Regulatory Counsel - Medicaid

Position Overview

Humana is seeking a Regulatory Counsel to support its Medicaid plan operations in various states. The Counsel will provide a full range of legal support to their assigned market(s), including reviewing and analyzing state, provider, and vendor contracts, as well as analyzing existing state and federal laws and new legislation impacting plan operations. The role involves advising business units on operational matters and business initiatives, responding to legal issues related to state, member, provider, and vendor relationships, and assisting with legal inquiries from internal and external sources. The Counsel will collaborate across the Legal team and with other Humana departments, such as Regulatory Compliance and Risk Management, and build strong relationships with assigned markets to become a trusted advisor.

Employment Type

• Full-time

Work Location

• Remote position.
• Preferred location: Georgia.
• Depending on candidate's location and office availability, option to work from a Humana office full-time or on a hybrid schedule.
• Minimal travel expected to Humana's headquarters in Louisville, Kentucky, and other designated locations, but not on a regular basis.

Required Qualifications

• Juris Doctorate degree from an ABA accredited law school.
• Active admission to at least one state bar association with the ability to register as in-house, if required.
• Current, unrestricted license to practice law.
• 3-5 years of experience in the healthcare industry.
• Strong understanding of Federal and State healthcare benefit programs (e.g., Medicare, Medicaid/CHIP/MLTSS, DSNP).
• Strong legal writing and analytical skills with the ability to independently manage assigned work and tasks.
• Critical thinking skills and comfort navigating complex legal issues in a timely manner.
• Ability to identify regulatory and business barriers and develop possible business solutions.
• Ability to work independently and in team settings.
• Ability to continuously reassess priorities to meet internal and external expectations and deadlines.
• Deep understanding of Medicaid (Federal and State) regulations, policies, and state contracts.
• Strong interpersonal and communication skills, with the ability to effectively communicate legal issues and concerns.

Preferred Qualifications

• 5 or more years of experience working at a reputable law firm, as in-house counsel for a healthcare company, or at a government agency with a focus on healthcare.
• Experience working directly with State Medicaid agency/agencies.

Additional Information

• Preferred Locations: Georgia (remote).
• Alternative Locations: Louisville, KY (hybrid); Virginia/WDC (hybrid); Chicago, IL (hybrid).

SSN Alert Statement

Humana values personal identity protection. Applicants may be asked to provide their Social Security Number if not already on file. An email from Humana@myworkday.com will be sent with instructions if required.

WAH Internet Statement

To ensure effective work for Home or Hybrid Home/Office employees, self-provided internet service must meet the following criteria:

• Minimum download speed of 25 Mbps.
• Minimum upload speed of 10 Mbps.