• Job Description

  Req#: R-380174

  Become a part of our caring community and help us put health first
  

  Humana is seeking regulatory Counsel to support its Medicaid plan operations in various states. The Counsel will be expected to provide a full range of legal support to their assigned market(s). Legal support will include reviewing and analyzing state, provider, and vendor contracts, as well analyzing existing state and federal laws and any new legislation potentially impacting plan operations.

  The Counsel will provide advice and support to the various business units on operational matters and business initiatives. They will be responsible for responding to any legal issues that come up for the various Medicaid health plans related to their State, member, provider, and vendor relationships. They will also assist the business in responding to legal inquiries coming from both internal and external sources.

  The Counsel will be required to work collaboratively across the Legal team and with other teams within Humana, including Regulatory Compliance and Risk Management.

  The Counsel will be expected to build strong relationships with its assigned markets and to become a trusted advisor to market and segment leaders .

  Work Location:

  This Counsel position is a remote position. Preferred location for this candidate will be Georgia. Depending on the candidate’s location and subject to office availability, the candidate may be able to choose to work from a Humana office either full time or as part of a hybrid office and home schedule. There may be some travel expected to Humana’s headquarters in Louisville, Kentucky and other designated locations, but it will be minimal and not on a regular basis.

  
  Use your skills to make an impact
  

  Required Qualifications

  • Juris Doctorate degree from an ABA accredited school law school
  • Active admission to at least one state bar association with the ability to register as in-house, if required by the applicable jurisdiction(s)
  • Current, unrestricted license to practice law
  • At least 3-5 years of experience working in the healthcare industry
  • Strong understanding of Federal and State health care benefit programs (e.g., Medicare, Medicaid/CHIP/MLTSS, DSNP)
  • Strong legal writing and analytical skills with the ability to take ownership of your work and assigned tasks and manage such work and tasks independently
  • Critical thinking skills and comfort navigating complex legal issues in a timely manner
  • Ability to identify regulatory and business barriers and work through those barriers to identify possible business solutions
  • Ability to work independently and in team settings, as needed
  • Ability to continuously reassess priorities to meet various internal and external expectations and deadlines
  • A deep understanding of Medicaid (Federal and State) regulations, policies, state contracts
  • Strong interpersonal and communication skills, with the ability to effectively communicate legal issues and concerns

  Preferred Qualifications

  • 5 or more years of experience working at a reputable law firm, as in-house counsel for a healthcare company, or at a government agency with a focus on health care.
  • Experience working directly with State Medicaid agency/agencies

  Additional Information

  Preferred location Georgia (remote); alternative locations Louisville, KY (hybrid); Virginia/WDC (hybrid); Chicago, IL (hybrid).

  SSN Alert Statement

  Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

  WAH Internet Statement

  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.
  Satellite, cellular and microwave connection can be used only if approved by leadership.
  Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
  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.

  
  

  $138,900 - $191,000 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

  
  About us
  

  Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

  
  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.

• About the company

  Humana looks at every facet of your life and works with you to create a path to health that fits your unique needs

Notice