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VP Legal & Regulatory Affairs -ESH(Must Live In New York)

Role overview

Qualifications

  • Juris Doctor (J.D) degree from accredited law school required
  • Ten (10) years of progressive legal and compliance experience required
  • Experience practicing in healthcare, managed care, regulatory, corporate or government program law preferred
  • Five (5) years of leadership experience preferred

Responsibilities

  • Develop and execute the ESH legal, compliance and regulatory affairs strategy
  • Serve as a trusted advisor to ESH executive leadership on legal, compliance, regulatory, governance, risk, and strategic business matters
  • Lead ESH legal, compliance and regulatory affairs functions to ensure compliance with applicable laws and regulations
  • Represent ESH with regulators, external counsel, industry stakeholders, and business partners on strategic matters

Key facts

Hard skills

Other skills

  • Business Acumen
  • Transformational Leadership
  • Negotiation
  • Relationship Management
  • Personal Integrity
  • Client Confidentiality
  • Collaboration
  • Problem Solving

About the company

CareSource logo

CareSource

Health Insurance (Payers)

Health Care with Heart. It is more than a tagline; it’s how we do business. CareSource has been providing life-changing health care to people and communities for nearly 30 years and we will continue to be a transformative force in the industry by placing people over profits. CareSource is and will always be members first. Even as we grow, we remember the reason we are here – to make a difference in our members’ lives by improving their health and well-being. Today, CareSource offers a lifetime of health coverage to nearly 2 million members through plan offerings including Marketplace, Medicare Advantage and Medicaid. With our team of 4,000 employees located across the country, we continue to clear a path to better life for our members. Visit the "Life" section to see how we are living our mission in the states we serve. CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law. If you’d like more information about your EEO rights as an applicant under the law, please click here: https://www.eeoc.gov/employers/upload/poster_screen_reader_optimized.pdf and here: https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf Si usted o alguien a quien ayuda tienen preguntas sobre CareSource, tiene derecho a recibir esta información y ayuda en su propio idioma sin costo. Para hablar con un intérprete, Por favor, llame al número de Servicios para Afiliados que figura en su tarjeta de identificación. 如果您或者您在帮助的人对 CareSource 存有疑问,您有权 免费获得以您的语言提供的帮助和信息。 如果您需要与一 位翻译交谈,请拨打您的会员 ID 卡上的会员服务电话号码。

Company details

Company typeLarge
IndustryHealth Insurance (Payers)
Company size1001 - 5000

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Job description

Job Summary:

The Vice President, Legal & Regulatory Affairs for ElderServe Health (ESH) is responsible for leading the legal and regulatory affairs functions for ESH, ensuring ESH compliance with applicable laws, regulations, contractual obligations, government program requirements, and governance standards while supporting ESH and CareSource's strategic business objectives. Serves as a trusted advisor to ESH executive leadership on legal, regulatory, risk, and business matters. Coordinates legal and compliance work with CareSource teams to help facilitate future alignment and efficient operations. Partners across ESH and CareSource to manage legal and regulatory risk, support ESH growth, integration, and transformation initiatives, and develop strategies that protect ESH and CareSource's interests while enabling operational excellence and long-term success.

Essential Functions:
  • Develop and execute the ESH legal, compliance and regulatory affairs strategy in alignment with ESH and CareSource business objectives, growth initiatives, and priorities.
  • Serve as a trusted advisor to ESH executive leadership on legal, compliance, regulatory, governance, risk, and strategic business matters affecting ESH.
  • Lead ESH legal, compliance and regulatory affairs functions to ensure ESH compliance with applicable laws, regulations, contractual obligations, and government program requirements.
  • Provide regular updates and coordinate key work/issues management with CareSource’s legal and compliance teams.
  • Anticipate, assess, and mitigate legal, compliance, regulatory, and business risks affecting ESH while enabling achievement of ESH goals and strategic initiatives.
  • Lead legal, compliance and regulatory strategy for ESH growth, business integration, market expansion, and transformation activities, ensuring appropriate governance, compliance, and risk management throughout planning and implementation.
  • Partner with ESH and CareSource executive leaders to evaluate emerging legislative, regulatory, and industry developments affecting ESH and establish strategies that support ESH readiness and long-term success.
  • Establish and maintain legal, compliance, regulatory, and governance frameworks that protect ESH interests and support ESH operational excellence.
  • Provide executive oversight and legal leadership for significant ESH business transactions, strategic partnerships, governance activities, and initiatives.
  • Represent ESH with regulators, external counsel, industry stakeholders, and business partners on matters of strategic importance to ESH.
  • Develop ESH legal, compliance and regulatory capability through effective leadership, talent development, succession planning, and performance management.
  • Establish ESH legal, compliance and regulatory departmental priorities, resource strategies, budgets, and performance measures to ensure effective and efficient service delivery.
  • Foster a culture of integrity, accountability, ethical conduct, collaboration, and continuous improvement across ESH.
  • Perform any other job related duties as requested.

Education and Experience:
  • Juris Doctor (J.D) degree from accredited law school required
  • Ten (10) years of progressive legal and compliance experience required
  • Experience practicing in healthcare, managed care, regulatory, corporate or government program law preferred
  • Five (5) years of leadership experience preferred
Competencies, Knowledge and Skills:
  • Knowledge of healthcare laws, regulations, and government-sponsored healthcare programs
  • Strategic leadership and business acumen
  • Legal, regulatory, and risk management expertise
  • Executive communication and influencing skills
  • Negotiation and relationship management skills
  • Organizational change and transformation leadership
  • Financial and operational management acumen
  • Talent development and succession planning capabilities
  • Sound judgment, integrity, and confidentiality
  • Ability to balance risk management with business objectives
Licensure and Certification:
  • Current unrestricted license to practice law required
  • Additional certifications relevant to healthcare law, compliance, privacy, governance, or risk management preferred
Working Conditions:
  • General office environment; may be required to sit or stand for extended periods of time
  • Travel is not typically required

Compensation range $150,000-$300,000.  CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Salary

Organization Level Competencies

  • Fostering a Collaborative Workplace Culture

  • Cultivate Partnerships

  • Develop Self and Others

  • Drive Execution

  • Energize and Inspire the Organization

  • Influence Others

  • Pursue Personal Excellence

  • Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

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Marcus Rivera

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