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.

• 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.
• 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 (e.g., 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

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 elevancehealthj 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.