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The Counsel provides legal advice and support for Medicare Advantage lines of business, ensuring compliance with healthcare regulations and fraud laws. They collaborate with company leaders to drive healthcare strategy and protect the organization against external risks.
The Counsel typically a Legal generalist or provides counsel in a combination of disciplines. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
Responsibilities:
Be a part of the legal team -- use your legal expertise to drive healthcare strategy. Humana is seeking legal counsel who will support Humana and its management by:
Providing legal advice and support for Humana’s Medicare Advantage lines of business;
Advising on Medicare Advantage rules and regulations and related health care fraud and abuse laws, including the Anti-kickback statute and False Claims Act;
Drafting contract provisions to address regulatory concerns; and
Collaborating and consulting with leaders throughout the company in order to ensure full compliance with applicable laws and regulations, and protection 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/oral communication skills
Experience negotiating contracts
Ability to work both independently under general supervision and within a team
Ability to work in complex organization with diverse clients at all levels of the company
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
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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 and many other opportunities.Application Deadline: 09-25-2026
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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