Anthem, Inc. Legal Counsel in Louisville, Kentucky
SHIFT: Day Job
This position will sit onsite in an Anthem office, preferred locations include: St. Louis, MO, Mason, OH Indianapolis, IN or Louisville, KY.
This position will support the Medicaid provider solutions team in Nebraska and Missouri for government business with the possibility of supporting additional markets for government, commercial insured and self-funded business. Primary duties include but are not limited to:
Proactively assist provider contracting staff with legal issues that arise during contract negotiations.
Review proposed contract language changes; draft alternative language to protect the company's interests when needed.
Support the roll-out of a new provider contract template with the provider networks.
Utilize contract management software to review custom provisions and documentation of required approvals.
Support value-based contracting and negotiation of shared savings or risk arrangements.
Support provider termination hearings and mediations or disputes prior to litigation.
Assist in early resolution of provider disputes to avoid litigation; interface with opposing counsel as needed and assisting on settlement agreements as necessary.
Review provider communications, including manuals, newsletters and material change notices, to ensure compliance with legal and contractual requirements.
Prepare settlement agreements, letters of intent, confidentiality agreements and other documents as needed.
Learns about risk identification and mitigation in the context of the health insurance industry to help identify and evaluate risk with business strategies; propose alternatives to minimize risk where applicable.
Work with higher level attorneys on various corporate initiatives.
Support compliance team on provider agreement filings.
Perform legal research and provide guidance on a range of health law, contractual and operational matters.
Provide statutory/regulatory interpretation affecting the company's interactions with providers.
- Requires a JD; current license to practice law; 3 years of specific industry and/or technical legal experience post licensure; or any combination of education and experience, which would provide an equivalent background.
Government business-Medicare or medicaid experience is preferred.
Experience working with providers is preferred.
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. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.