Humana

Legal Counsel – Contracting & Revenue Cycle Management

San Antonio, Texas, United States

Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries

Legal Counsel - Home Solutions

Position Overview

Humana is seeking a Legal Counsel to support its Home Solutions line of business, including CenterWell Home Health. This position will focus on supporting contracting, payor relations, and revenue cycle management.

Responsibilities

  • Support network participating provider contracting efforts across multiple areas including home health, DME, home infusion, and physical therapy.
  • Negotiate and resolve disputes with payors.
  • Provide strategic counsel regarding operational matters and business initiatives.
  • Support the development and implementation of value-based arrangements with payors and other clients.
  • Work collaboratively across the Legal team and other teams within Humana, including Compliance and Risk Management.
  • Provide leadership with risk assessments, analysis, and proposed mitigation strategies with regard to potential decisions and initiatives.

Requirements

  • Juris Doctorate, with licensing in at least one state.
  • At least 3 years of experience in health law at a law firm or in-house health care organization.
  • Strong legal research, writing, and analytical skills.
  • Ability to clearly communicate complex legal issues and analysis.
  • Ability to work in a complex organization with clients at all levels of the company.
  • Ability to work both independently under general supervision and within a team.

Preferred Qualifications

  • Strong understanding of Medicare requirements for health care providers, particularly home health agencies.
  • Demonstrated knowledge of the Medicare Advantage program.
  • Experience drafting and negotiating contractual arrangements, including payor and provider network agreements.

Employment Details

  • Employment Type: Full time
  • Scheduled Weekly Hours: 40
  • Pay Range: $138,900 - $191,000 per year
  • Bonus: This job is eligible for a bonus incentive plan based on company and/or individual performance.

Benefits

Humana, Inc. and its affiliated subsidiaries offer competitive benefits that support whole-person well-being, including:

  • 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
  • Many other opportunities

Travel

While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Application Deadline

06-26-2025

About Humana

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 millions of people 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

Humana does not 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. Humana also takes affirmative action.

Skills

Health Law
Legal Research
Legal Writing
Contract Negotiation
Dispute Resolution
Medicare Regulations
Value-Based Arrangements
Risk Assessment
Legal Analysis

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.
Rising medical costs and tightening Medicare reimbursements may strain financial performance.
Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.
The company emphasizes inclusivity, offering free language interpreter services for accessibility.
Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.
The company is the first insurer to cover TMS therapy for adolescent depression.
Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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