Legal Specialist Senior
Elevance Health•Atlanta, OH
•Hybrid
About The Position
The Legal Specialist Senior is responsible for providing legal support for provider contract negotiations in multiple states for our affiliated health plans and/or behavioral health management company across all lines of business (commercial, Medicaid and Medicare Advantage) as well as legal support for enterprise-wide or complex projects which utilize a recognized area of specialization and knowledge specific to the company.
Requirements
- High School diploma or equivalent and a Paralegal Certification or an AA/AS/BA/BS in a related field and a minimum of 10 years of legal or related experience; or any combination of education and experience, which would provide an equivalent background.
Nice To Haves
- Provider Contracting experience preferred.
- Experience in managed care or healthcare industry preferred.
- A law degree is desirable but not required.
Responsibilities
- Review, analyze, and research to support the negotiations for provider contracting, under the supervision of an attorney.
- Draft contract templates and amendments and alternate language to provider agreements as needed.
- Responsible for filing of provider contract templates with state regulators.
- Serves as a seasoned resource and may lead and/or coach other support staff.
- Prepares and evaluates legal documentation to resolve problems, close transactions, and/or maintain good corporate governance.
- Conducts legal research and analysis and recommends appropriate course of action and next steps.
- Performs fact checking, gathers documents, researches and responds to subpoenas, record requests, and various inquiries from internal and external sources.
- Monitors state and federal legislation affecting the corporation and develops and/or implements recommendations relative to changes in regulations and laws.
- Applies business knowledge and technical expertise to optimize solutions and improve practices.
- Participates in projects and may participate in negotiations and strategizing with business and staff.
- Enters information into appropriate databases or other document management systems.
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical, dental, vision
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
