Counsel - Medicare Advantage

Overview

Become a part of our caring community and help us put health first. Humana is seeking a highly motivated Counsel to join its Law Department. The successful candidate will provide legal support and guidance on matters related to Medicare Advantage Part C health plan operations.

Responsibilities

• Providing legal advice and support for Humana's Medicare Advantage lines of business;
• Providing legal support for delegate contracting, including drafting, reviewing, and advising on agreements with delegated entities to ensure compliance with applicable CMS and state requirements;
• Advising on CMS provider credentialing, and eligibility requirements;
• Providing legal support for provider quality investigations and Humana Peer Review Committee activities;
• Supporting Medicare product development and operations, including benefit design and administration, licensure, bid development, and product filings; and
• Collaborating and consulting with leaders throughout the company in order to ensure full compliance with applicable laws and regulations, and protection against external risk.

Required Qualifications

• Juris Doctor (JD) degree from an accredited law school and admission to practice law in applicable jurisdiction.
• Knowledge of CMS regulations, Medicare Advantage, or healthcare provider requirements.
• Experience in health law, contract drafting and negotiations, regulatory compliance, or a related field.
• Ability to work collaboratively with cross-functional teams.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $138,900 - $191,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 04-29-2026

About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.