Job Description: Counsel, Medicare Advantage & Medicaid

Position Overview

• Location Type: Remote
• Employment Type: Full Time
• Salary: $138,900 - $191,000 per year (plus bonus incentive plan)

Humana's Law Department is seeking a Counsel to support its Medicare Advantage and Medicaid lines of business. This role involves providing essential legal advice, drafting and negotiating contracts, and ensuring adherence to all applicable laws and regulations. The Counsel will collaborate with corporate and market teams, as well as various departments across the company. This position offers the opportunity to influence department strategy and exercise significant autonomy in determining objectives and approaches to assignments.

Requirements

• Education: Juris Doctor (JD) degree from an ABA-accredited law school.
• Licensing: Must be licensed to practice law in at least one state.
• Experience:
  • 3-5 years of experience in health law, either at a law firm or in-house.
  • At least 1 year of experience in contract negotiation and drafting.
• Skills:
  • Strong legal writing, communication, and analytical skills.
  • Ability to work independently under general supervision and collaboratively in team settings.
  • Excellent interpersonal and relationship-building skills, with the capacity to positively influence others.

Responsibilities

• Provide legal advice and counsel to corporate and market teams concerning managed care and value-based contracting.
• Draft and negotiate contracts for the provision of care management, utilization management, and similar arrangements with vendors, clinical entities, and/or provider components.
• Collaborate and consult with teams throughout the Company to ensure compliance with applicable laws and regulations and to mitigate external risks.
• Make decisions on moderately complex to complex issues related to the technical approach for project components, working with minimal direction.

Preferred Qualifications

• Experience in managed care and value-based contracting, preferably on behalf of a health plan or provider/vendor organization.
• Experience with Medicare and/or Medicaid provider contracting.
• Experience in healthcare regulatory and/or compliance matters.
• Experience with risk-based deals and/or value-based care contracting.
• Understanding of medical insurance provider network dynamics and the ability to apply this knowledge to various situations, inquiries, and document preparation.

Application Instructions

• Travel: While this position is remote, occasional travel to Humana's offices for training or meetings may be required.
• Scheduled Weekly Hours: 40 hours per week.
• Bonus Incentive Plan: This position is eligible for a bonus incentive plan, which is contingent upon company and/or individual performance.

Company Information

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offer competitive benefits designed to support the whole-person well-being of its associates and encourage a healthy and balanced lifestyle.