Provide legal advice and counsel on health law, regulatory, and operational matters for Carelon Services businesses. Collaborate with internal experts to support initiatives and strategic goals.
Responsibilities
Provide legal advice and counsel to business leadership on a wide range of health law, regulatory, contractual, and operational matters impacting Carelon Services businesses.
Collaborate with internal subject matter experts within Elevance’s larger Legal, Compliance, and Public Affairs functions.
Guide assigned business partners through enterprise-level governance reviews relating to Artificial Intelligence, Product Development, Technology Governance, and Regulatory Compliance.
Support the development of new products and services by evaluating legal and compliance risks and proposing mitigation strategies.
Support value-based contracting and negotiation of shared savings or risk arrangements with strategic vendors and providers.
Provide sound legal advice to the business on pre-litigation dispute management.
Requirements
Requires a JD, current license to practice law, and a minimum of 9 years of specific industry and/or technical legal experience post licensure;
Health Insurance Law: An understanding of the principles, definitions, and nuances within health insurance law preferred.
Federal Regulations: Knowledge of federal laws that regulate health insurance companies, including the ACA, ERISA, the No Surprises Act, and other federal statutes impacting health insurance preferred.
Compliance: Understanding of regulatory compliance, how to ensure adherence to laws, regulations, guidelines, and specifications relevant to the health insurance and health care services business preferred.
Contract Law: Experience interpreting, drafting and reviewing health plan service contracts and managed care contracts.
Excellent communication skills and problem-solving competencies preferred.
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