AmeriHealth Caritas · 9 hours ago
Senior Legal Counsel | Remote
United States
Full-time
Remote
Senior Level, Lead/Staff
10+ years exp
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Responsibilities
Advising the business on a broad range of legal, regulatory, and compliance issues, to mitigate risks associated with the company’s Medicaid product lines
Identifying business and legal risks and working with the business to provide solutions that balance legal issues and business objectives
Reviewing/drafting of internal policies, training materials, notifications and procedures, and external-facing materials such as policy coverage documents and other benefit materials, to ensure compliance with related requirements
Dealing with state Medicaid and insurance departments/regulators
Drafting and negotiating provider and vendor contracts that support the company’s Medicaid product lines
Keeping up to date and advising on the potential impact of new and proposed healthcare laws and regulations to ensure continued compliance
Operating with a high degree of integrity, in alignment with company mission and culture
Performing other special assignments, strategic projects, or duties as needed.
Qualification
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Required
JD required
License to practice law in at least one state
10 + years of experience after receiving law degree
Knowledge and experience in Health Care and laws and regulations pertaining to Medicaid or Medicare
Broad knowledge of the legal issues encountered by managed care organizations, preferably Medicaid or Medicare managed care
Experience counseling in a corporate environment that is highly regulated
Strong research, problem solving, and analytical skills
Strong ability to provide risk assessment/risk mitigation support
Strong negotiation skills
Ability to work both independently and collaboratively, provide leadership, influence organizational behavior and create alignment across organizational lines
Excellent written and verbal communication skills, and the personal presence, credibility, and the professional demeanor necessary to interact with company management, regulatory bodies, and business units with persuasiveness and confidence
Excellent judgement, the ability to manage competing priorities and make difficult decisions quickly
Ready, willing, and able to assist with new needs and comfortable with uncertainty and ambiguity
Benefits
Competitive pay
Paid time off including holidays and volunteer events
Health insurance coverage for you and your dependents on day 1
401(k)
Tuition reimbursement
And more.
Company
AmeriHealth Caritas
AmeriHealth Caritas is the health care solutions provider for those in most need and the chronically ill.
10,001+ employees
H1B Sponsorship
AmeriHealth Caritas has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (10)
2022 (13)
2021 (9)
2020 (7)
Funding
Current Stage
Late StageLeadership Team
Kelly Munson
President and Chief Executive Officer
Karen Amstutz
SVP & Chief Medical Officer
Recent News
Philadelphia Business Journal
2024-01-11
2024-01-08
Company data provided by crunchbase
