The role of Vice President, Legal, Bright HealthCare will be the lead legal counsel for the Bright HealthCare business, which currently includes the IFP, Medicare Advantage and Commercial businesses. The role will oversee a talented team of lawyers, compliance, regulatory affairs and support experts. The Vice President, Legal, will be a strategic partner to Bright HealthCare`s CEO and management team. In addition to advising the day-to-day management of the health care plan, this role will manage and support a variety of activities, including capital management of regulated insurance companies, delegate/FDR contracts, support of the insurance offer and certificate/policy, maintenance of health plan licenses, insurance holding company transactions and related deposits, Distribution and Marketing Review and Reinsurance Contracts. M. Schindelman will be replaced by Jay Matushak, interim CEO, who was the division`s chief financial officer. Jeff Craig, currently vice president of the company`s legal department, will succeed Nelsen. Keith Nelsen will step down as general counsel and corporate secretary effective March 18, Bright Health Group announced Tuesday in a regulatory filing. Nelsen will remain with the company until June 30 to support the transition of the company`s next senior legal executive.
In 2019, Casey received the Minnesota Lawyer of the Year Award. Casey received her J.D. from Hamline University`s Faculty of Law in 2011, where she studied health law and healthcare compliance programs. She teaches and mentors health law students across the country. Of the $1 million fine, $500,000 must now be paid. Payment of the remainder of the penalty will be suspended as Bright improves and complies with various steps and measures, such as: accurate payment of previous claims, providing reasonable time to resolve complaints (complaints directed directly to Bright and those addressed to the ministry), resolving disputes with health care providers, and significantly reducing complaints about Bright to the Division. If Bright meets these requirements within the next 12 months, the remaining fine of $500,000 will be cancelled. If Bright does not meet these requirements, the remaining $500,000 will be due. Bright Health Group is the first fully aligned, technology-enabled healthcare system designed for the consumer retail healthcare market. Our differentiated approach aligns healthcare with care funding to achieve better outcomes, reduce costs and improve the consumer experience. We have two market-driven business units: NeueHealth and Bright HealthCare. NeueHealth provides value-based care and empowerment services to more than 400,000 value-based patients through our own clinics and its affiliated clinics.
Bright HealthCare provides commercial products and Medicare health plans to more than one million consumers across the country. We believe that everyone should have access to personal, affordable and quality health care. Our mission is to get good health care. Together. For more information, see www.brighthealthgroup.com. Our mission is to get good health care. Together. Building on the belief that by connecting and targeting the best local healthcare resources with healthcare funding, we can deliver a superior customer experience, reduced costs and optimized clinical outcomes.
In addition to his current role, Craig has overseen the legal aspects of Bright Health`s M&A transactions, corporate governance, litigation and risk management functions. Prior to joining Bright Health, he held several senior legal positions at MGM Resorts International, a multinational gaming, hotel and entertainment company. Craig has also served as in-house counsel at Western Digital Corporation and corporate transaction attorney at Gibson Dunn. He received his J.D. from the University of San Diego and a B.A. from the American University in Washington, DC. “We appreciate Bright`s willingness to work with the division to address these issues, not only for the company, but also for its stakeholders – its members and healthcare providers,” added Commissioner Conway. “Bright has emphasized to us that the company takes its obligations to its members and suppliers seriously and will ensure that it meets its obligations.
Over the coming year, the division will closely monitor the company to ensure it is getting the ship in order and moving towards better business practices. Abuse occurs when a person is involved in practices that are inconsistent with sound tax transactions or medical practices. These practices can result in unnecessary costs to a health care plan or reimbursement for services that are not medically necessary or that do not meet professionally recognized health care standards. DENVER — The Colorado Division of Insurance (DOI), part of the Department of Regulatory Agencies (DORA), announced that it is imposing a $1 million fine on the company following an investigation by Bright Health and entering into a formal agreement with the company to resolve its issues with consumers and health care providers. If you share our passion for changing healthcare so that everyone can live healthy and smarter lives, apply to join our team. Casey Martin is Senior Counsel at Bright Health Group. Bright has two market-driven segments: NeueHealth, which provides value-based care and empowerment services through its own clinics and affiliated clinics, and Bright HealthCare, which provides commercial products and Medicare health plans to more than one million consumers across the country. Oscar Health, another New York-based health insurer that went public in 2021, also saw a price drop last year, from the IPO price of $39 per share to $8.15 at the end of trading on Wednesday.
“Looking ahead, we are thrilled to have Jeff Craig lead a talented legal and compliance team – a strong leader with a proven track record in our business. Jeff has been with Bright Health Group for over two years, most recently as Lead Counsel for the company`s NewHealth business. MINNEAPOLIS–(BUSINESS WIRE)–Bright Health Group, Inc. (“Bright Health” or “The Company”) (NYSE: BHG), the first fully aligned and technology-enabled healthcare system developed for the consumer retail healthcare market, today announced that Keith Nelsen will retire as General Counsel and Corporate Secretary. Jeff Craig, Senior Counsel for the Company`s NewHealth business, will be promoted to General Counsel and Corporate Secretary effective March 18, 2022. Nelsen will act as Senior Advisor to the Company until June 30, 2022 to ensure a smooth transition. Bright Health is committed to investigating and correcting fraud, waste and abuse. Preventing fraud, waste and abuse helps keep healthcare affordable. We encourage our members, suppliers, employees and other parties to report alleged unethical or illegal behaviour or suspicions of fraud, waste and abuse. Bright Health Group`s general counsel intends to retire this summer and will step down at the end of the week, the second departure announced in recent months among senior executives at the Bloomington-based health insurer.
“Keith has been a key leader in many of our landmark initiatives, including navigating our publicly traded pope and helping to determine the internal controls and corporate governance policies that guide us as a publicly traded company,” said Mike Mikan, President and CEO of Bright Health Group. “He has been an important and integral part of our journey and we would like to thank him for his contribution as he retires after a legal career spanning more than 30 years.” Casey served as General Counsel and Chief Compliance Officer for Planned Parenthood North Central States (for Minnesota, North Dakota, South Dakota, Iowa and Nebraska). In this role, she led a team of legal and compliance experts and advised on a variety of health and non-health issues, including privacy, licensing, employment, health transactions and regulatory compliance.