Overview
A healthcare organization is seeking a highly motivated Counsel to join its Law Department. This role involves providing legal support and guidance on matters related to Medicare Advantage Part C health plan operations.
Responsibilities
- Provide legal advice and support for Medicare Advantage lines of business.
- Support delegate contracting by drafting, reviewing, and advising on agreements with delegated entities to ensure compliance with CMS and state requirements.
- Advise on CMS provider credentialing and eligibility requirements.
- Provide legal support for provider quality investigations and Peer Review Committee activities.
- Support Medicare product development and operations, including benefit design and administration, licensure, bid development, and product filings.
- Collaborate and consult with leaders across the organization to ensure compliance with applicable laws and regulations and mitigate external risks.
Requirements
- Juris Doctor (JD) degree from an accredited law school.
- Admission to practice law in the 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.
Additional Information
- This is a remote position; however, occasional travel to company offices for training or meetings may be required.
- Scheduled weekly hours: 40.
Compensation & Benefits
- Salary range: $138,900 - $191,000 per year, varying based on geographic location, skills, experience, education, and certifications.
- Eligible for a bonus incentive plan based on company and/or individual performance.
- Benefits include medical, dental, and vision coverage; 401(k) retirement savings plan; paid time off including holidays, volunteer time, parental and caregiver leave; short-term and long-term disability; life insurance; and other wellness programs.
Application Deadline