Philadelphia, Pennsylvania, United States of America
Not specified; not specified; comprehensive benefi...
Internal appeals process administration
Administrative hearing representation
Regulatory reporting obligations management
This role supports the Enterprise Office of Legal Affairs by managing internal appeals processes and representing the health plan at administrative hearings when directed
Job Summary
This role supports the Enterprise Office of Legal Affairs by managing internal appeals processes and representing the health plan at administrative hearings when directed.
The position requires coordinating regulatory reporting obligations and gathering necessary data from business units to ensure compliance with state insurance department requirements.
Jefferson Health offers a comprehensive benefits package including medical, dental, vision, retirement plans, and tuition assistance for eligible colleagues.
Matching Summary
This role supports the Enterprise Office of Legal Affairs by managing internal appeals processes and representing the health plan at administrative hearings when directed.
Salary
Not specified; Not specified; Comprehensive benefits package including medical, dental, vision, life, disability, retirement, and tuition assistance
Skills & Requirements
Must-have
Internal appeals process administration
Administrative hearing representation
Regulatory reporting obligations management
Contract review and negotiation
Independent stakeholder interface
Nice-to-have
Experience with enterprise contract platforms
Background in regulated insurance industry
Legal research capabilities
Policy development support experience
Key Requirements
Bachelor's Degree required
5 years law firm or in-house legal experience
Health plan operations experience preferred
Experience managing annual reporting for regulated entities
Proficiency in Microsoft Office and database systems