[Hiring] Counsel @Humana

Role Description

The Counsel provides a full range of legal advice and services. The Counsel work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Counsel typically a Legal generalist or provides counsel in a combination of disciplines. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

Responsibilities:

• Be a part of the legal team -- use your legal expertise to drive healthcare strategy.
• Providing legal advice and support for Humana’s Medicare Advantage lines of business.
• Advising on Medicare Advantage rules and regulations and related health care fraud and abuse laws, including the Anti-kickback statute and False Claims Act.
• Drafting contract provisions to address regulatory concerns.
• Collaborating and consulting with leaders throughout the company in order to ensure full compliance with applicable laws and regulations, and protection against external risk.

Qualifications

• Juris Doctorate, with licensing in at least one state.
• At least 3 years of experience in health law at a law firm or in-house health care organization.
• Experience in Medicare, Medicaid, or similar regulatory work.
• Strong legal research, analytical, and writing/oral communication skills.
• Experience negotiating contracts.
• Ability to work both independently under general supervision and within a team.
• Ability to work in complex organization with diverse clients at all levels of the company.

Requirements

• Demonstrated knowledge of Medicare Advantage program.
• Demonstrated knowledge of risk adjustment and the Stars quality program.
• Experience in managed care and value-based contracting.

Benefits

• Medical, dental, and 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.
• Many other opportunities.

Company Description

Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large.