at Elevance Health in Westchester, Illinois, United States
Job Description
WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Elevance Health requires a completed online application for consideration of employment for any position. We will never ask you for a credit card, send you a check, or ask you for payment as part of consideration for employment.
Legal Counsel Sr
+ Job Family: Enterprise Operations
+ Type: Full time
+ Date Posted:Mar 14, 2024
+ Anticipated End Date:Mar 28, 2024
+ Reference: JR106633
Location:
+ KY, LOUISVILLE
+ GA, ATLANTA
+ North Carolina
+ Texas
+ Wisconsin
+ IN, INDIANAPOLIS
+ Virginia
+ Minnesota
+ Ohio
+ Missouri
+ Florida
+ Illinois
+ Maine
+ New Hampshire
Description
Legal Counsel Sr.
Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations in Indiana, Kentucky, Ohio, Georgia, Missouri or Wisconsin.
The Legal Counsel Sr. is responsible for completing a variety of routine and non-routine legal assignments and intermediate-level projects independently and using professional legal concepts and principles in accordance with company and departmental objectives to solve challenging, or legal issues in practical ways. Works autonomously with regular collaboration and reporting to management. At this level the associate has developed a specific technical depth and/or breadth of organizational and industry legal issues.
How you will make an impact:
+ Works with more experienced attorneys to represent the organization in legal duties.
+ May research legal principles and precedents, consult with outside counsel, draft and execute legal documents, gather relevant case-related information using multiple sources and methods.
+ Contributes to overall results of an SBU or CEE unit and/or department.
+ Serves as a strategic partner with assigned clients.
+ Provides legal solutions to a wide range of difficult or new problems.
+ Develops recommendations and solutions that are thorough, practical and consistent with organizational objectives.
+ May support the development of other attorneys and paralegals by providing guidance on technical and tactical procedures for lower-level attorneys.
+ Begins to assume management of outside counsel on routine matters.
+ Assesses and mitigates risk for familiar situations.
+ Reports to management any identified business exposure and associated risks as well as mitigation techniques being utilized.
Minimum Requirements:
Requires a JD, current license to practice law, and a minimum of 6 years of specific industry and/or technical legal experience post licensure; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities & Experience:
+ Health Insurance Law: An understanding of the principles, definitions, and nuances within health insurance law.
+ The Affordable Care Act (ACA): A comprehensive understanding of all parts of the ACA, the changes it brought to the health insurance industry, its present status, and its potential future.
+ Federal Regulations: Knowledge of federal laws that regulate health insurance companies, including ERISA, the No Surprises Act, and other federal statutes impacting health insurance.
+ Individual and Group Markets: It’s necessary to understand the complexities of the individual and group health insurance markets and their related rules.
+ Products: Specific knowledge of different types of health plans and their benefits, restrictions, pricing, and more.
+ Compliance: Understanding of regulatory compliance, how to ensure adherence to laws, regulations, guidelines, and specifications relevant to the health insurance business.
+ Contract Law: Experience interpreting, drafting and reviewing employer and member contracts and related materials.
+ Experience working with regulatory agencies (ex. DOL).
+ Experience with provider agreements. Working knowledge of state laws and regulations that apply to health plan operations.
+ Excellent communication skills and problem-solving competencies.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success – for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
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 elevancehealthjobssupport@elevancehealth.com for assistance.
EEO is the Law
Equal Opportunity Employer / Disability / Veteran
Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.
+ EEO Policy Statement
+ Know Your Rights
+ Pay Transparency
+ Privacy Notice for California Residents
Elevance Health, Inc. is anE-verify Employer (https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf)
Need Assistance?
Email us (elevancehealthjobssupport@elevancehealth.com)
