Associate General Counsel PBM Details

Associate General Counsel PBM

Tennessee Department of Commerce and Insurance - Nashville, TN

Employment Type : Full-Time

ASSOCIATE GENERAL COUNSEL PBM

The Department of Commerce and Insurance is accepting applications for an Associate General Counsel position within the Office of Legal Counsel. The Department is responsible for the regulation of the insurance and securities industries, as well as 26 professions, including accountants, architects, engineers, cosmetologists, court reporters, and mixed martial artists. Additionally, the Department trains and certifies firefighters and law enforcement officers and houses the State Fire Marshal’s Office. The Office of Legal Counsel provides legal services to the programs housed within the Department.

Please send resumes to Mindy Walker, Executive Administrative Assistant, Office of Legal Counsel

Responsibilities and duties of this Associate General Counsel include the following:

• Provide prompt and accurate legal advice and guidance to Department staff regarding the regulation of pharmacy benefits managers.
• Research, analyze and draft opinion letters interpreting the statutes and rules related to pharmacy benefits managers to assist in clarifying and understanding the mission of the Department.
• Provide advice and litigation services for disciplinary and enforcement actions related to pharmacy benefits managers.
• Coordinate with contracted vendor designated to process external review appeals of pharmacy reimbursement claims denied by pharmacy benefits managers.

• Build relationships and work collaboratively with program leadership and executive staff.

• Conduct and complete legal research and other projects as assigned.

• Assist the Department in identifying statutes impacting pharmacy benefits managers and facilitate the development of legislation as directed by the Assistant Commissioner, General Counsel and Commissioner to ensure the needs of the Department’s regulatory authority are supported and conducive to ensuring the mission of the Department.

• Review and analyze proposed legislation as assigned to determine how legislation changes current law. Draft amendatory language, if requested, for any proposed legislation pursuant to the direction of the legislative liaisons.

• Attend and testify at Legislative Committee meetings, and report to the Department the passage of any legislation impacting its authority.

• Promulgate rules and amendments as requested by clients and complete in compliance with the Uniform Administrative Procedures Act (UAPA), within the time frame required by statute, and pursuant to any applicable standard operating procedures.

• Respond to public records access requests, as appropriate.

Job Type: Full-time

Pay: $5,259.00 - $9,466.00 per month

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• Monday to Friday

Work Location: One location