Senior Counsel, Primary Care Organization

Humana

7d • $168,000 - $231,000 • Remote

About The Position

The Senior Counsel provides a full range of legal advice and services. The Senior Counsel works on problems of diverse scope and complexity ranging from moderate to substantial. The Senior Counsel typically a Legal generalist or provides counsel in a combination of disciplines. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. This position will focus on supporting Humana’s senior-focused primary care operations and merger & acquisition activity.

Requirements

• Juris Doctorate degree from an ABA accredited school law school
• 5 - 10 years of relevant experience
• Active membership in a state bar association
• Strong legal writing and analytical skills
• Ability to work independently under general supervision and in team settings
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Experience in Medicare, Medicaid, or similar regulatory work

Nice To Haves

• Demonstrated knowledge of Original Medicare and Medicare Advantage
• Demonstrated knowledge of health care provider operations
• Merger & acquisition experience
• Familiarity with Medicare risk adjustment as well as related billing and coding requirements.

Responsibilities

• Provide guidance related to the application of fraud, waste, and abuse laws, including the Anti-Kickback Statute, the Stark Law, and the Beneficiary Inducement Statute as applied to CenterWell Primary Care delivery and operations.
• Assist with health care regulatory diligence for potential merger & acquisition activity as well as coordinate and address legal issues during post-closing integration.
• Collaborate and consult with leaders throughout the company in order to ensure full compliance with applicable laws and regulations, and protection against external risk.

Benefits

• medical
• dental
• vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Ph.D. or professional degree