Legal Counsel

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