Ametros is the nation’s largest professional administrator of medical insurance claim settlements. We help individuals manage their ongoing medical care through our CareGuard service and proprietary technology platform. CareGuard provides settlement advisory support, saves our members money on medical expenses, ensures compliance with government reporting, and facilitates the navigation of the complex US healthcare system.   

The SVP, Regulatory Affairs will be responsible for building and maintaining strategic relationships across the workers’ compensation and liability communities, while promoting the adoption of professional administration at the highest levels. You will be responsible for maintaining and updating the WC community as well as Ametros colleagues on Medicare updates, enhancements to the reference guides, and self-administration toolkit, case law, and relevant industry developments. You will act as a consultant for Ametros with workers’ compensation, litigation, judiciary and insurance community. With your subject matter expertise, you will represent Ametros at industry events and speaking opportunities. 

Responsibilities: 

• Trend Monitoring: Assess and monitor developing trends in the national workers' compensation and liability markets, with a focus on their impact on claim settlements.
• Relationship Building: Develop and maintain relationships with the national workers' compensation claimant bar, defense bar, regulatory community, judiciary, and insurance community.
• Consultation: Provide consultation to the national workers' compensation bar on litigation and settlement strategies.
• Knowledge Sharing: Educate, consult, and mentor staff on Workers Compensation fundamentals and Medicare Set-aside Agreements. This includes internal and external educational opportunities, conference attendance, speaking engagements, and publishing related content.
• Regulatory Strategy: develop ongoing regulatory strategy to educate WC commissioners and outreach to gain the most access to them. 
• Community Education: Strive to educate the national workers' compensation community and liability  on Medicare Set-aside Accounts, including professional administration.
• Expansion Monitoring: Track and study the expansion of Medicare Set-aside Agreements into the national liability market.
• Internal Collaboration: Work with colleagues to ensure appropriate use of workers' compensation legal and medical concepts, helping them understand relevant terminology.  
• Project Participation: Engage in projects that highlight the value of professional administration of Medicare Set-aside Accounts to the workers' compensation and liability communities.
• Channel Partner Collaboration: Collaborate with channel partners on matters related to Medicare Set-aside Accounts and professional administration.
• Regulatory Monitoring: Monitor, review, and study new and existing directives issued by CMS that impact Medicare Set-aside Accounts and their administration. Study and review state legislative developments impacting workers’ compensation and liability settlements Study and review state legislative developments impacting workers’ compensation and liability settlements

• Graduate from an American Bar Association accredited law school with admission to a state bar or deep experience in regulatory/government affairs.
• Minimum of ten years of experience in formal workers' compensation case management, including, but not limited to litigation, case preparation, prosecution, and settlement.
• Mediation experience is helpful but not required.
• Experience as a workers' compensation regulator or administrative law judge is advantageous but not essential.
• Working knowledge of CMS directives, guidance documents, and other writings formalizing the MSA process.
• Excellent communication skills with the ability and willingness to speak before groups of lawyers, judges, insurance executives, and others involved in the workers' compensation industry.
• Experience consulting with attorneys, insurance companies, and employers on settling Workers' Compensation and liability cases.
• Experience in executing change management initiatives with established approaches.
• Collaborate with insurance State & Federal Affairs representatives.
• Monitor CMS Alerts and follow Medicare proposed regulations.
• Participate the Medicare Secondary Payer Network organization and Policy & Legislative Committee. 

Travel Requirements: Up to 30%

 In addition to our benefits package, employees have the opportunity to get involved with engagement, diversity, and philanthropic initiatives from their first day working with us to help us achieve our goal of Limitless Inclusion for All. As Ametros Citizens, we work together to foster an environment of limitless inclusion and belonging that encourages, supports, and celebrates the diverse voices and backgrounds of our people, while energizing the passion and innovations to revolutionize our industry. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.