Senior Counsel, Primary Care Organization

🕒 September 16

🇺🇸 United States – Remote

💵 $168k - $231k / year

⏰ Full Time

🟠 Senior

⚖️ Legal Counsel / General Counsel

🦅 H1B Visa Sponsor

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Logo of Humana

Humana

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Provide a full range of legal advice and services • Support Humana’s senior-focused primary care operations and merger & acquisition activity • Advise 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 diligence for potential merger & acquisition activity • Coordinate and address legal issues during post-closing integration • Collaborate and consult with company leaders to ensure compliance with applicable laws and regulations • Protect the company against external risk • Advise executives on significant, often segment-specific, functional strategies • Exercise independent judgment and decision-making on complex legal issues

🎯 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 • Passion for contributing to an organization focused on continuously improving consumer experiences • Experience in Medicare, Medicaid, or similar regulatory work • Demonstrated knowledge of Original Medicare and Medicare Advantage • Demonstrated knowledge of health care provider operations • Merger & acquisition experience • Familiarity with Medicare risk adjustment and related billing and coding requirements • Minimum download speed of 25 Mbps and upload speed of 10 Mbps for home work • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information

🏖️ Benefits

• Bonus incentive plan based on company and/or individual performance • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Personal wellness and smart healthcare decision support • Remote work arrangement • Occasional travel to Humana offices for training or meetings

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