Counsel - Health Plan Contracting - Humana
Trenton, NJ
About the Job
Become a part of our caring community and help us put health first
Humana is seeking a highly motivated and talented attorney to join Humana’s Law Department. This Counsel position will be a part of Humana’s Health Plan Contracting team within the Law Department and provide legal counsel primarily for issues related to Humana’s provider network and contracts. This Counsel position will exercise considerable latitude in determining objectives and approaches to assignments and requires experience in drafting, negotiating, and analyzing contracts. This Counsel position will be responsible for making decisions on moderately complex to complex issues. This Counsel position will be expected to exercise excellent judgment and be able to perform assigned tasks with minimal supervision while knowing when certain issues should be escalated. This Counsel position will be expected to be able to think strategically and creatively in order to achieve business objectives in a way that mitigates risk and ensures compliance with applicable laws. This Counsel position will be expected to work cross functionally and collaboratively within Humana’s Law Department and various business areas.
This Counsel position will assist assigned markets, business areas, and corporate leaders with a variety of topics and initiatives, including, but not limited to: (i) drafting and negotiation of fee for service and value based provider contracts for medical services including, but not limited to, the following types of contracts: physician, hospital, network, ancillary, management services organization and accountable care provider; (ii) pre-litigation provider disputes along with reviewing and drafting settlement agreements, when appropriate; and (iii) analyzing contracts and providing legal advice on complex contracting questions and issues.
Work Location:
This Counsel position is a remote position. 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
+ 3-5 years of experience working in the healthcare industry
+ Strong understanding of contract fundamentals, with at least 2 years of contract drafting and negotiation experience
+ 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 work independently and in team settings, as needed
+ A deep understanding of provider network dynamics with the ability to apply this knowledge to situations, inquiries and document preparation
+ Strong interpersonal and communication skills, with the ability to effectively communicate legal issues and concerns
Preferred Qualifications
+ Experience working as in-house counsel for a health plan, physician organization, or hospital
+ Experience drafting, reviewing and providing advice on provider contracts
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.
Application Deadline: 02-27-2025
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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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 https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Humana is seeking a highly motivated and talented attorney to join Humana’s Law Department. This Counsel position will be a part of Humana’s Health Plan Contracting team within the Law Department and provide legal counsel primarily for issues related to Humana’s provider network and contracts. This Counsel position will exercise considerable latitude in determining objectives and approaches to assignments and requires experience in drafting, negotiating, and analyzing contracts. This Counsel position will be responsible for making decisions on moderately complex to complex issues. This Counsel position will be expected to exercise excellent judgment and be able to perform assigned tasks with minimal supervision while knowing when certain issues should be escalated. This Counsel position will be expected to be able to think strategically and creatively in order to achieve business objectives in a way that mitigates risk and ensures compliance with applicable laws. This Counsel position will be expected to work cross functionally and collaboratively within Humana’s Law Department and various business areas.
This Counsel position will assist assigned markets, business areas, and corporate leaders with a variety of topics and initiatives, including, but not limited to: (i) drafting and negotiation of fee for service and value based provider contracts for medical services including, but not limited to, the following types of contracts: physician, hospital, network, ancillary, management services organization and accountable care provider; (ii) pre-litigation provider disputes along with reviewing and drafting settlement agreements, when appropriate; and (iii) analyzing contracts and providing legal advice on complex contracting questions and issues.
Work Location:
This Counsel position is a remote position. 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
+ 3-5 years of experience working in the healthcare industry
+ Strong understanding of contract fundamentals, with at least 2 years of contract drafting and negotiation experience
+ 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 work independently and in team settings, as needed
+ A deep understanding of provider network dynamics with the ability to apply this knowledge to situations, inquiries and document preparation
+ Strong interpersonal and communication skills, with the ability to effectively communicate legal issues and concerns
Preferred Qualifications
+ Experience working as in-house counsel for a health plan, physician organization, or hospital
+ Experience drafting, reviewing and providing advice on provider contracts
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.
Application Deadline: 02-27-2025
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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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 https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Source : Humana