Senior Legal Counsel
: Job Details :

Your career starts now. We are looking for the next generation of health care leaders.At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity toimpact the lives of millions of people through our national footprint of products, services and award-winning programs. Together we can build healthier communities. If you want to make a difference, we would like to connect with you.Responsibilities:This position is an in-house counsel position that will assist in advancing the important business objectives, interests, and image of the company through various activities, with a focus on providing legal support to the company's Medicaid lines of business. The ideal candidate will have Medicaid and/or Medicare managed care subject matter expertise and an ability to develop an understanding of the business and operational goals of assigned internal clients, proactively advise business partners on a wide variety of matters, and work collaboratively with other attorneys on matters related to legal and regulatory compliance.The position will be primarily responsible for: Advising the business on a broad range of legal, regulatory, and compliance issues, to mitigate risks associated with the company's Medicaid product linesIdentifying business and legal risks and working with the business to provide solutions that balance legal issues and business objectivesReviewing/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 requirementsDealing with state Medicaid and insurance departments/regulatorsDrafting and negotiating provider and vendor contracts that support the company's Medicaid product linesKeeping up to date and advising on the potential impact of new and proposed healthcare laws and regulations to ensure continued complianceOperating with a high degree of integrity, in alignment with company mission and culturePerforming other special assignments, strategic projects, or duties as needed. Education/Experience: JD requiredLicense to practice law in at least one state10 + years of experience after receiving law degreeKnowledge and experience in Health Care and laws and regulations pertaining to Medicaid or MedicareBroad knowledge of the legal issues encountered by managed care organizations, preferably Medicaid or Medicare managed careExperience counseling in a corporate environment that is highly regulated Other Skills: Strong research, problem solving, and analytical skillsStrong ability to provide risk assessment/risk mitigation supportStrong negotiation skillsAbility to work both independently and collaboratively, provide leadership, influence organizational behavior and create alignment across organizational linesExcellent 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 confidenceExcellent judgement, the ability to manage competing priorities and make difficult decisions quicklyReady, willing, and able to assist with new needs and comfortable with uncertainty and ambiguity Diversity, Equity, and InclusionAt AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect.Our Comprehensive Benefits PackageCompetitive 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.#J-18808-Ljbffr