Offer summary

Qualifications:

Juris Doctor (JD) required, 5+ years of corporate or health law experience, 3+ years of managed care/provider contracting experience preferred, Knowledge of Medicare and/or Medicaid insurance and related regulations preferred..

Key responsibilities:

Serve as the primary legal advisor to market network teams on provider contracting matters

Draft, review, and negotiate contracts and legal documents

Provide legal guidance on complex contract language and compliance with regulations

Develop and conduct training on legal strategies and industry trends.

Job description

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.

Position Purpose:
Serves as the primary legal advisor to market network teams, providing strategic guidance and legal support on provider contracting matters, including advising negotiators on contract language, legal strategy, and state and federal requirements relating to provider networks. Draft, review and/or negotiate contracts and other documents.

Provide legal guidance to assist in defining and developing solutions to legal issues arising in the context of provider contacting.

Supports local and national-level provider contracting and network development units by assessing the business implications of complex contract language to ensure compliance with federal and state regulatory requirements and contracting standards.

Serves as a resource for research and interpretation of specific healthcare policies and regulations.

Reviews, drafts and negotiates contracts, legal memoranda and related documents.

Contributes in the development of legal strategies in connection with disputes.

Stay abreast of industry trends and regulatory changes affecting network development, provider reimbursement, and managed care arrangements.

Develops and conducts training and awareness activities.

Performs other duties as assigned.

Complies with all policies and standards.

Education/Experience:

Juris Doctor (JD) required

5+ years corporate or health law required required

3+ years managed care/provider contracting experience preferred preferred

Knowledge of Medicare and/or Medicaid insurance, fraud and abuse laws, state insurance and HMO regulations preferred

Bar Admission and currently in good standing required

Licenses/Certifications:
Juris Doctor required

Pay Range: $182,100.00 - $345,600.00 per year

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

Required profile