Legal Counsel

Elevance Health • Indianapolis, IN

5d • Hybrid

About The Position

Legal Counsel Location: This role requires associates to be in-office 3 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. The Legal Counsel will be responsible for assisting more experienced attorneys in a variety of routine legal assignments and projects and providing solutions to a limited range of legal problems of moderate scope and impact. How you will make an impact: Provides legal counsel to the company’s Medicare Advantage (MA) line of business, advising business partners on regulatory, operational, and contractual matters arising under Medicare Part C. The role supports interpretation and application of 42 C.F.R. Part 422, CMS sub-regulatory guidance, and related federal and state healthcare laws in areas including provider contracting, delegation and oversight, member communications, grievances and appeals, benefit administration, and compliance with CMS marketing and operational requirements. The Legal Counsel drafts and reviews provider and vendor agreements affecting MA operations, conducts legal research, supports audit and regulatory response activities, and collaborates with Compliance, Government Programs leadership, and operational teams to identify and mitigate legal and regulatory risk. The Legal Counsel drafts and reviews provider and vendor agreements affecting MA operations, conducts legal research, supports audit and regulatory response activities, and collaborates with Compliance, Government Programs leadership, and operational teams to identify and mitigate legal and regulatory risk. Applies department protocol, exercises judgment within defined procedures and practices to determine appropriate actions. Learns about risk identification and mitigation in the context of the health insurance industry or the attorney's technical area of expertise. Minimum Requirements: Requires a JD, current license to practice law and a minimum of 3 years of specific industry and/or technical legal experience post licensure; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: Experience in Medicare Advantage strongly preferred. Healthcare industry experience is preferred; managed care or healthcare regulatory law experience strongly preferred. Prior experience in a highly regulated industry preferred (i.e. auto, finance/banking, tech). Prior experience at a law firm preferred. For candidates working in person or virtually in the below locations, the salary range for this specific position is $116,424 to $191,268. Location(s): District of Columbia (Washington, DC); Illinois; Maryland; Massachusetts In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. Job Level: Non-Management Exempt Workshift: Job Family: LEG > Attorneys Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading. Join our Talent Community and stay connected with company news, information, and future job opportunities. Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner. Our nearly 100,000 associates serve approximately 100M+ people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration Please visit the Contract Worker Community Page. Elevance Health is an Equal Opportunity Employer/Disability/Veterans.

Requirements

• Requires a JD, current license to practice law and a minimum of 3 years of specific industry and/or technical legal experience post licensure; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

• Experience in Medicare Advantage strongly preferred.
• Healthcare industry experience is preferred; managed care or healthcare regulatory law experience strongly preferred.
• Prior experience in a highly regulated industry preferred (i.e. auto, finance/banking, tech).
• Prior experience at a law firm preferred.

Responsibilities

• Provides legal counsel to the company’s Medicare Advantage (MA) line of business, advising business partners on regulatory, operational, and contractual matters arising under Medicare Part C.
• The role supports interpretation and application of 42 C.F.R. Part 422, CMS sub-regulatory guidance, and related federal and state healthcare laws in areas including provider contracting, delegation and oversight, member communications, grievances and appeals, benefit administration, and compliance with CMS marketing and operational requirements.
• The Legal Counsel drafts and reviews provider and vendor agreements affecting MA operations, conducts legal research, supports audit and regulatory response activities, and collaborates with Compliance, Government Programs leadership, and operational teams to identify and mitigate legal and regulatory risk.
• The Legal Counsel drafts and reviews provider and vendor agreements affecting MA operations, conducts legal research, supports audit and regulatory response activities, and collaborates with Compliance, Government Programs leadership, and operational teams to identify and mitigate legal and regulatory risk.
• Applies department protocol, exercises judgment within defined procedures and practices to determine appropriate actions.
• Learns about risk identification and mitigation in the context of the health insurance industry or the attorney's technical area of expertise.

Benefits

• Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
• We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed