Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
The position will lead contracting and legal issues around customer relationships within Home & Community Care, a large, dynamic and growing group of businesses providing care, care coordination and related services principally to members of Medicare Advantage plans in both home and post-acute settings. Candidates should have at least 7 years of experience practicing in the health care industry, preferably representing health care providers and/or Medicare Advantage health plans. The position requires strong contracting background and knowledge of state and federal health laws, including Medicare Advantage, provider, network, financial and clinical issues. Position will involve working directly with business clients of the organization, collaborating with colleagues across the nation, and regulatory compliance.
Successful candidate will be part of a collaborative team of attorneys and support staff in a growing health care business. Will possess strong verbal and written communication skills, sound judgment and business instincts. The ability to operate in a matrixed environment will be an important quality for the successful candidate. Prior law firm or in-house experience are desired.
You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges.
- Drafting and negotiating contracts
- Finding solutions to complicated health care contracting issues
- Related party legal issues arising out of Medicare Advantage bid rules and state Department of Insurance regulatory filing (Form D) rules
- Value based contracting such as global capitation and shared savings and related concepts
- Contracting with both external and internal payers
- Developing best practices for addressing emerging legal and business risks
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
- Juris Doctorate degree
- Licensed to practice law and in good standing in any U.S. jurisdiction
- 7+ years of experience with law firm or in-house legal department with a focus on healthcare contracting (e.g. payer contracting)
- Knowledge of health care law, including privacy, anti-kickback laws, the False Claims Act, and other health care fraud and abuse laws
- Proven strategic thinker with experience evaluating and determining legal course of action to meet business needs
- Proven well-developed written and verbal communications and presentation skills
- Demonstrated ability to build and maintain rapport with superiors, peers, subordinates, and external company contacts
- Demonstrated ability to collaborate and work in a team environment
- Experience collaborating across matrixed business and legal environment
- Experience providing advice to senior business leaders
California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island or Washington residents is $118,000 to $226,800 per year. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group 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). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
•All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment
- Business Requirements
- Care Coordination
- Claim Processing
- Clinical Works
- Customer Relationship Management