Associate General Counsel Sr. - Carelon Medical Benefits Management
Preferred Location(s): Indianapolis, IN; Chicago, IL; Wallingford, CT; Atlanta, GA; Nashville, TN; Iselin, NJ; Mendota Heights, MN; or New York, NY.
Elevance Health supports a hybrid workplace model (virtual and office) with PulsePoint sites used for collaboration, community, and connection.
Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The selected candidate for this role will go into their local office 1-2 times per week.
This position will be an individual contributor role but will serve as Senior Counsel of Carelon Medical Benefits Management, which is part of the Carelon structure at Elevance. Carelon is a healthcare services company dedicated to making it easier to deliver whole-person health. Carelon Medical Benefits Management is a specialty benefit management company that performs utilization review for multiple types of services including imaging, oncology, cardiology, and sleep for all Elevance Health plans, as well as 20+ external health plans.
How You Will Make an Impact:
Primary duties may include, but are not limited to:
- Serve as a trusted advisor to the Carelon Medical Benefits Management CEO, helping him to implement his strategic vision.
- Establish a proactive, engaged partnership with Carelon Medical Benefits Management business leadership to prevent or reduce the unnecessary escalation of issues.
- Serve as a subject matter expert on legal issues specific to health organizations and help the business to focus their efforts based on the legal/regulatory landscape.
- Operate within a matrixed organization, which includes both Carelon and Elevance leaders.
- Work on extremely complex and multifaceted problems in which analysis of solutions and/or facts require an evaluation of intangible variables.
- Develop methods, approaches, and evaluation criteria for advising the business on level of risk.
- Manage multiple, high-profile, fast-moving projects in an organized manner, paying close attention to details.
- Be part of the Carelon legal team helping to establish best practices across all the Carelon business units.
- Provide concise and timely briefings to senior level business and upper-level legal management.
- Lead legal projects which have a broad organizational impact and high level of risk.
Minimum Requirements:
- Requires a JD, current license to practice law, and a minimum of 9 years of specific industry and/or technical legal experience post licensure; or any combination of education and experience, which would provide an equivalent background. Experience managing outside counsel strongly preferred.
Preferred Skills, Capabilities and Experiences:
- Preferred candidate has both strong contractual and regulatory expertise.
- Experience working in a health care organization that is a vendor to health plans a plus.
For candidates working in person or remotely in the below locations, the salary range for this specific position is $160,080 to $288,144.
Locations: California; Colorado; Nevada; Washington State; Jersey City, NJ; New York City, NY; Ithaca, NY and Westchester County, NY.
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.
Be part of an Extraordinary Team
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change.
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.
Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-person. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Elevance Health approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health has been named as a Fortune Great Place To Work in 2022 and has been ranked for five years running as one of the 2023 World's Most Admired Companies by Fortune magazine. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.