Senior Counsel, Primary Care Organization

Humana

8d•$168,000 - $231,000•Remote

About The Position

The Senior Counsel provides a full range of legal advice and services on issues of diverse scope and complexity, from moderate to substantial. The role typically serves as a legal generalist or provides counsel across a combination of disciplines, advising executives on significant matters and developing functional strategies. It exercises independent judgment on complex issues, works under minimal supervision, and analyzes variable factors to determine appropriate courses of action. This position focuses on supporting Humana’s senior-focused primary care operations and merger and acquisition activity. It provides guidance on fraud, waste, and abuse laws as they apply to CenterWell Primary Care delivery and operations, assists with regulatory due diligence and post-closing integration for potential transactions, and collaborates with company leaders to support legal compliance and manage external risk. The role is remote, with occasional travel to Humana offices for training or meetings.

Requirements

Juris Doctor degree from an ABA-accredited 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.
Passion for 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 and acquisition experience.
Familiarity with Medicare risk adjustment and related billing and coding requirements.

Responsibilities

Provide guidance on fraud, waste, and abuse laws, including the Anti-Kickback Statute, Stark Law, and Beneficiary Inducement Statute, as applied to CenterWell Primary Care delivery and operations.
Assist with health care regulatory due diligence for potential merger and acquisition activity.
Coordinate and address legal issues during post-closing integration.
Collaborate and consult with leaders throughout the company to ensure compliance with applicable laws and regulations and protection against external risk.
Advise executives on matters of significance and develop functional strategies.