Senior Counsel, Primary Care Organization

Become a part of our caring community The Senior Counsel provides a full range of legal advice and services. The Senior Counsel works on problems of diverse scope and complexity ranging from moderate to substantial. The Senior Counsel typically a Legal generalist or provides counsel in a combination of disciplines. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. This position will focus on supporting Humana ’s senior-focused primary care operations and merger & acquisition activity. Provide guidance related to the application of fraud, waste, and abuse laws, including the Anti-Kickback Statute, the Stark Law, and the Beneficiary Inducement Statute as applied to CenterWell Primary Care delivery and operations. Assist with health care regulatory diligence for potential merger & acquisition activity as well as coordinate and address legal issues during post-closing integration. Collaborate and consult with leaders throughout the company in order to ensure full compliance with applicable laws and regulations, and protection against external risk. Use your skills to make an impact Required Qualifications 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 Must be passionate about contributing to an organization focused on continuously improving consumer experiences Experience in Medicare, Medicaid, or similar regulatory work Preferred Qualifications Demonstrated knowledge of Original Medicare and Medicare Advantage Demonstrated knowledge of health care provider operations Merger & acquisition experience Familiarity with Medicare risk adjustment as well as related billing and coding requirements. Additional Information 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...

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