St Paul, Minnesota, United States
NATHAN KRAHN Versatile corporate counsel with both a broad and deep understanding of the challenges facing dynamic, highly regulated industries across the legal, business and compliance landscape. Proven ability to collaborate across the enterprise and serve clients needs by serving in multiple roles.
Provided general counsel support and enterprise risk management for multiple Optum business segments including Behavioral Health, Physical Health, OptumRX, Subrogation Services, and the Sanctions group (FW&A). Coordinated and managed managed high visibility, nationwide litigation and risk management efforts for health plans and served as subject matter expert across UnitedHealthGroup. Developed and let major and groundbreaking enterprise projects securing multi million dollar recoveries. Handled commercial vendor litigation/ dispute resolution and customer/vendor contracting duties. Conducted ethics investigations on behalf of Compliance involving fraud and pharmaceutical packaging. Led national and state legislative policy efforts supporting UnitedHealthGroup and customer interests.
Identifying emerging compliance risks from regulatory changes and assessment of impact to Operations, development and implementation oversight of compliance programs and policies. Leading and supervising the Compliance team. Organizing and leading enterprise regulatory and government relations efforts including primary responsibilities for contact with regulators and legislators as well as maintaining a leadership role with various industry/trade organizations.
Provided daily and strategic legal support, enterprise risk management and regulatory leadership for Operational & Administrative Efficiencies, Optum Payment Integrity and Risk Optimization and Growth businesses with annual revenues in excess of $500 million under substantial federal and state regulatory control. Designed, led and implemented first enterprise-wide intersegment contracting processes to consistently fulfill regulatory requirements for licensed insurers. Coordinated and managed high-visibility, nationwide litigation for health plans and service providers. Supported business clients for vendor and customer contracting, assisted in due diligence reviews for M&A opportunities, reviewed anti-trust aspects of M&A opportunities and product/service offerings, supported business on HIPAA privacy and data security issues, supported Fraud, Waste and Abuse programs and FDCPA compliance, conducted enterprise risk management analysis, evaluated and prepared for CFPB compliance and supported management of customer relations. Led and organized legislative and policy efforts supporting health plan operations, coordinated participation in industry lobbying efforts and authored draft legislation.
Provided daily and strategic legal support and enterprise risk management for multiple Optum segments including Optum Subrogation Services and ICS provider audit, serving as subrogation legal counsel across UnitedHealth Group. Supported business in customer and vendor contracting, HIPAA privacy disclosure and security matters and provided training for analysts and managers. Coordinated and directed high visibility nationwide litigation on behalf of States, self-funded ERISA plans, insurance customers and third party administrators. Developed, maintained and presented proprietary written and electronic legal resources supporting subrogation/reimbursement and injury coverage coordination units and business training materials. Spearheaded legislative and policy efforts supporting health plan subrogation rights and operations across UnitedHealth Group enterprises including coordination with industry lobbying efforts. Led and organized efforts to respond to, or secure approval from, state regulators and agencies regarding subrogation and injury coverage coordination issues.
Represented CNA insureds and insurance entities in a variety of workers’ compensation and tort matters, subrogation claims, regulatory and penalty claims and appellate matters. Attended administrative conferences and trials, negotiate and draft settlement agreements, analyze insurance contracts for coverage and litigation issues, attend fact and expert depositions, draft trial and appellate memoranda, assisted with maintaining insured contact and development, conducted appellate oral argument and drafted opinion letters regarding risk factors and claims handling.