Counsel - Medicare/Medicaid Contracting
Humana
Become a part of our caring community and help us put health first
Be part of the legal team – use your legal expertise to drive healthcare strategy. Humana’s Law Department is seeking a Counsel who will support its Medicare Advantage and Medicaid lines of business by: Providing legal advice and counsel to corporate and market teams on managed care and value-based contracting;
Drafting and negotiating contracts for the provision of care management, utilization management, and other similar arrangements with vendor, clinical and/or provider components; and
Collaborating and consulting with teams throughout the Company to ensure compliance with applicable laws and regulations, and protection against external risk.
The Counsel typically a Legal generalist or provides counsel in a combination of disciplines. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
Use your skills to make an impact
Required Qualifications
Juris Doctor degree from an ABA accredited law school, with licensing in at least one state
3-5 years of experience in health law at a law firm or in-house, with at least 1 year of contract negotiation and drafting experience
Strong legal writing, communication and analytical skills
Ability to work independently under general supervision and in team settings
Excellent interpersonal/relationship-building skills and ability to collaborate with and positively influence others
Preferred Qualifications
Experience in managed care and value-based contracting on behalf of a health plan or provider/vendor organization
Medicare and/or Medicaid provider contracting experience
Healthcare regulatory and/or compliance experience
Risk-based deals and/or value-based care contracting experience
Understanding of medical insurance provider network dynamics and ability to apply this knowledge to situations, inquiries and document preparation
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.