Full-Time

Assistant Attorney General

Pharmacy Benefits Manager Compliance and Enforcement

Posted on 10/29/2024

Oklahoma State Government

Oklahoma State Government

201-500 employees

Manages state-funded health care costs and quality

Government & Public Sector
Healthcare

Mid, Senior

No H1B Sponsorship

Oklahoma City, OK, USA

Category
Legal
Risk & Compliance
Legal & Compliance
Medical, Clinical & Veterinary
Requirements
  • Must be, or be eligible to become, licensed attorneys in good standing with the Oklahoma State Bar.
  • Effective research, writing, and advocacy skills are required.
  • Applicants must also be able to interpret and analyze complex laws, regulations, and other information.
  • Applicants with experience in administrative law practice or civil litigation are strongly preferred.
Responsibilities
  • Consult with PBM agents, analysts, and other attorneys to identify unlawful activities and develop cases for enforcement actions.
  • Guide investigations drawn from PBM complaint data, analyst data, and other sources to include drafting and issuing investigative demands and reviewing information produced in response.
  • Conduct legal research and draft legal memorandums to support case preparation and strategy for PBM enforcement actions.
  • Prepare and file enforcement actions; conduct discovery, including drafting and responding to discovery requests, document review, selecting and preparing experts, and taking depositions; draft motions and briefing; represent the office in court hearings and settlement conferences; and take matters to trial as needed.
  • Collaborate with other agencies and states as appropriate to further the purposes of the unit.
  • Attend available trainings to further develop knowledge of the PBM industry.
  • Stay abreast of current and emerging developments and trends in the PBM landscape, including proposed state and federal legislation, prominent investigations and litigation, and industry initiatives.
  • Participate in community outreach and public education events to provide information on the state’s PBM laws.
  • Some travel may be required.
  • Other duties as assigned.
Oklahoma State Government

Oklahoma State Government

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The Oklahoma Health Care Authority (OHCA) manages the costs of health care funded by the state in Oklahoma. It ensures that state-funded health care meets quality standards while providing a supportive system for citizens who rely on these services. OHCA purchases health care using state and federal funds, focusing on making health care accessible and improving health outcomes for low-income individuals, families, and vulnerable populations. The agency's approach includes analyzing strategies to enhance service quality and forming partnerships to better serve Oklahomans. Unlike private health care providers, OHCA operates within the public sector, emphasizing fiscal responsibility and the effective use of funds to meet health care needs.

Company Stage

Grant

Total Funding

$4.1M

Headquarters

Kansas City, Missouri

Founded

1953

Growth & Insights
Headcount

6 month growth

0%

1 year growth

0%

2 year growth

0%
Simplify Jobs

Simplify's Take

What believers are saying

  • Telehealth expansion improves accessibility for rural and underserved populations in Oklahoma.
  • Value-based care models help manage costs and improve health outcomes.
  • AI integration optimizes resource allocation and enhances patient care quality.

What critics are saying

  • Increased demand from reduced DDS waitlist may strain OHCA's resources and budget.
  • Interim directors in state agencies may affect OHCA's inter-agency collaborations.
  • Resignation of key leaders could disrupt ongoing health care initiatives and partnerships.

What makes Oklahoma State Government unique

  • OHCA focuses on cost control and quality assurance in state-funded health care.
  • The agency serves diverse populations, including low-income and vulnerable groups.
  • OHCA fosters strategic partnerships to improve health outcomes in Oklahoma.

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