You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
This is a remote position and can be located anywhere in the US.
Position Purpose:
Provide legal advice and strategic support to Centene’s commercial health plan business.
- Serves as a lead resource for commercial health plan regulatory matters, including Ambetter Health and Solutions
- Advise business and compliance partners on federal and state healthcare laws, regulations, guidance, and market requirements that impact commercial product lines and programs
- Research, analyze, and interpret complex healthcare regulatory requirements, including but not limited to issues related to ACA/Exchange operations, mental health parity, No Surprises Act, essential health benefits, and broker matters
- Reviews, drafts and negotiates contracts, policies and procedures and related documents
- Provides practical legal guidance to support implementation of new laws, regulatory changes, business initiatives, policies, procedures, and operational workflow
- Manages or supports subpoenas, disputes, and outside counsel engagement as needed
- Partner with Compliance, Regulatory Operations, Product, Clinical, Network, Finance, and other business leadership to identify legal risks, develop practical solutions, and support timely decision-making
- Performs other duties as assigned
- Complies with all policies and standards
Education/Experience:
Juris Doctor (JD) required: 5+ years of experience in the areas of corporate or health law required
1+ years of experience with government contract law, health law and managed care preferred
Knowledge of Medicare and/or Medicaid insurance, state insurance and HMO regulations preferred
Strong legal research, analysis, and writing skills
Demonstrated ability to provide practical, business-oriented legal advice in a complex regulatory environment
Bar Admission and currently in good standing preferred
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
