Senior Counsel, Primary Care Organization

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The Senior Counsel provides a full range of legal advice and services. The Senior Counsel works on problems of diverse scope and complexity ranging from moderate to substantial.

The Senior Counsel typically a Legal generalist or provides counsel in a combination of disciplines. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.

This position will focus on supporting Humana’s senior-focused primary care operations and merger & acquisition activity.

• Provide guidance related to the application of fraud, waste, and abuse laws, including the Anti-Kickback Statute, the Stark Law, and the Beneficiary Inducement Statute as applied to CenterWell Primary Care delivery and operations.

• Assist with health care regulatory diligence for potential merger & acquisition activity as well as coordinate and address legal issues during post-closing integration.

• Collaborate and consult with leaders throughout the company in order to ensure full compliance with applicable laws and regulations, and protection against external risk.

Use your skills to make an impact

Required Qualifications

• Juris Doctorate degree from an ABA accredited school law school

• 5 - 10 years of relevant experience

• Active membership in a state bar association

• Strong legal writing and analytical skills

• Ability to work independently under general supervision and in team settings

• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

• Experience in Medicare, Medicaid, or similar regulatory work

Preferred Qualifications

• Demonstrated knowledge of Original Medicare and Medicare Advantage

• Demonstrated knowledge of health care provider operations

• Merger & acquisition experience

• Familiarity with Medicare risk adjustment as well as related billing and coding requirements.

Additional Information

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay 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.

$168,000 - $231,000 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

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:

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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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.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our