Associate General Counsel, FEP Healthcare Solutions

001_BCBSA Blue Cross and Blue Shield Association; Washington, Chicago (District of Columbia, IL); On-site; USD 142,690 - 205,246; Full time

Benefits offered by this job

Annual bonus incentive pay eligibility

Paid time off

Medical/dental/vision insurance

Generous 401(k) matching

Job summary

The 001_BCBSA Blue Cross and Blue Shield Association in Washington, D.C. seeks a Healthcare Solutions Counsel for the Federal Employee Program. This role involves providing legal and strategic guidance on healthcare delivery, representing the organization in negotiations, and ensuring compliance with regulatory requirements.

The candidate must possess a Juris Doctor degree and at least 5 years of legal practice experience, with expertise in Medicare and the Federal Employee Health Benefits Program. Comprehensive benefits, including medical insurance and 401(k) matching, are offered.

Qualifications

• 5+ years of legal practice experience.
• Proficient organizational and project management skills, including follow-through.
• Strong problem-solving skills.

Responsibilities

• Provide legal guidance to the FEP team on healthcare delivery.
• Represent BCBSA in healthcare benefits negotiations.
• Support internal client and Plan legal questions.

Skills

Deep knowledge of the U.S. healthcare industry

Experience with Medicare Advantage

Ability to interpret regulatory requirements

Experience with OPM/CMS

Proficient written and oral communication skills

Strong legal research and analysis

Education

Juris Doctor degree

Job description

Job Description Summary: The Healthcare Solutions Counsel-Federal Employee Program (FEP) provides legal and strategic guidance to the FEP team and the broader BCBSA Business Operations division on high profile matters related to healthcare delivery, with an emphasis on managing the ongoing interpretation of regulatory requirements promulgated by, and contractual arrangements with, the U.S. Office of Personnel Management (OPM) and the Centers for Medicare and Medicaid Services (CMS). This role involves representing BCBSA in healthcare benefits negotiations for FEP, supporting internal client and Plan legal and policy questions related to healthcare benefits and payments, and supporting the resolution of complex government audits.

Responsibilities

• Deep knowledge of the U.S. healthcare industry
• Experience with Medicare Advantage and the Federal Employee Health Benefits Program
• Demonstrated ability to interpret and apply regulatory requirements and develop strategies that strengthen and optimize relationships with government entities
• Experience working within OPM and/or CMS, or in private practice in support of federal healthcare programs
• Capacity to guide the team in meeting regulatory requirements during benefit changes, with proficiency in reviewing and interpreting OPM guidance and annual call letters
• Understanding of government agencies’ perspectives and approaches to contract management and audit response

Qualifications

• Juris Doctor degree
• 5+ years of legal practice experience
• Proficient written and oral communication skills
• Proficient organizational and project management skills, including follow‑through
• Strong legal research, analysis and drafting abilities
• Problem‑solving skills
• Preferred knowledge of the healthcare insurance industry, including state and federal regulatory environment

Compensation and Benefits

• Salary range: $142,690.00 – $205,246.50
• Annual bonus incentive pay eligibility
• Paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account, and other benefits to eligible employees