Legal Counsel

Anticipated End Date:

Position Title: Legal Counsel

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 an accommodation is granted as required by law.

The
Legal Counsel
will be responsible for assisting more experienced attorneys in a variety of routine legal assignments and projects and providing solutions to a limited range of legal problems of moderate scope and impact.

• Provides legal counsel to the company’s Medicare Advantage (MA) line of business, advising business partners on regulatory, operational, and contractual matters arising under Medicare Part
  
  C.
• The role supports interpretation and application of 42 C.F.R. Part 422, CMS sub-regulatory guidance, and related federal and state healthcare laws in areas including provider contracting, delegation and oversight, member communications, grievances and appeals, benefit administration, and compliance with CMS marketing and operational requirements.
• The Legal Counsel drafts and reviews provider and vendor agreements affecting MA operations, conducts legal research, supports audit and regulatory response activities, and collaborates with Compliance, Government Programs leadership, and operational teams to identify and mitigate legal and regulatory risk.
• The Legal Counsel drafts and reviews provider and vendor agreements affecting MA operations, conducts legal research, supports audit and regulatory response activities, and collaborates with Compliance, Government Programs leadership, and operational teams to identify and mitigate legal and regulatory risk.
• Applies department protocol, exercises judgment within defined procedures and practices to determine appropriate actions.
• Learns about risk identification and mitigation in the context of the health insurance industry or the attorney's technical area of expertise.

Requires a JD, current license to practice law and a minimum of 3 years of specific industry and/or technical legal experience post licensure; or any combination of education and experience, which would provide an equivalent background.

• Experience in Medicare Advantage strongly preferred.
• Healthcare industry experience is preferred; managed care or healthcare regulatory law experience strongly preferred.
• Prior experience in a highly regulated industry preferred (i.e. auto, finance/banking, tech).
• Prior experience at a law firm preferred.

For candidates working in person or virtually in the below locations, the salary
* range for this specific position is $116,424 to $191,268.

District of Columbia (Washington, DC);
Illinois;
Maryland;
Massachusetts

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stockpurchaseand 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…