Legal Counsel
DescriptionResponsibilitiesBe a part of Humana's Law Departmentuse 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 Hours40 Recommended Skills Administration Analytical Clinical Works Content Management Contract Negotiation Health Care Estimated Salary: $20 to $28 per hour based on qualifications.
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 Hours40 Recommended Skills Administration Analytical Clinical Works Content Management Contract Negotiation Health Care Estimated Salary: $20 to $28 per hour based on qualifications.
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