Counsel, Regulatory Compliance

Exemption Status: United States of America (Exempt) $124,353 - $174,096 - $223,838 “Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors.  A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.” This position is not eligible for Sponsorship. MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare. At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution! Job Description Summary Counsel, Regulatory Compliance is a key member of Regulatory Compliance and reports directly to the Corporate Compliance Officer, while maintaining an indirect reporting relationship with the General Counsel to ensure alignment with enterprise-wide legal strategy. This role is responsible for overseeing MedImpact's regulatory compliance activities, including continuous monitoring and implementation of state and federal laws, regulations, licensing requirements, sub-regulatory guidance, and emerging regulatory developments impacting commercial, Medicare, Medicaid, and Marketplace lines of business. The position provides legal interpretation and compliance guidance regarding enacted legislation, regulations, licensing requirements, market conduct examinations, regulatory audits, and corporate compliance assurance activities. The role supports organizational readiness for regulatory inquiries, examinations, and audits by government agencies, clients, accreditation organizations, and other oversight entities. Counsel serves as a strategic advisor to business leaders and compliance stakeholders, ensuring MedImpact maintains an effective compliance posture, strong governance framework, and alignment with evolving legal and regulatory requirements. Essential Duties and Responsibilities Continuously track, prepare summaries, guidance documents and implementation recommendations related to enacted legislation, regulatory updates, licensing requirements, and sub‑regulatory guidance for assigned states; assess operational impact and communicate changes to internal stakeholders. Perform special legal projects as assigned by the General Counsel, supporting enterprise‑wide legal and compliance priorities. Develop clear, timely communications for clients regarding enacted legislation, regulatory changes, and licensing updates; lead cross‑functional review meetings Provide leadership and oversight for regulatory examinations, market conduct reviews, audits, and governmental inquiries, including development of regulatory response strategies, review of examination materials and submissions, coordination with internal stakeholders and internal counsel, and interpretation of regulatory requirements, findings, and corrective action expectations. Lead development and execution of strategic initiatives related to emerging regulatory trends and enacted legislation. Serve as legal and compliance subject matter expert during examinations conducted by state insurance departments, Medicaid agencies, federal regulators, and other governmental entities. Assist with the development and review of organization’s policies and procedures in relation to state or federal regulations. Identifies needed policies and procedures in order to demonstrate compliance with applicable requirements and works with appropriate internal operational units to ensure creation and maintenance of needed documentation. Ensure policies and procedures are revised to address regulatory changes. Partner with Corporate Compliance Assurance and External Compliance Support teams to assess regulatory risks, identify compliance vulnerabilities, and support compliance monitoring and auditing activities. Review compliance monitoring and audit results to evaluate potential regulatory exposure and recommend corrective actions, process enhancements, and risk mitigation strategies. Interpret and advise on the application of state and federal healthcare laws, regulations, sub-regulatory guidance, and enforcement initiatives affecting MedImpact's operations, including Affordable Care Act Marketplace, Medicaid, and Medicare programs, while providing legal counsel on delegated responsibilities, compliance risks, and regulatory obligations. Advise executive leadership on regulatory trends, enforcement priorities, and emerging legal risks affecting the PBM industry. Support preparation of materials and presentations for the Corporate Compliance Committee and other governance bodies regarding significant regulatory developments, audit findings, examination outcomes, and compliance initiatives. Collaborate with Legal, Compliance, Privacy, and operational business units to develop enterprise-wide compliance strategies and implementation plans. Supervisory Responsibilities          No supervisory responsibilities. Client Responsibilities This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to; manage difficult or