Assoc Gen Counsel Compliance

Assoc Gen Counsel - Compliance at TriWest Healthcare Alliance Assoc Gen Counsel - Compliance at TriWest Healthcare Alliance in Seattle, Washington Posted in about 22 hours ago.

Type:

Full-Time Job Description:

We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only). Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position. Veterans, Reservists, Guardsmen and military family members are encouraged to apply! Job Summary Reporting to the Deputy Chief Compliance and Legal Officer (DCCLO), the Compliance Counsel provides legal and strategic guidance on healthcare compliance, federal contracting ethics, and government enforcement matters in support of TriWest's corporate compliance program. The role partners closely with the Compliance, Program Integrity, and Internal Audit functions to help ensure adherence to legal, regulatory, and compliance requirements, and serves as the primary legal advisor to the TriWest Compliance Committee. Work is performed under general supervision with significant latitude for independent legal judgment, receiving broad objectives while determining approach, methodology, and deliverables. Legal recommendations are formulated independently within established regulatory frameworks. Escalates to the DCCLO on matters affecting compliance program strategy, significant enforcement exposure, or cross-functional policy decisions. Work involves high complexity due to the regulated healthcare and federal contracting environment, the breadth of applicable frameworks (HIPAA, FCA, AKS, OIG, FAR ethics, federal ethics statutes), and the need to translate complex regulatory requirements into practical, operational guidance. The ideal candidate has experience in healthcare compliance, federal contracting, or government ethics and enforcement, has led internal investigations, advised on ethics and compliance matters, and operates as a trusted counselor and business partner rather than simply a policy administrator. Experience with applicable OIG frameworks, FAR ethics requirements, federal ethics statutes and regulations, or DoD or VA contracting environments is a strong differentiator. Interacts regularly with the DCCLO, Chief Compliance & Legal Officer, TriWest attorneys, the Compliance Committee, VP Audit & Corporate Compliance, Director of Corporate Compliance, Program Integrity leadership, business unit leaders, senior officials, and new leaders. Engages externally with outside counsel, OIG personnel, federal regulators, and DoD/VA contracting officials as required. Presents legal findings and recommendations to senior leadership and the Compliance Committee.

Education & Experience Required:

• Juris Doctorate from an accredited law school
• Active state bar admission, or eligibility to obtain a limited license for in-house counsel within required timeframe
• U.S. Citizen
• Must be able to receive a favorable interim and adjudicated final Department of Defense (DoD) background investigation
• 7+ years of progressive legal and compliance experience in healthcare, including advising on HIPAA; fraud, waste, and abuse response; conflicts of interest; and other government compliance matters
• Demonstrated experience leading or overseeing internal investigations into compliance or ethics violations
• Demonstrated experience advising business teams in a highly regulated environment
• Excellent written and verbal communication skills

Preferred:

• Experience with and knowledge of the VA health system and/or the Military Health System
• In-house experience at a health plan, managed care organization, or payer-focused law firm - including investigations and corporate governance - or equivalent government experience
• Experience designing and administering elements of an enterprise compliance program
• Familiarity with FAR ethics provisions, federal ethics statutes and regulations (18 U.S.C. §§ 201-209), and OIG enforcement frameworks
• Veteran, Military Spouse, or Military Affiliated Key Responsibilities
• Provide legal advice on ethics and compliance matters, including Code of Conduct interpretation, conflicts of interest, gifts and gratuities, outside activities, and regulatory obligations across the organization.
• Advise on, conduct, and oversee internal investigations into reported ethics and compliance violations; prepare legal findings memoranda; advise on corrective action, disciplinary process, and disclosure obligations.
• Serve as legal counsel to the Compliance Committee - drafting agendas, preparing substantive materials, advising on committee governance, and documenting committee actions.
• Draft, review, and help maintain compliance policies, procedures, and the Code of Conduct to ensure legal sufficiency and regulatory alignment.
• Design, develop, and implement the legal aspects of compliance and ethics training and staff resources, including content for new leaders and senior officials.
• Counsel senior officials and new leaders on their individual compliance obligations, ethics standards, and legal requirements.
• Advise senior officials and business leaders on compliance risks and risk-mitigation strategies in their operational areas.
• Analyze self-disclosure obligations required under applicable federal law (including OIG self-disclosure protocols and DoD/VA contract reporting requirements); coordinate regulatory submissions when appropriate.
• Advise the fraud prevention and Program Integrity programs on compliance and ethics issues; assist in developing monitoring, audit, and remediation plans for compliance or ethics-related fraud occurrences.
• Monitor and analyze OIG enforcement activity, HHS guidance, and other federal regulatory developments; assess impact on business operations and translate into legal risk assessments and internal advisories.
• Manage the conflict-of-interest review and remediation process, including legal analysis of recusal, divestiture, and waiver questions.
• Partner with the CCLO and DCCLO to develop, implement, and enhance compliance policies, procedures, and controls.
• Regular and reliable attendance is required.

Competencies Communication /

People Skills:

Influences and persuades others under positive and negative circumstances; adapts to different audiences and styles; listens critically; collaborates across legal, compliance, audit, and operational teams; translates highly technical regulatory concepts into practical business guidance.

Computer Literacy:

Functions effectively in a multi-system Microsoft environment using Word, Outlook, the TriWest intranet, the internet, legal research platforms, and department software applications. Coping /

Flexibility:

Resilient in adapting to a variety of investigative, regulatory, and business situations while maintaining a sense of purpose and a mature problem-solving approach. Empathy /

Customer Service:

Customer-focused approach with business clients; helping orientation that includes listening, patience, respect, and empathy for the business position while maintaining independent legal judgment. Independent Thinking /

Self-Initiative:

Critical thinker with the ability to focus on what matters most to achieving outcomes; commitment to producing legal work product without direction and to identifying necessary resources, precedent, and counsel.

Information Management:

Manages large amounts of complex regulatory, factual, and business information easily; communicates clearly; draws sound legal conclusions. Maintains attorney-client privilege, work product protection, and confidentiality of sensitive investigation, personnel, and regulatory matters.

Leadership:

Influences decision-making on legal and compliance matters; models professional judgment and integrity; effectively advises and coaches non-attorney business partners and new leaders on compliance obligations.

Organizational Skills:

Organizes complex investigations, regulatory analyses, and policy projects; adjusts to changing priorities; detail-oriented in drafting and review. Problem Solving /

Analysis:

Solves problems through systematic legal analysis of facts, regulations, and precedent with sound judgment; has a realistic understanding of relevant business and regulatory issues; identifies root causes of compliance issues.

Working Conditions Working Conditions:

• Availability to work non-regular hours as necessary to support investigations, Committee meetings, and time-sensitive regulatory matters.
• Works within a standard office environment, with travel to Corporate Headquarters required.
• Extensive computer work with prolonged periods of sitting.

Company Overview Taking Care of Our Nation's Heroes. It's Who We Are. It's What We Do. Do you have a passion for serving those who served? Join the TriWest Healthcare Alliance Team! We're On a Mission to Serve®! Our job is to make sure that America's heroes get connected to health care in the community. At TriWest Healthcare Alliance, we've proudly been on that important mission since 1996. Benefits We're more than just a health care company. We're passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes: Medical, Dental and Vision Coverage Paid time off 401(k) Retirement Savings Plan (with matching) Short-term and long-term disability, basic life, and accidental death and dismemberment insurance Tuition reimbursement Paid volunteer time TriWest job postings typically include a salary range, which can vary based on the specific role and location , but generally this position ranges from around $202,000 to $225,000 per year. Equal Employment Opportunity TriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that supports diversity at every organizational level, and we highly encourage candidates from all backgrounds to apply. Applicants are considered for positions based on merit and without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.