CVS Health · 14 hours ago
Counsel
Phoenix, AZ
Full-time
Hybrid
Senior Level
$144K/yr - $288K/yr
5+ years expCVS Health is building a world of health around every individual, and they are seeking an Administrative Hearing Counsel to join Aetna’s Medicaid legal team. This role involves representing Mercy Care in administrative hearings related to member appeals and provider claim disputes, requiring strong legal knowledge and excellent problem-solving skills.
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Responsibilities
Represent Mercy Care at administrative hearings related to member appeals/grievances and provider claim disputes for Medicaid and Medicare Advantage D-SNP lines of business
Apply legal knowledge to cases at the administrative hearing (and rehearing) level
Prepare and draft memorandum, motions
Conduct legal research
Prepare expert witness testimony and testimony of other subject matter experts
Prepare exhibits for hearing
Conduct settlement negotiations with opposing counsel or parties
Draft settlement agreements
May be assigned other legal projects from time-to-time
Qualification
Required
Must be admitted to practice law in the State of Arizona and in good standing with applicable license requirements
5+ years of experience as a practicing attorney
3+ years of experience with trial practice or other administrative hearing proceedings
Team-oriented individual with an attention to detail, ability to multitask, and strong communication skills (both written and verbal)
Experience providing legal advice and counsel to internal customers or clients
Experience demonstrating solid business and legal judgment
Demonstrated excellent problem-solving skills
Demonstrated expertise with legal acumen, drafting and analytical skills
Experience demonstrating strong written and verbal communication skills, including high level of interpersonal skills and diplomatic finesse
Preferred
Demonstrated experience in healthcare law, including Medicaid, Medicare Advantage and Managed Care Organizations
Juris Doctorate required
Benefits
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access
Company
CVS Health
CVS Health is a health solutions company that provides an integrated healthcare services to its members.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$4BKey Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity
Leadership Team
David Joyner
President and Chief Executive Officer, CVS Health
Chandra McMahon
SVP & CISO
Recent News
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