EXPRESS SCRIPTS SERVICES COMPANY Legal Specialist in Saint Louis, Missouri
POSITION SUMMARY The Legal Specialist will be responsible for preparing, submitting and maintaining core regulatory licenses including, but not limited to, department of insurance licenses such as pharmacy benefit manager, third party administrator, utilization management, and health insurance, as well as government licensure such as Medicare and Medicaid. Assist with other regulatory management functions such as All Payer Claims Databases, officer/director information, and disclosure of ownership. Support and lead research activities, issue investigation, support of internal department requests and projects as assigned under the direction of the licensing Director. Respond to various regulatory agencies requests as it pertains to company licensure. Collaborate with internal partners on regulatory issues related to licensure. ESSENTIAL FUNCTIONS * Interpret, analyze and process required information for regulatory filings and provide appropriate responses. * Maintain complete and accurate records of licensure and regulatory activity; maintain master database and filing systems. * Assist with routine regulatory management functions, such as state All Payer Claims Databases, market conduct surveys, character and competency reports and disclosure of ownership filing * Support leader in planning, managing and executing projects initiated by new products and business initiatives. * Investigate, analyze and conduct licensure related research on state and federal filing requirements and recommend appropriate action based on initial research and findings. * Respond to routine requests and research data for internal departments e.g., client audits, credentialing. * Manage Office and Director lists and personal information necessary for regulatory filings such as biographical affidavits. * Manage license discipline tracking, notifications and related documentation QUALIFICATIONS * Bachelor s degree. * 5-8 years of experience. Knowledge of regulatory. * Paralegal Certificate Preferred. * Proficient in Microsoft Office Word, Excel, Outlook, Access. Experience with SharePoint preferred. * Strong organizational skills. * Including ability to balance multiple deadlines. * Attention to detail and ability to multi-task is critical. * Excellent verbal and written communication skills. * Ability to work in a team environment. * Ability to work with internal and external partners at all levels of management. * Must be detail oriented with the ability to organize and manage large volumes of documentation. * Ability to keep sensitive information confidential. ABOUT THE DEPARTMENT Company is a leading healthcare company serving tens of millions of consumers. We are looking for individuals who are passionate, creative and committed to creating systems and service solutions that promote better health outcomes. Join the company that Fortune magazine ranked as one of the \\"Most Admired Companies\\" in the pharmacy category. Then, use your intelligence, creativity, integrity and hard work to help us enhance our products and services. We offer a highly competitive base salary and a comprehensive benefits program, including medical, prescription drug, dental, vision, 401k with company match, life insurance, paid time off, tuition assistance and an employee stock purchase plan. Express Scripts is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation. Express Scripts is a VEVRAA Federal Contractor. *LI-JR1.Employer's Job# ESMEUS5463Please visit job URL for more information about this opening and to view EOE statement.