Asst. General Counsel for Market Regulations and PBM Enforcement/Compliance

If YOU HAVE PREVIOUSLY APPLIED FOR THIS POSITION, PLEASE DO NOT REAPPLY. WE HAVE YOUR APPLICATION ON FILE.

Mission Statement:
The mission of the State of South Carolina Department of Insurance is to protect the insurance consumers, the public interest, and the insurance marketplace by ensuring the solvency of insurers; by enforcing and implementing the insurance laws of the State; and by regulating the insurance industry in an efficient, courteous, responsive, fair, and equitable manner. For more information about working at the SC Department of Insurance, please visit Department of Insurance, SC - Official Website | Official Website 

This position is located in the Office of General Counsel.

This Assistant General Counsel position will be an integral part of the Market Regulation Team. The Counsel will assist the General Counsel and other attorneys on various transactional, operational, compliance and regulatory legal matters primarily involving pharmacy benefit managers, pharmacy services administrative organizations, market analysis, market conduct and regulatory compliance matters.
Under general supervision of the General Counsel, this position is responsible for advising and supporting the investigative and enforcement functions of the South Carolina Department of Insurance. This position handles enforcement cases originating in house and referred by third parties. This position is expected to provide legal support to various business units involved in market regulatory matters and charged with enforcing the laws of the State of South Carolina. Counsel will report directly to the General Counsel.

Job Duties:
Research and maintain current knowledge of applicable federal, state, local and insurance laws related to pharmacy benefit managers and pharmacy services administrative organizations and market conduct standards; analyze how these might impact the relevant licensee and keep the General Counsel fully informed of relevant legal issues.

Provides advice and counsel on investigation and enforcement matters related to PBM compliance; assists with the development of audits and examinations of PBMs and PSAOs; helps development and maintain consistent enforcement procedures, manages, supervises and monitors the status of examinations and the resolution of enforcement matters

Help manage, coach, and supervise examiners and OGC regulatory staff assigned to the PBM Enforcement and Compliance Team; represents the South Carolina Department of Insurance in administrative and enforcement proceedings; manages related enforcement litigation to ensure issues are timely resolved; appeals adverse determinations and writes briefs and other legal memoranda as required.

Organize regular training sessions for members of the OGC and SCDOI staff on legal issues related to PBMs, PSAOs and other market regulation activities

Help oversee the conduct and management of examinations into regulatory and policy compliance matters involving licensees; monitor market analysis and examination processes; review examination warrants, market conduct and market analysis reports and other issues related to the market conduct function; assist with the development and conduct of market analysis training programs

Assist with drafting contracts, legal memos, and other legal documents related to market regulation.

Assist with reviews and edits of policies and other documents from applicable client departments to ensure that potential legal implications are appropriately addressed; recommend and help implement with appropriate approvals, strategies, and initiatives to minimize the legal risks of current operations and proposed actions.

All applicants must:

• possess a J.D. degree
• be duly licensed and authorized to practice as an attorney in the State of South Carolina
• have at least four (4) years of legal experience
• possess strong analytical skills, pay careful and particular attention to detail, and also have an investigative mindset
• have a deep and sound knowledge of regulatory policies as regulatory compliance staff are responsible for creating and implementing policies
• have computer skills and demonstrate proficiency in Excel, Word, PowerPoint, Westlaw and Outlook
• have excellent reading and language comprehension skills
• have excellent time management and organizational skills
• be extremely detail oriented and ability to spot errors and inconsistencies
• Demonstrates excellent communication (written and oral) skills (including proper grammar and usage)
• possess a professional attitude and appearance
• be capable of recognizing and retaining confidential information

Qualifications will be further evaluated based upon the following competencies:

• Demonstrated compliance experience within the financial industry.
• Demonstrated compliance experience in one of the following industries (healthcare, pharmaceutical, financial services or insurance, etc.)

Educational Credentials: 
Applicants indicating college credit or degree(s) on the application will be required to submit a sealed, certified copy of the transcript(s) prior to beginning employment.  Failure to produce an official, certified transcript will result in any conditional offer of employment being rescinded.
 
Equal Opportunity Employer:
It is the policy of the South Carolina Department of Insurance to provide equal employment opportunities to all job applicants and employees without regard to their race, color, religion, national origin, sex (including, but not limited to, pregnancy, childbirth or related medical conditions and lactation), disability or age. 
 
Veteran Preference Statement:
South Carolina is making our Veterans a priority for employment in state agencies and institutions.
 
The Department of Insurance offers an exceptional benefits package for FTE positions that includes:
 

• Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children
• 15 days annual (vacation) leave per year
• 15 days sick leave per year
• 13 paid holidays
• State Retirement Plan (pension plan option) and Deferred Compensation Programs
• Employee Assistance Program
  • Free counseling sessions for employees and household members
  • Free legal counseling
  • Free financial counseling
• Flexible Work Schedules
  • Compressed work weeks
  • Part-time telecommuting
  • Flex-time
  • Contingent upon completion of required probationary period
• Free Gym Access
• Growth Opportunities
  • Certifications/designation program allowing for salary increases and bonuses
• Infants at Work Program
  • Employees eligible to bring their newborn/infant to the workplace
• Free Parking