- Advises business partners on complex contracting best practices; drafts, edits, and revises provider agreements; and leads provider dispute resolution efforts.
- Uses professional legal theories and best practices to contribute to development of company's concepts and principles and to achieve enterprise objectives in an original and highly effective way. This position is regarded as an expert in network contracting and provider issues due to the combination of advanced legal and business knowledge.
- Confers with other senior leaders including ELT members., and provides concise, timely briefings to senior level business and legal management.
- Works on extremely complex and multifaceted problems in which analysis of solutions and/or facts require an evaluation of intangible variables.
- Provides ad hoc work direction and supervision to other legal staff regarding support on active matters.
- Establishes a proactive, engaged partnership with Carelon Behavioral Health business leadership to prevent or reduce the unnecessary escalation of issues.
- Operates within a matrixed organization, which includes both Carelon and Elevance leaders.
- Manages multiple, high-profile, fast-moving projects in an organized manner, paying close attention to details.
- Leads legal projects which have a broad organizational impact and high level of risk.
- Requires a JD, current license to practice law and minimum of 15 years of specific industry and/or technical legal experience post licensure including experience in managing outside counsel; or any combination of education and experience, which would provide an equivalent background.
- Preferred candidate has both strong health care network contracting and regulatory expertise.
- Experience working in a health plan or other organization that contracts with large provider organizations is a plus.
-
The Elevance Health Companies, Inc. Boston, MA, United StatesCarelon Network Contracting page is loaded Associate General Counsel Sr.- Carelon Network Contracting · Apply locations MA-BOSTON, 200 STATE ST CA-WOODLAND HILLS, 21215 BURBANK BLVD GA-ATLANTA, 740 W PEACHTREE ST NW NY-LATHAM, 15 PLAZA DR Minnesota - Gilbert time type Full time ...
-
The Elevance Health Companies, Inc. Boston, MA, United StatesAssociate General Counsel Sr.- Carelon Network Contracting page is loaded · Associate General Counsel Sr.- Carelon Network Contracting · Apply locations MA-BOSTON, 200 STATE ST CA-WOODLAND HILLS, 21215 BURBANK BLVD GA-ATLANTA, 740 W PEACHTREE ST NW NY-LATHAM, 15 PLAZA DR Minnes ...
-
Commonwealth Care Alliance Boston, United States**Why This Role is Important to Us**: · Reporting to the Sr Director, **Quality Performance and Value Based Care,** · the Provider and Facility Quality & Safety Manager is responsible for designing and executing quality measurement and improvement programs and is responsible for ...
-
Director, Study Start-up and Site Partnership
2 weeks ago
Alexion Pharmaceuticals,Inc. Boston, United StatesLocation: Boston, United States · Job reference: R-197638 · Date posted: 04/18/2024 · **This is what you will do**: · This Director, Study Start-Up and Site Partnerships is accountable for direction and oversight of the site activation process including contract and budget negoti ...
-
Data Management Coordinator
2 weeks ago
NR Consulting LLC Boston, United StatesThe Women's Veterans' Network **DATA** Coordinator works under the guidance of the Executive Office of Veterans' Services WVN Director. The Women Veterans' Network **DATA** Coordinator collects, coordinates, and **executes and maintains the women veteran centric database.** · Rec ...
-
Data Entry Clerk/customer Service Representative
2 weeks ago
NR Consulting LLC Boston, United States**General Statement Of Duties And Responsibilities**: · - The Women's Veterans' Network DATA Coordinator works under the guidance of the Executive Office of Veterans' Services WVN Director. · - The Women Veterans' Network DATA Coordinator collects, coordinates, and executes and m ...
-
Managers, Private Equity Performance Improvement
2 weeks ago
Alvarez and Marsal Boston, United States**Description** · Work alongside other A&M professionals on the PEPI Supply Chain team to assist clients in analyzing each part of the supply chain process including Strategic Sourcing and Procurement, Logistics and Distribution, Integrated Demand and Supply Planning to identify ...
-
Wvn Program Coordinator
2 weeks ago
Dutech Boston, United States**General statement of duties and responsibilities**: · The Women's Veterans' Network Program Coordinator works under the guidance of the Executive Office of Veterans' Services WVN Director. The Women Veterans' Network Program Coordinator collects, coordinates, and executes women ...
-
Wvn Program Coordinator
1 week ago
Dutech Boston, United States**General statement of duties and responsibilities**: · The Women's Veterans' Network Program Coordinator works under the guidance of the Executive Office of Veterans' Services WVN Director. The Women Veterans' Network Program Coordinator collects, coordinates, and executes women ...
-
Administrator
3 weeks ago
DPR Solutions Boston, United StatesAzure engineer with hands on experience building azure services and infra, basic knowledge of azure networking. Anyone with azure AI/ML exp will be excellent · **Job Type**: Contract · Pay: From $27.45 per hour · Expected hours: 40 per week · **Benefits**: · - 401(k) · - Dental i ...
-
Field Service Technician
1 week ago
Americas Technician Services Boston, United StatesCurrently seeking out eligible technicians to perform in the field. Pay starts at $17-$50/HR depending on previous experience and we are open to either hiring for contract work, part-time work, or full-time work · *If you are a DATA CENTER TECHNICIAN then please note that we curr ...
-
Member Events Coordinator
3 weeks ago
Boston While Black Boston, United States**ABOUT THE ROLE** · Boston While Black (BWB) is seeking a highly organized, creative, and proactive professional to join our team as a part-time, contracted Member Events Coordinator. · The person in this role must be in the Greater Boston area and able to attend in-person meeti ...
-
Business Office Manager
1 week ago
United South End Settlements Boston, United States**ABOUT THE ROLE** · Reporting to the Chief Operating Officer (COO), the Business Office Manager serves as a central point of communication between program staff and families. The Business Office Manager will also support the organization through various administrative duties, in ...
-
Cisco Systems Boston, United StatesWho We Are · The name ThousandEyes was born from two big ideas: the power to see things not ordinarily possible and the ability to collect insights from a multitude of vantage points. As the world continues its digital transformation and relies more on cloud services and the Inte ...
-
Technical IT Client Advisor
3 weeks ago
New Charter Technologies Boston, United StatesEvery client relies on their TCA to empower their organization by leveraging the full capabilities of the Braver Technology relationship. You will wake up and come to work every day with a mission to drive the success of your clients through IT Operations, Digital Transformation ...
-
Brigham & Women's Hospital(BWH) Boston, United States**Executive Director of Cancer Services, Brigham and Women's Hospital** · As a not-for-profit academic health system, Mass General Brigham (MGB) is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Comp ...
-
IT Manager
2 weeks ago
Myomo, Inc Boston, United States**Description**: · A key to success in this role will be the ability to manage a third-party IT service provider contract, with a focus on transitioning it into a dedicated outsourced IT help desk. · **Responsibilities**: · - Manage the Company's outsourced IT provider, using ope ...
-
Oncology Business Manager
2 weeks ago
Jazz Pharmaceuticals Boston, United StatesOverview: · Position Profile: · **Oncology Business Manager**, Market Access, · The Oncology Business Manager · - is seen as an individual that exhibits leadership and business strategy skills. OBMs are responsible for establishing, building, and managing business relationships w ...
-
Event Coordinator
1 week ago
Draw House Concept Boston, United States**Description**: · **Job Title**: Event Coordinator · **Company**: Draw House Concepts · **Location**: Boston, MA · As an Event Coordinator at Draw House Concepts, you will be responsible for planning, organizing, and executing a variety of events to promote our architectural ser ...
-
Freelance Photographer
3 weeks ago
Coffee Pond Photography and Yearbooks Boston, United States_School Portrait Photographer _ · Are you a talented portrait photographer looking to supplement your business with some consistent work in the fall? Coffee Pond Photography could be the perfect fit · We are currently seeking dependable, skilled photographers to join our school p ...
Associate General Counsel Sr.- Carelon Network Contracting - Boston, MA, United States - Elevance Health
Description
Associate General Counsel, Sr. - Carelon Network Contracting
Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.
A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.
The Associate General Counsel, Sr. - Carelon Network Contracting will be responsible for network contracting for the business unit and leveraging in-depth knowledge of network contracting and provider issues to provide advice and recommendations to executives and management on highly complex matters which have a broad organizational impact and high level of risk. Partners with clients to drive strategic outcomes and make complex decisions.
How you will make an impact:
Minimum Requirements:
Preferred Skills, Capabilities, and Experiences:
For candidates working in person or remotely in the below locations, the salary* range for this specific position is $194,040 to $318,780.
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.
#J-18808-Ljbffr
&v=024){kind=logo}
