Associate General Counsel Senior

Elevance Health; Mason (OH); Hybrid; USD 201,000 - 345,000; Full time

Job summary

Elevance Health seeks an Associate General Counsel Senior to advise executives on highly complex Medicare matters. You will partner with clients and Shared Services to drive strategic outcomes and manage regulatory risk.

The role requires 15+ years of industry experience, a JD, and the ability to advise on provider contracting, AKS, and Stark Law considerations. Hybrid in-office work is expected, with location flexibility within commuting distance.

Qualifications

• Requires a JD, current license to practice law and minimum of 15 years of industry and/or technical legal experience post licensure including experience in managing outside counsel.
• Strong knowledge of Medicare laws, regulations, and regulatory requirements preferred.
• Experience advising Medicare Advantage plans or organizations operating in Medicare is strongly preferred.

Responsibilities

• Carries out research of statutes, regulations, agency guidance and precedents, and consults with outside counsel on legal strategies.
• Presents concise, actionable briefings to senior level business and legal management.
• Provides mentorship to junior team members and manages high-level organizational risks.

Skills

Medicare knowledge

Legal research

Regulatory compliance

Risk assessment

Strategic advisory

Mentorship

Education

Juris Doctor (JD)

Tools

Outside counsel management

Job description

Associate General Counsel Senior

Location: This role requires associates to be in-office 3 days per week , fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

The Associate General Counsel Senior is responsible for leveraging in-depth knowledge of Medicare to provide advice and recommendations to executives and management on highly complex matters which have a broad organizational impact and high level of risk. Partners with clients and other Shared Services teams to drive strategic outcomes and make complex decisions. The Associate General Counsel Senior will bring substantive knowledge of Medicare laws, regulations, and regulatory requirements, including the ability to advise on legal and business matters affecting Medicare operations.

How you will make an impact:

• Carries out research of statutes, regulations, agency guidance and precedents, OIG Advisory opinions and consults with outside counsel on legal strategies on particular issues.
• Keeps abreast of relevant industry news and enforcement activities.
• Applies professional legal theories, regulatory knowledge and best practices to contribute to development of company's concepts and principles and to achieve enterprise objectives in an original and highly effective way.
• Presents concise, actionable briefings to senior level business and legal management.
• Provides mentorship to more junior members of the team.
• Develops methods, approaches and evaluates criteria for obtaining results.
• Assesses and mitigates risk on even the most difficult and challenging issues.
• Manages high-level organizational risks.

Minimum Qualifications:

• Requires a JD, current license to practice law and minimum of 15 years of specific industry and/or technical legal experience post licensure including experience in managing outside counsel; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Demonstrated knowledge of Medicare laws, regulations, and regulatory requirements is strongly preferred.
• Experience advising Medicare Advantage health plans or other organizations operating in the Medicare program is strongly preferred.
• Provider Contracting expertise, including experience with provider agreements, contracting requirements, and related regulatory considerations, is preferred.
• Knowledge of regulatory enforcement activities and compliance requirements related to the Anti-Kickback Statute (AKS) and Stark Law is preferred.

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $201,096 to $344,736.

Locations: California, New York

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

• The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [e-mail] for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration (https://info.flclearinghouse.com/).