Caresource

VP Legal & Regulatory Affairs -ESH(Must Live In New York)

Caresource$150K — $300K *
US-AnywhereRemote in New York, NY
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Juris Doctor (J.D) from an accredited law school
  • 10 years of progressive legal and compliance experience
  • Experience in healthcare, managed care, regulatory, corporate, or government program law preferred
  • 5 years of leadership experience preferred
  • Current unrestricted license to practice law required

Responsibilities

  • Develop and execute the legal and compliance strategy for ESH
  • Serve as a trusted advisor to executive leadership on legal and compliance matters
  • Lead ESH legal and compliance functions to ensure compliance with laws and regulations
  • Coordinate with CareSource's legal and compliance teams
  • Anticipate and mitigate legal and business risks for ESH
  • Lead legal strategies for ESH growth and market expansion
  • Establish and maintain governance frameworks to protect ESH interests

Benefits

  • Comprehensive total rewards package
  • Employee well-being investment
  • Performance-based bonus potential
  • Opportunities for career development and succession planning
  • Support for operational excellence and long-term success
Full Job Description
Job Summary:

The Vice President, Legal & Regulatory Affairs for ElderServe Health (ESH) is responsible for leading the legal and regulatory affairs functions for ESH, ensuring ESH compliance with applicable laws, regulations, contractual obligations, government program requirements, and governance standards while supporting ESH and CareSource's strategic business objectives. Serves as a trusted advisor to ESH executive leadership on legal, regulatory, risk, and business matters. Coordinates legal and compliance work with CareSource teams to help facilitate future alignment and efficient operations. Partners across ESH and CareSource to manage legal and regulatory risk, support ESH growth, integration, and transformation initiatives, and develop strategies that protect ESH and CareSource's interests while enabling operational excellence and long-term success.

Essential Functions:
  • Develop and execute the ESH legal, compliance and regulatory affairs strategy in alignment with ESH and CareSource business objectives, growth initiatives, and priorities.
  • Serve as a trusted advisor to ESH executive leadership on legal, compliance, regulatory, governance, risk, and strategic business matters affecting ESH.
  • Lead ESH legal, compliance and regulatory affairs functions to ensure ESH compliance with applicable laws, regulations, contractual obligations, and government program requirements.
  • Provide regular updates and coordinate key work/issues management with CareSource's legal and compliance teams.
  • Anticipate, assess, and mitigate legal, compliance, regulatory, and business risks affecting ESH while enabling achievement of ESH goals and strategic initiatives.
  • Lead legal, compliance and regulatory strategy for ESH growth, business integration, market expansion, and transformation activities, ensuring appropriate governance, compliance, and risk management throughout planning and implementation.
  • Partner with ESH and CareSource executive leaders to evaluate emerging legislative, regulatory, and industry developments affecting ESH and establish strategies that support ESH readiness and long-term success.
  • Establish and maintain legal, compliance, regulatory, and governance frameworks that protect ESH interests and support ESH operational excellence.
  • Provide executive oversight and legal leadership for significant ESH business transactions, strategic partnerships, governance activities, and initiatives.
  • Represent ESH with regulators, external counsel, industry stakeholders, and business partners on matters of strategic importance to ESH.
  • Develop ESH legal, compliance and regulatory capability through effective leadership, talent development, succession planning, and performance management.
  • Establish ESH legal, compliance and regulatory departmental priorities, resource strategies, budgets, and performance measures to ensure effective and efficient service delivery.
  • Foster a culture of integrity, accountability, ethical conduct, collaboration, and continuous improvement across ESH.
  • Perform any other job related duties as requested.

Education and Experience:
  • Juris Doctor (J.D) degree from accredited law school required
  • Ten (10) years of progressive legal and compliance experience required
  • Experience practicing in healthcare, managed care, regulatory, corporate or government program law preferred
  • Five (5) years of leadership experience preferred
Competencies, Knowledge and Skills:
  • Knowledge of healthcare laws, regulations, and government-sponsored healthcare programs
  • Strategic leadership and business acumen
  • Legal, regulatory, and risk management expertise
  • Executive communication and influencing skills
  • Negotiation and relationship management skills
  • Organizational change and transformation leadership
  • Financial and operational management acumen
  • Talent development and succession planning capabilities
  • Sound judgment, integrity, and confidentiality
  • Ability to balance risk management with business objectives
Licensure and Certification:
  • Current unrestricted license to practice law required
  • Additional certifications relevant to healthcare law, compliance, privacy, governance, or risk management preferred
Working Conditions:
  • General office environment; may be required to sit or stand for extended periods of time
  • Travel is not typically required


Compensation range $150,000-$300,000. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):
Salary

Organization Level Competencies
  • Fostering a Collaborative Workplace Culture
  • Cultivate Partnerships
  • Develop Self and Others
  • Drive Execution
  • Energize and Inspire the Organization
  • Influence Others
  • Pursue Personal Excellence
  • Understand the Business


#LI-SW2

Brand=ElderServe

About Caresource

CareSource is a nonprofit health plan that provides managed care services to individuals and families in Ohio, Kentucky, Indiana, and West Virginia. The company was founded in 1989 and is headquartered in Dayton, Ohio. CareSource offers a variety of health insurance plans, including Medicaid, Medicare Advantage, and Marketplace plans. The company is committed to improving the health and well-being of its members and invests in programs and services that promote healthy living. CareSource is one of the largest Medicaid managed care plans in the United States.
Learn more about Caresource
Size
4,000 employees
Industry

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