Legal Counsel

Elevance Health•Atlanta, VA

1d•Hybrid

About The Position

The Legal Counsel is responsible for providing legal guidance on federal and state Medicaid laws, regulations, and compliance requirements. Legal counsel will review contracts, support regulatory filings, and ensure alignment with evolving Medicaid rules, including waiver programs, reimbursement and value-based care initiatives. Responsibilities may also include handling audits, responding to inquiries from oversight agencies, and assisting with dispute resolution. A successful candidate will have strong analytical skills, attention to detail, and the ability to interpret complex healthcare regulations in a practical, business-oriented manner. This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Requirements

JD
Current license to practice law
Minimum of 3 years of specific industry and/or technical legal experience post licensure
Strong analytical skills
Attention to detail
Ability to interpret complex healthcare regulations in a practical, business-oriented manner

Responsibilities

Providing legal guidance on federal and state Medicaid laws, regulations, and compliance requirements
Review contracts
Support regulatory filings
Ensure alignment with evolving Medicaid rules, including waiver programs, reimbursement and value-based care initiatives
Handling audits
Responding to inquiries from oversight agencies
Assisting with dispute resolution
Contributes to the overall results of the team by providing solutions to a limited range of legal problems of moderate scope and impact
Applies department protocol, exercises judgment within defined procedures and practices to determine appropriate actions
May research legal principles and precedents, consult with higher level attorneys, draft and execute legal documents, and gather relevant case related information
Learns about risk identification and mitigation in the context of the health insurance industry or the attorney’s technical area of expertise
Reports to department management any identified business exposure and associated risks as well as mitigation techniques being utilized