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Senior Legal Counsel | Hybrid

Location: Newtown Square, PA

Primary Job Function: Legal

ID**: 31588

Job Brief

This role is hybrid and requires time in the office at our Newtown Square, PA location.

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 to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to connect with you. Headquartered in

Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

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 lines

• Identifying business and legal risks and working with the business to provide solutions that balance legal issues and business objectives

• Reviewing/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 requirements

• Dealing with state Medicaid and insurance departments/regulators

• Drafting and negotiating provider and vendor contracts that support the company’s Medicaid product lines

• Keeping up to date and advising on the potential impact of new and proposed healthcare laws and regulations to ensure continued compliance

• Operating with a high degree of integrity, in alignment with company mission and culture

• Performing other special assignments, strategic projects, or duties as needed.

Education/Experience:

• JD required

• License to practice law in at least one state

• 10 + years of experience after receiving law degree

• Knowledge and experience in Health Care and laws and regulations pertaining to Medicaid or Medicare

• Broad knowledge of the legal issues encountered by managed care organizations, preferably Medicaid or Medicare managed care

• Experience counseling in a corporate environment that is highly regulated

Other Skills:

• Strong research, problem solving, and analytical skills

• Strong ability to provide risk assessment/risk mitigation support

• Strong negotiation skills

• Ability to work both independently and collaboratively, provide leadership, influence organizational behavior and create alignment across organizational lines

• Excellent 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 confidence

• Excellent judgement, the ability to manage competing priorities and make difficult decisions quickly

• Ready, willing, and able to assist with new needs and comfortable with uncertainty and ambiguity

Diversity, Equity, and Inclusion

At 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. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

We keep our associates happy so they can focus on keeping our members healthy.

Our Comprehensive Benefits Package

Competitive 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.

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EOE Minorities/Females/Protected Veterans/Disabled