Legal Counsel – Contracting & Revenue Cycle Management

Humana Inc; United States; Remote; USD 138,000 - 191,000; Full time

Job summary

Humana Inc. recherche un Avocat pour rejoindre son équipe de Solutions à Domicile. Le candidat idéal soutiendra la gestion des contrats et des relations payeurs, et fournira une expertise en droit de la santé. Ce poste offre la possibilité de travailler à distance, avec un salaire compétitif et des opportunités de bonus.

Qualifications

• 3 ans d'expérience en droit de la santé dans un cabinet ou une organisation de soins de santé.
• Capacité à travailler de manière autonome et en équipe.
• Compréhension des exigences Medicare, en particulier pour les agences de soins à domicile.

Responsibilities

• Soutenir les efforts de négociation avec les fournisseurs.
• Fournir des conseils stratégiques sur les initiatives commerciales.
• Évaluer les risques et analyser les décisions.

Skills

Legal research

Writing

Analytical skills

Clear communication

Education

Juris Doctorate

Job description

Job Profile

Counsel

Job Level

Senior Professional

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

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 lawat 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 theMedicare Advantage program

• Experience drafting and negotiating contractual arrangements, includingpayor and provider network agreements

Use your skills to make an impact

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 yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Referral Bonus Information

This requisition is not eligible for a referral bonus.Application Deadline: 06-26-2025

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 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.