Assistant General Counsel

Requisition ID: 953454 Store #: 113003 EM Regulatory & Contracts - OH CS Position:Full-Time Total Rewards: Benefits/Incentive Information

At EyeMed, we have a unique perspective on vision benefits. By listening and staying curious, we create innovative vision benefits that are a joy to use.

Our mission is to help people see life to the fullest - and our commitment goes beyond vision benefits. Our passionate employees proudly support the OneSight EssilorLuxottica Foundation, a leading not-for-profit organization with a 100% focus on eradicating the world’s vision crisis.

EyeMed is part of EssilorLuxottica, a global leader in the design, manufacture and distribution of world-class vision care products, including iconic eyewear, advanced lens technology and cutting-edge digital solutions. Join our global community of over 200,000 dedicated employees around the world in driving the transformation of the eyewear and eyecare industry. Discover more by following us on LinkedIn.

JOB DESCRIPTION

GENERAL FUNCTION

The Counsel, Asst General provides regulatory and legal support for EyeMed Vision Care, LLC and its related entities including, but not limited to, government programs (i.e. Medicaid and Medicare), Federal and State Department of Insurance regulatory issues, contract drafting/negotiations, and other general client and/or regulated matters, including but not limited to supporting regulatory compliance bulletins. The Counsel – Assistant General works with key functional and operating groups to support EyeMed

MAJOR DUTIES AND RESPONSIBILITIES

• Supports business expansion, protect assets, and promotes Company vision and mission by providing direct, useful and clear counsel in a timely manner in the following areas: regulatory compliance, including but not limited to legislative and regulatory review; Medicare; Medicaid; Insurance, including but not limited to HMO and Preferred Provider Organization requirement; HIPAA/state privacy; ERISA; managed vision care contracts, provider contracts as they impact government programs and general healthcare matters.
• Independently identifies issues and opportunities, and recommends appropriate course of action including formulating new policies, procedures, and guidelines to ensure awareness by key individuals of existing legislation and regulation.
• With direction from supervisor, manages regulatory and administrative procedures, including defending Company against claims/investigations by state Departments of Insurance or other applicable regulatory agencies.
• Works in conjunction with internal compliance team to evaluate new compliance requirements.
• Negotiates and drafts client, vendor, and other contracts as needed in support of business development and growth.
• Assists with State Department of Insurance submissions to regulatory authorities and other required documents.
• Assists with state licensing requirements for EyeMed and its related entities, including the Third Party Administrator licenses for First American Administrators, Inc., the New York Independent Practice Associations license for EyeMed Vision Care IPA, Inc. (a New York regulated entity), Texas HMO license for the EyeMed Vision Care HMO of Texas, Inc.
• Assists Company and applicable departments in preparing for, and during the conduct of, client and/or regulatory agency audits.
• Supports the audit department with Corrective Action Plans responses and activities.
• Assumes additional responsibilities and perform special projects as needed.

BASIC QUALIFICATIONS

• Juris Doctorate from an accredited law school and admitted in at least one state, with the ability to obtain corporate counsel status in Ohio
• 10+ years of experience with a corporate law department, private law firm, or government agency (or a combination)
• Advanced knowledge of Microsoft Office

PREFERRED QUALIFICATIONS

• Experience in the healthcare industry
• Experience handling insurance and/or regulatory matters and/or contract drafting and negotiation
• Strong presentation skills
• Strong multi-tasking and organizational skills
• Self-motivated and works independently with minimal supervision
• Motivate, train, and obtain needed results from others

This posting is for an existing vacancy within our business. Employee pay is determined by multiple factors, including geography, experience, qualifications, skills and local minimum wage requirements. In addition, you may also be offered a competitive bonus and/or commission plan, which complements a first-class total rewards package. Benefits may include health care, retirement savings, paid time off/vacation, and various employee discounts.

EssilorLuxottica complies with all applicable laws related to the application and hiring process. If you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email EmployeeRelations@luxotticaretail.com

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, gender, national origin, social origin, social condition, being perceived as a victim of domestic violence, sexual aggression or stalking, religion, age, disability, sexual orientation, gender identity or expression, citizenship, ancestry, veteran or military status, marital status, pregnancy (including unlawful discrimination on the basis of a legally protected pregnancy or maternity leave), genetic information or any other characteristics protected by law. Native Americans in the US receive preference in accordance with Tribal Law.