Description
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members.
Provide legal advice and strategic support to Centene’s Medicare Advantage, Part D, and Duals products.
- Serves as lead legal counsel for Wellcare, Centene’s Medicare brand.
- Advise business and compliance partners on healthcare laws, regulations, and guidance impacting Medicare.
- Research, analyze, and interpret complex healthcare regulatory requirements, including but not limited to issues related to Medicare operations, risk adjustment, MLR, quality, stars, and agent / broker matters.
- Takes on increasing responsibility for national-level and/or Company-wide legal matters.
- Reviews, drafts, and negotiates contracts, policies and procedures, and related documents.
- Provides practical legal guidance to support implementation of new laws, regulations, business initiatives, policies and procedures, and operational workflows.
- Manages provider disputes.
- Partners with product leaders, Compliance, Population Health, Network, Finance, and other business leaders to identify risks, develop practical solutions, and support timely decision making.
- Manages outside counsel as necessary to ensure the delivery of efficient, high quality legal services.
- Performs other duties as assigned.
- Complies with all policies and standards.
- Juris Doctor (JD) required.
- 7+ years of experience in health law required.
- 2+ years of experience handling risk adjustment matters, including audits and complex vendor relationships preferred.
- 2+ years of experience in Medicare Stars preferred.
- 2+ years of experience advising on Medicare bids and benefit structures preferred.
- 2+ years of people leadership experience preferred.
- Bar Admission and currently in good standing required.
- Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
