Behavioral Health Insurance Attorney

15 hours ago

Washington DC USA, United States State of Washington Full time
About the Role

The Office of the Insurance Commissioner is seeking a highly motivated and qualified individual to fill a Behavioral Health Insurance Attorney position. This role is located in our Tumwater office and offers a dynamic career that protects consumers' interests and promotes a healthy business environment in the state.

Key Responsibilities
  • Provide legal guidance to the agency's Market Conduct Oversight staff.
  • Identify areas of noncompliance in the processes, strategies, evidentiary standards, and other factors used by health plans to administer behavioral health and substance use disorder benefits.
  • Review cases to ensure that enforcement action is factually supportable and legally defensible.
  • Research relevant laws and comparable cases to determine a range of appropriate agency action.
  • Prepare memoranda for agency enforcement committees, verbally summarize and present cases, and make recommendations for appropriate enforcement actions.
  • Draft disciplinary orders, admonitory letters, compliance plans, letters and closing memoranda.
  • Negotiate penalties and/or appropriate remedial measures to be taken.
  • Present OIC's position at hearing before the Presiding Officer and the Office of Administrative Hearings.
  • Draft briefs, pleadings, and motions; prepares discovery and associated responses, oral arguments, exhibits and examinations and cross examinations of witnesses; and present evidence using the rules of evidence contained in the Administrative Procedures Act.
Requirements
  • Graduation from an accredited law school and possession of an active license to practice law upon start date.
  • One (1) year of experience interpreting, applying, implementing, or enforcing the provisions of state or federal mental health parity laws and rules.
Preferred Qualifications
  • The insurance industry or insurance regulation field (either as an attorney or practitioner).
  • Health plan compliance.
  • Government regulation and enforcement.
  • Participating in administrative hearings as an attorney.
  • Paid litigation experience.
  • Washington State legislative process, including bill analysis.
How to Apply

Applications for this recruitment will be accepted electronically. Please select the large green apply button at the top of this announcement. If you have not done so previously, you will need to set up an account profile.

Please provide three (3) professional references on your application. A professional reference is defined as an individual who has been paid to supervise your work and can attest to your work performance, technical skills, and job competencies.

If you do not have any or sufficient professional references, please include non-related professionals, such as educators or other professional associates.

The initial screening will be based on the content and completeness of your application and the materials submitted. All information may be verified, and documentation may be required.

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