Vice President, Associate General Counsel
About The Position
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Position Purpose: Provide legal advice and strategic support to Centene’s Medicare Advantage, Part D, and Duals products. Serves as lead legal counsel for Wellcare, Centene’s Medicare brand. Advise business and compliance partners on healthcare laws, regulations, and guidance impacting Medicare. Research, analyze, and interpret complex healthcare regulatory requirements, including but not limited to issues related to Medicare operations, risk adjustment, MLR, quality, stars, and agent / broker matters. Takes on increasing responsibility for national-level and/or Company-wide legal matters. Reviews, drafts, and negotiates contracts, policies and procedures, and related documents. Provides practical legal guidance to support implementation of new laws, regulations, business initiatives, policies and procedures, and operational workflows. Manages provider disputes. Partners with product leaders, Compliance, Population Health, Network, Finance, and other business leaders to identify risks, develop practical solutions, and support timely decision making. Manages outside counsel as necessary to ensure the delivery of efficient, high quality legal services. Performs other duties as assigned. Complies with all policies and standards.
Requirements
- Juris Doctor (JD) required.
- 7+ years of experience in health law required.
- Bar Admission and currently in good standing required.
- Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
Nice To Haves
- 2+ years of experience handling risk adjustment matters, including audits and complex vendor relationships preferred.
- 2+ years of experience in Medicare Stars preferred.
- 2+ years of experience advising on Medicare bids and benefit structures preferred.
- 2+ years of people leadership experience preferred.
Responsibilities
- Provide legal advice and strategic support to Centene’s Medicare Advantage, Part D, and Duals products.
- Serves as lead legal counsel for Wellcare, Centene’s Medicare brand.
- Advise business and compliance partners on healthcare laws, regulations, and guidance impacting Medicare.
- Research, analyze, and interpret complex healthcare regulatory requirements, including but not limited to issues related to Medicare operations, risk adjustment, MLR, quality, stars, and agent / broker matters.
- Takes on increasing responsibility for national-level and/or Company-wide legal matters.
- Reviews, drafts, and negotiates contracts, policies and procedures, and related documents.
- Provides practical legal guidance to support implementation of new laws, regulations, business initiatives, policies and procedures, and operational workflows.
- Manages provider disputes.
- Partners with product leaders, Compliance, Population Health, Network, Finance, and other business leaders to identify risks, develop practical solutions, and support timely decision making.
- Manages outside counsel as necessary to ensure the delivery of efficient, high quality legal services.
- Performs other duties as assigned.
- Complies with all policies and standards.
Benefits
- competitive pay
- health insurance
- 401K
- stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- a flexible approach to work with remote, hybrid, field or office work schedules
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What This Job Offers
Job Type
Full-time
Career Level
Executive
