Description

Humana is seeking a highly motivated Counsel to join its Law Department. The successful candidate will provide legal support and guidance on matters related to Medicare Advantage Part C health plan operations.

Key responsibilities for this role include:

• Providing legal advice and support for Humana's Medicare Advantage lines of business;
• Providing legal support for delegate contracting, including drafting, reviewing, and advising on agreements with delegated entities to ensure compliance with applicable CMS and state requirements;
• Advising on CMS provider credentialing, and eligibility requirements;
• Providing legal support for provider quality investigations and Humana Peer Review Committee activities;
• Supporting Medicare product development and operations, including benefit design and administration, licensure, bid development, and product filings; 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.

Requirements

Required Qualifications:

• Juris Doctor (JD) degree from an accredited law school and admission to practice law in applicable jurisdiction.
• Knowledge of CMS regulations, Medicare Advantage, or healthcare provider requirements.
• Experience in health law, contract drafting and negotiations, regulatory compliance, or a related field.
• Ability to work collaboratively with cross-functional teams.