Counsel

Overview

This role provides a full range of legal advice and services. Work assignments involve moderately complex to complex issues where analysis requires an in-depth evaluation of variable factors.

The Counsel is typically a legal generalist or provides counsel in a combination of disciplines. This position begins to influence department strategy and makes decisions on moderately complex to complex issues regarding the technical approach for project components, with work performed without direction. Significant latitude is exercised in determining objectives and approaches.

Responsibilities

• Provide legal advice and support for Medicare Advantage lines of business.
• Advise on Medicare Advantage rules and regulations and related health care fraud and abuse laws, including the Anti-kickback statute and False Claims Act.
• Draft contract provisions to address regulatory concerns.
• Collaborate and consult with leaders across the organization to help ensure compliance with applicable laws and regulations and to protect 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 and/or oral communication skills.
• Experience negotiating contracts.
• Ability to work independently under general supervision and within a team.
• Ability to work in a complex organization with diverse clients at all levels.

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.

Compensation & Benefits

• Scheduled weekly hours: 40.
• Pay range: $138,900 - $191,000 per year.
• Eligible for a bonus incentive plan based on company and/or individual performance.

Benefits include:

• 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.
• Other opportunities supporting whole-person well-being.

Location

Remote position with occasional travel to offices for training or meetings.

Work at Home Requirements

To ensure remote or hybrid home/office employees can work effectively, self-provided internet service must meet the following criteria:

• Minimum download speed: 25 Mbps
• Minimum upload speed: 10 Mbps
• Wireless, wired cable or DSL connection is suggested.
• In certain roles, the minimum recommended internet speed may not be sufficient for business needs.
• The employer reserves the right to require associates to upgrade their internet service if necessary.

Work from a dedicated space without ongoing interruptions to protect member PHI / HIPAA information.

Application Deadline

10-23-2026