Counsel
成为我们关心社区的一部分律师提供全方位的法律咨询和服务。律师工作任务涉及适度复杂到复杂的问题,其中情况或数据分析需要深入评估变量因素。律师通常是一个法律总体学员或在学科组合中提供建议。开始影响部门战略。对项目组成部分技术方法进行了适度复雜至复杂的问题作出决定,并且工作是没有指导完成的。确定目标和任务方法方面行使了相当大的宽度。使用你的技能来产生影响责任:成为法律团队的一部分 - 使用你的法律专业知识来推动医疗保健战略.Humana 正在寻求法律顾问,谁将支持 Humana 和其管理通过:·提供法律咨询和支持 Humana 的 Medicare Advantage 行业;·就医疗保险优惠规则和法规以及相关卫生保健欺诈和滥用法律进行咨询,包括反击法案和虚假索赔法案;·制定合同条款以解决监管问题;·与整个公司领导人合作并协商,以确保完全遵守适用的法律和规定,保护外部风险。要求资格:· 法律博士学位,至少在一个州获得许可证 · 在律师事务所或内部医疗保健机构拥有3年的健康法学经验 · 在医保,医疗补助或类似监管工作的经验 · 有强大的法律研究,分析和书面/口头沟通技能 · 经验谈判合同 · 在一般监督下和团队内独立工作的能力 · 与各级公司不同客户一起复杂组织工作的能力 优先资格:· 证明对医保优势计划的知识 · 证明风险调整和星际质量计划的知识 ·管理护理和基于价值的合同工作经验:为了确保家庭或混合家庭/办公室员工能够有效地工作,家庭或混合住宅/办公厅员工自给提供互联网服务必须满足以下标准:至少需要下载速度为25Mbps,上传速度是10 Mbps;建议无线,有线电缆或 DSL 连接。在某些角色中,最低要求是:
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Become a part of our caring community
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.
Use your skills to make an impact
Responsibilities:
Be a part of the legal team -- use your legal expertise to drive healthcare strategy. Humana is seeking legal counsel who will support Humana and its management by:
- 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; and
- Collaborating and consulting with leaders throughout the company in order to ensure full compliance with applicable laws and regulations, and protection against external risk.
Required 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
Preferred Qualifications:
- Demonstrated knowledge of Medicare Advantage program
- Demonstrated knowledge of risk adjustment and the Stars quality program
- Experience in managed care and value-based contracting
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$138,900 - $191,000 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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 and many other opportunities.Application Deadline: 09-25-2026
About us
About Humana: 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. Learn more about what we offer at Humana.com and at CenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Originally posted on Himalayas