Posting number: 193051
Department: Department of Insurance
Job classification: Attorney IV
Posting type: Open
Categories: Attorney
The mission of the State of South Carolina Department of Insurance is to protect and serve the insurance consumers by promoting a fair, stable, and competitive insurance market through regulation, education, and advocacy. 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 Legal, Legislative, and Regulatory Affairs.
This Associate General Counsel position will be an integral part of the Market Regulation Team. 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 other regulatory compliance matters.
Under the 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.
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 develop 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.
Organizes 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.
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.
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.
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:
Why do more than 5 million people call South Carolina home? The answer is easy. From the beach to the mountains, the Palmetto State offers something for everyone. Sunny summers and mild winters allow residents to experience the outdoors year-round.
The state has eight metropolitan areas, including Anderson, Charleston, Columbia, Florence, Greenville, Hilton Head, Myrtle Beach and Spartanburg. Great universities and colleges, minimal commute times and friendly people make South Carolina the ideal place to build your future.
