Behavioral Health Insurance Attorney
1 day ago
We are seeking a highly motivated and qualified individual to fill a Behavioral Health Insurance Attorney (Exempt) position in our Tumwater office. As a key member of our team, you will provide legal guidance to our Market Conduct Oversight staff and play a critical role in ensuring compliance with state and federal mental health parity laws and rules.
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
- 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
- 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
As a member of our team, you will have the opportunity to work on complex cases and projects, gain valuable career development opportunities, and acquire experience managing complex behavioral health enforcement cases. You will also benefit from mentorship and skill-building opportunities with senior attorneys, all while enjoying a flexible 8-5 work schedule.
We value diversity in the workplace and are committed to creating a supportive and inclusive environment for all employees. If you are passionate about the insurance field and behavioral health care, and eager to engage in a range of complex cases and projects, we encourage you to apply for this exciting opportunity.
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