General Counsel

POSITION SUMMARY

Directs the legal affairs and risk management areas of the organization. Provides legal counsel and support to all departments of the company to resolve various issues of a legal and compliance nature including, but not limited to regulatory and statutory compliance matters, insurance regulations, other corporate governance, privacy, and related health care laws or government programs - Medicare and Medicaid. Ensures maximum protection of the organization's legal rights, utilizing broad familiarity with most major legal disciplines including: business transactions, corporate governance, employment and labor, health care and insurance, licensing and regulatory compliance, intellectual property and technology, risk management, and litigation management.

Directs the defense of the organization against suits or claims and prepares the prosecution of the organization's claims against others. Oversees the legal aspects of organization transactions and the preparation of reports and statements of a legal nature. As a member of the management team, this position is actively involved in company operations, and supports the strategic objectives of HDS.

Also functions in similar capacity for Hawaii Client Services (HCS).

• Effectiveness/Efficiencies– Develops, implements, evaluates, and recommends best practices to ensure effective work processes and systems, maximize operating efficiencies and increase the value of services provided in alignment with department and company goals and objectives.
  • Directs and manages outside counsel/litigation resources as necessary. Assists with resolving legal-related disputes.
  • Researches, reviews, analyzes, interprets, drafts, negotiates, approves, and/or directs the processing of various complex legal and compliance documents, including but not limited to legal opinions and associated analyses; existing and proposed legislation; contracts and other agreements; regulatory filings and other regulatory documents; company licensing and registration; certain department or company policies and procedures; materials relating to employer groups, subscribers, providers, and other third parties;
    
    court or agency orders; communications; or other documents.
  • Researches and performs detailed analysis of legal and compliance matters, including interpreting and advising regarding current and proposed laws and regulations to determine impacts to organization.
  • Reviews, interprets, drafts, and negotiates contracts, including but not limited to business associate agreements, administrative service agreements, service agreements with vendors, software licensing agreements, and other general commercial business transactions.
  • Researches, provides legal opinions, and drafts documents relative to regulatory filings with respect to policy forms, rates, agent and entity licensing and maintenance, consumer inquiries, and advertising materials and assists with and/or monitors the development and compliance of insurance forms, including but not limited to policies, contracts, summary plan descriptions, certificates of benefits and other product related documents and ensures governmental and regulatory approval in the appropriate jurisdiction.
  • Prepares corporate documents as necessary.
• Internal Controls/Compliance– Develops, implements, evaluates, and recommends controls to satisfy operational/compliance risk requirements, ensure data integrity, and best practices. Keeps abreast of current regulations and compliance issues that may impact the department and company.
  • Directs the Legislative Agenda and serves as the primary liaison. Monitors legislation; tracks government issues that could affect the company. Proactively researches policies and trends that might impact the company in the future.
  • Maintains a working knowledge of relevant issues, laws, regulations, and requirements related to the compliance program, including but not limited to regulations and guidance under HIPAA, Medicare and Medicaid programs, and other insurance programs.
  • Participates in establishing and providing compliance education, training, and awareness programs for employees,…