Assistant General Counsel - General Regulatory

Overview

This mid-level to senior attorney position involves providing comprehensive legal counsel on healthcare regulatory matters across the enterprise. The role requires 8-12 years of relevant legal experience with advanced expertise in healthcare law, regulatory compliance, and government relations. The attorney will serve as a primary advisor to business units and leadership on federal and state regulatory requirements, compliance risk management, and regulatory strategy. This position demands demonstrated leadership, independent judgment, and sound knowledge of the healthcare regulatory landscape.

Responsibilities

• Monitor and interpret federal and state healthcare laws, regulations, regulatory guidance, and enforcement activities affecting the organization and its subsidiaries.
• Advise business units, operational leaders, and compliance functions on regulatory requirements, compliance obligations, and implementation strategies.
• Develop, review, and update regulatory compliance policies, procedures, and guidance documents to ensure alignment with current regulatory requirements and best practices.
• Provide legal analysis and counsel on healthcare regulatory matters including health insurance regulations and managed care operations.
• Conduct regulatory risk assessments for new products, services, business arrangements, and operational changes; advise on regulatory implications and mitigation strategies.
• Coordinate with external counsel and consultants on complex regulatory matters; manage outside counsel relationships within budgetary parameters.
• Support compliance program development and implementation to address federal and state regulatory requirements and mitigate regulatory risk.
• Advise on regulatory aspects of contracts, partnerships, service agreements, and business transactions involving healthcare providers, vendors, and business partners.
• Provide legal research, analysis, and written opinions on regulatory questions and emerging regulatory issues affecting the organization.
• Prepare regulatory analysis and summary documents for Board committees, executive leadership, and business stakeholders on enforcement trends, legislative developments, and compliance priorities.
• Participate in regulatory examinations, requests for information, and inquiries from state and federal regulators; coordinate appropriate organizational responses.
• Monitor healthcare industry regulatory trends, legislative developments, and enforcement priorities at federal and state levels; advise leadership on implications for organizational strategy and operations.
• Assume additional legal responsibilities and special projects as needed to support organizational objectives and the broader legal department.

Requirements

• Juris Doctorate degree from an accredited law school with a strong academic record.
• 10+ years of professional legal experience.
• Admission to at least one state bar. If admitted in a state other than Florida, ability to be certified in Florida as Authorized House Counsel.
• Comprehensive knowledge of federal and state healthcare regulatory frameworks including HIPAA, CMS rules and guidance, managed care regulations, and health plan operations requirements.
• Strong knowledge of state insurance laws and regulations governing health insurers, health plans, and managed care entities across multiple states.
• Expertise in healthcare provider regulations, network adequacy standards, credentialing, peer review requirements, and other provider-related regulatory matters.
• Advanced knowledge of federal healthcare compliance programs including anti-kickback statutes, Stark law, fraud and abuse regulations, and False Claims Act implications.
• Experience providing regulatory advice and counsel to healthcare organizations or business units on compliance and operational matters.
• Ability to analyze complex regulatory requirements and develop practical compliance solutions aligned with business objectives.
• Strong understanding of healthcare industry operations, business models, and regulatory challenges affecting insurers, health plans, and integrated delivery systems.
• Excellent written and verbal communication skills with the ability to translate complex regulatory concepts for non-attorney business audiences.

Physical Demands

• Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Traversing activities are required only occasionally.

Compensation & Benefits

• Annualized salary range: $180,000 - $292,500
• Typical annualized hiring range: $180,000 - $225,000
• Final pay determined by market competitiveness, internal equity, and candidate's knowledge, skills, training, and experience.
• Comprehensive benefits including medical, dental, vision, life, and global travel health insurance.
• Income protection benefits such as life insurance, short- and long-term disability programs.
• Leave programs supporting personal circumstances.
• Retirement savings plan with employer match.
• Paid time off, volunteer time off, 10 holidays, and 2 well-being days.
• Additional voluntary benefits and a comprehensive wellness program.
• Benefits vary based on state of employment; may differ for intern, part-time, and seasonal employees.
• Opportunities for incentive or commission compensation.
• Regular annual pay reviews with pay-for-performance considerations.

Location

• Position requires admission to at least one state bar; if not admitted in Florida, certification as Authorized House Counsel in Florida is required.

The organization is an Equal Employment Opportunity employer committed to providing a work environment where all qualified applicants receive consideration for employment.