Legal Specialist Senior

3 weeks ago

Columbus, United States Elevance Health Full time

Location: Elevance Health supports a hybrid workplace model (virtual and in-office) with PulsePoint sites used for collaboration, community, and connection. This includes remote work and 1-2 days in office per week. Candidates must reside within a 50-mile or 1-hour commute each way of a relevant Elevance Health location.

The Legal Specialist Sr. is responsible for leading support staff and providing legal support services for multiple Medicaid states, enterprise-wide functions, and/or the most complex litigation through highly complex legal assignments and projects, which utilize a recognized area of specialization and knowledge specific to the company.

How You Will Make an Impact

Primary duties may include, but are not limited to:

  • Serves as a seasoned resource and may lead and/or coach other support staff.

  • Prepares and evaluates legal documentation to resolve problems, close transactions, and/or maintain good corporate governance.

  • Conducts legal research and analysis and recommends the appropriate course of action and next steps.

  • Performs fact-checking, gathers documents, researches, and responds to subpoenas, records requests, and various inquiries from internal and external sources, and coordinates investigative and discovery activities.

  • Serves as a lead in the investigation and resolution of the most complex cases.

  • Monitors state and federal legislation affecting the corporation and develops and/or implements recommendations relative to changes in regulations and laws.

  • Attends and represents the company at appropriate legal proceedings, arbitration hearings, and/or subsidiary company's board meetings under the supervision of counsel.

  • Applies business knowledge and technical expertise to optimize solutions and improve practices.

  • Participates in projects and may participate in negotiations and strategizing with business and staff.

  • Enters information into appropriate databases or other document management systems.

  • Handles Provider Contracting for Medicaid markets.

Minimum Requirements:

Requires Paralegal Certification or an AA/AS/BA/BS in a related field and a minimum of 10 years of legal or related experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

  • Experience in Medicaid or other government programs.

  • Good organizational skills and attention to detail.

  • Skilled in the use of Excel is preferred.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $35.14 to $70.27 (hourly).

Locations: California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJ

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

  • The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

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