Counsel

CVS Health • Phoenix, AZ • 3d ago

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

This position is located in Phoenix-4750 S. 44th Place following a hybrid working schedule

Exciting opportunity to join Aetna's Medicaid legal team. The Administrative Hearing Counsel position is a part of the Medicaid legal team and represents Mercy Care in administrative hearings related to member appeals/grievances and provider claim disputes.

The Administrative Hearing Counsel represents Mercy Care at administrative hearings related to member appeals/grievances and provider claim disputes for Medicaid and Medicare Advantage D-SNP lines of business. These lines of business provide covered physical and behavioral health services for individuals enrolled with Mercy Care.

The position requires the attorney to apply legal knowledge to cases at the administrative hearing (and rehearing) level, including, but not limited to, preparing and drafting memorandum, motions; conducting legal research; preparing expert witness testimony and testimony of other subject matter experts; and preparing exhibits for hearing. The attorney will also conduct settlement negotiations with opposing counsel or parties and draft settlement agreements. The attorney may also be assigned other legal projects from time-to-time.

In order to be successful in this role you must exhibit the following:

-Team-oriented individual with an attention to detail, ability to multitask, and strong communication skills (both written and verbal).

-Experience providing legal advice and counsel to internal customers or clients.

-Experience demonstrating solid business and legal judgment.

-Demonstrated excellent problem-solving skills.

-Demonstrated expertise with legal acumen, drafting and analytical skills. -Experience demonstrating strong written and verbal communication skills, including high level of interpersonal skills and diplomatic finesse.

Required Qualifications

Must be admitted to practice law in the State of Arizona and in good standing with applicable license requirements.

5+ years of experience as a practicing attorney.

3+ years of experience with trial practice or other administrative hearing proceedings.

Preferred Qualifications

Demonstrated experience in healthcare law, including Medicaid, Medicare Advantage and Managed Care Organizations.

Education

Juris Doctorate required.

Pay Range

The typical pay range for this role is:

$144,200.00 - $288,400.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .

No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 05/30/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

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