Juriste en Droit Social supporting the HR direction in managing social relations and legal issues. Engaging in negotiations and legal advisory within a significant social inclusion organization.
About the role
- 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.
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase and 401k contribution
- merit increases
- paid holidays
- Paid Time Off
- short and long term disability benefits
- life insurance
- wellness programs
- financial education resources
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