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Elevance Health Legal Specialist Sr in Madison, Wisconsin

Legal Specialist Sr + Location: National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint + Job Family: LEG > Legal Support + Type: Full time + Date Posted:Jun 22, 2022 + Req #: PS74469 Description Legal Specialist Sr. Preferred location:Mason, Ohio. Other Elvevance Health office locations may be considered. TheLegal Specialist Sr.will be responsible supporting the legal area dedicated to support of Provider Solutions business area including commercial, Medicaid and Medicare products. Primary duties may include, but are not limited to: + Drafts contract templates and amendments to provider agreements. + Review and respond to proposed changes to provider agreements, including contract addendums (e.g., value-based programs; product specific requirements) and draft alternative language when needed. + Participate in contract negotiations and strategizing with business and staff. + Utilize contract management software to facilitate tracking of custom provisions and documentation of required approvals. + Conducts legal research and analysis and recommends appropriate course of action and next steps. + Responds to questions/issues regarding provider contract language. + Prepares and assists with regulatory filings or draft responses to comment letters (e.g., network filings or template agreements). + Assist with provider disputes. + Assist provider solutions with drafting breach or cease and desist letters. + Prepares and assists with creating training programs related to support of Provider Solutions. + Prepares settlement agreements, letters of intent, confidentiality agreements and other documents as requested. + Assists with legal research related to state requirements matrix. + Assists with regulatory governance and compliance issues. + Assists with project management. 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 Requirements: + Law Degree preferred. Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Be part of an Extraordinary Team Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading. 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. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact? 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. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates 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 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealthinc.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 contactability@icareerhelp.comfor assistance. EEO is the LawEqual Opportunity Employer / Disability / Veteran Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees. + EEO Policy Statement + EEO is the Law Postero + EEO Poster Supplement-English Version + Pay Transparency + Privacy Notice for California Residents Elevance Health, Inc. is an E-verify Employer Need Assistance?Email us (elevancehealth@icareerhelp.com) or call 1-877-204-7664

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