conference calls - Ability to anticipate issues and create and implement methods for optimizing results and minimizing risks - Ability to develop a deep understanding of the business and our operational goals - Comfortable working in a fast-paced environment - High level of proficiency using Microsoft Word, Excel and Outlook - Must be self-motivated and able to meet deadlines under pressure Now separate Requirements vs Skills. Requirements (hard credentials): Juris doctor + bar admission, 1+ year experience, knowledge of ACA/ERISA/MHPAEA/HIPAA. Skills: the rest. Now Preferred Qualifications paragraph: "Preferred Qualifications Excellent academic credentialsStrong preference for experience working with health plans, third-party administrators, and/or health insurance carriersFamiliarity with administrative rules published by relevant federal agencies, including HHS, the DOL, and the IRSKnowledge of CMS billing and payment rules and processes, or medical coding generallyConfidence in public speakingWillingness to travel" List: - Excellent academic credentials - Strong preference for experience working with health plans, third-party administrators, and/or health insurance carriers - Familiarity with administrative rules published by relevant federal agencies, including HHS, the DOL, and the IRS - Knowledge of CMS billing and payment rules and processes, or medical coding generally - Confidence in public speaking - Willingness to travel Now Responsibilities list (Essential Duties): "Essential Duties Manage and support reviews of member and provider appeals, grievances, and complex claims issues, particularly in self-funded and ERISA-regulated plansEvaluate benefit exclusions, plan document terms, and medical necessity disputes to determine appropriate claim outcomesCoordinate with applicable vendors to ensure timely and accurate facilitation of independent clinical reviewsReview determination letters, appeal responses, and other member/provider-facing communications to ensure legal sufficiency and regulatory complianceSupport internal audits, agency audits, corrective action plans, and external regulator or client requests, ensuring regulatory complianceConduct legal research on applicable law and regulations; draft consulting memoranda; provide consultative advice, including analyses to our legal team for internal useReview healthcare industry contractsRespond to client inquiries regarding agency rules, statutory requirements, and legal complianceCommunicate with health plan administrators and other healthcare industry entities, including by phone, video conference, or in person; answer questions regarding the administration of compliant health plans; explain applicable law or health plan terms clearly and conciselyDraft ERISA and ACA-compliant health plan documents, including MHPAEA required reportsAssist in resolving disputes between various players in the healthcare industryProvide a thorough analysis of health plans and other related documents; provide a summary of findings to our legal teamOther duties as assigned" We need to split into bullet items. Let's parse: - Manage and support reviews of member and provider appeals, grievances, and complex claims issues, particularly in self-funded and ERISA-regulated plans - Evaluate benefit exclusions, plan document terms, and medical necessity disputes to determine appropriate claim outcomes - Coordinate with applicable vendors to ensure timely and accurate facilitation of independent clinical reviews - Review determination letters, appeal responses, and other member/provider-facing communications to ensure legal sufficiency and regulatory compliance - Support internal audits, agency audits, corrective action plans, and external regulator or client requests, ensuring regulatory compliance - Conduct legal research on applicable law and regulations; draft consulting memoranda; provide consultative advice, including analyses to our legal team for internal use - Review healthcare industry contracts - Respond to client inquiries regarding agency rules, statutory requirements, and legal compliance - Communicate with health plan administrators and other healthcare industry entities, including by phone, video conference, or in person; answer questions regarding the administration of compliant health plans; explain applicable law or health plan terms clearly and concisely - Draft ERISA and ACA-compliant health plan documents, including MHPAEA required reports - Assist in resolving disputes between various players in the healthcare industry - Provide a thorough analysis of health plans and other related documents; provide a summary of findings to our legal team - Other duties as assigned Now About the role: combine introductory paragraphs. We need to preserve all substantive info, not invent. Let's craft About the role paragraph(s): "The Phia Group, LLC is a thriving, service-oriented company headquartered in Canton, Massachusetts. As consultants, we represent health plans nationwide, providing our clients with innovative cost-containment solutions through our unique service offerings. As a result of our most valuable resource, our talented and committed team, we continue to enjoy high levels of growth. Now, we seek to add another Health Benefits Attorney to our team. We are currently seeking a