Associate General Counsel Senior

Elevance Health•Nashville, TN

2d•$201,096 - $344,736•Hybrid

About The Position

The Associate General Counsel Senior is responsible for leveraging in-depth knowledge of Medicare to provide advice and recommendations to executives and management on highly complex matters which have a broad organizational impact and high level of risk. Partners with clients and other Shared Services teams to drive strategic outcomes and make complex decisions. The Associate General Counsel Senior will bring substantive knowledge of Medicare laws, regulations, and regulatory requirements, including the ability to advise on legal and business matters affecting Medicare operations.

Requirements

Requires a JD, current license to practice law and minimum of 15 years of specific industry and/or technical legal experience post licensure including experience in managing outside counsel; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

Demonstrated knowledge of Medicare laws, regulations, and regulatory requirements is strongly preferred.
Experience advising Medicare Advantage health plans or other organizations operating in the Medicare program is strongly preferred.
Provider Contracting expertise, including experience with provider agreements, contracting requirements, and related regulatory considerations, is preferred.
Knowledge of regulatory enforcement activities and compliance requirements related to the Anti-Kickback Statute (AKS) and Stark Law is preferred.

Responsibilities

Carries out research of statutes, regulations, agency guidance and precedents, OIG Advisory opinions and consults with outside counsel on legal strategies on particular issues.
Keeps abreast of relevant industry news and enforcement activities.
Applies professional legal theories, regulatory knowledge and best practices to contribute to development of company's concepts and principles and to achieve enterprise objectives in an original and highly effective way.
Presents concise, actionable briefings to senior level business and legal management.
Provides mentorship to more junior members of the team.
Develops methods, approaches and evaluates criteria for obtaining results.
Assesses and mitigates risk on even the most difficult and challenging issues.
Manages high-level organizational risks.