Legal Counsel - Contracting & Revenue Cycle Management

Ropers Majeski PC; United States; Remote; USD 90,000 - 150,000; Full time

Job summary

A leading law firm is seeking a Legal Counsel to support health care operations, particularly in contracting and payor relations. The role will involve working collaboratively with various teams and require a Juris Doctorate with significant experience in health law. Responsibilities include negotiating contracts and providing strategic legal advice to enhance operational initiatives.

Qualifications

• Licensed to practice law in at least one state.
• Minimum of 3 years of experience in health law.
• Strong legal research and writing skills.

Responsibilities

• Support contracting efforts across multiple healthcare areas.
• Negotiate disputes with payors.
• Provide strategic counsel on operational matters.

Skills

Legal research

Analytical skills

Communication

Education

Juris Doctorate

Job description

Humana is seeking a Legal Counsel to support its Home Solutions line of business, including CenterWell Home Health, one of the nation’s largest providers of home health care.This position will focus on supporting contracting, payor relations, and revenue cycle management.

• Support network participating provider contracting efforts across multiple areas including home health, DME, home infusion, and physical therapy
• Negotiate and resolve disputes with payors
• Provide strategic counsel regarding operational matters and business initiatives
• Support the development and implementation of value-based arrangements with payors and other clients
• Work collaboratively across the Legal team and other teams within Humana, including Compliance and Risk Management
• Provide leadership with risk assessments, analysis, and proposed mitigation strategies with regard to potential decisions and initiatives

Required Qualifications

• Juris Doctorate, with licensing in at least one state
• At least 3 years of experience in health law at a law firm or in-house health care organization
• Strong legal research, writing, and analytical skills
• Ability to clearly communicate complex legal issues and analysis
• Ability to work in a complex organization with clients at all levels of the company
• Ability to work both independently under general supervision and within a team

Preferred Qualifications

• Strong understanding of Medicare requirements for health care providers, particularly home health agencies
• Demonstrated knowledge of the Medicare Advantage program
• Experience drafting and negotiating contractual arrangements, including payor and provider network agreements