Legal Counsel
Humana
•
Louisville, KY
Company
Humana
Location
Louisville, KY
Type
Full Time
Job Description
Description
Responsibilities
Be a part of Humana's Law Department -- use your legal expertise to drive healthcare strategy.
Humana is seeking legal counsel who will support Humana and its management by:
- Providing legal advice and support for Humana's Medicare Advantage business;
- Advising on Medicare program laws, regulations, anti-kickback laws, and other health care fraud and abuse laws;
- Responding to disputes with health care providers, negotiating settlements, drafting responses as part of the CMS administrative appeal process, attending ALJ hearings;
- Drafting contract provisions to address Medicare regulatory concerns; and
- Collaborating and consulting with leaders throughout the company in order to ensure full compliance with applicable laws and regulations, and protection against external risk.
Required Qualifications
- Juris Doctorate from an ABA accredited law school, with licensing in at least one state
- At least 4 years of experience in health law at a law firm or in-house health care or payor organization
- Experience in Medicare, Medicaid, or similar regulatory work
- Strong legal research, analytical, and writing skills
- Experience negotiating contracts and settlement agreements
- Ability to work in complex organization with diverse clients at all levels of the company
- Ability to work both independently under general supervision and within a team
Preferred Qualifications
- Demonstrated knowledge of Medicare Advantage Program
- Experience supporting clinical operations or in a clinical setting (e.g., hospital, physician practice, skilled nursing, etc.)
Scheduled Weekly Hours
40
Date Posted
08/16/2023
Views
7
Positive
Subjectivity Score: 0.8
Similar Jobs
Licensed Clinical Social Worker (LCSW) -Outpatient, Norton Women's Mental Health Services - Norton Healthcare
Views in the last 30 days - 0
View DetailsSystem Vice President of Government Affairs of Health & Public Policy - Norton Healthcare
Views in the last 30 days - 0
View Details