Overview
The organization is seeking an Associate General Counsel, Contracts to support its payor value-based care contracting function across the full contract lifecycle—from initial negotiation through post-execution management—with a focus on Medicare Advantage risk arrangements.
This role reports to the Sr. Associate General Counsel, Payor Contracting and is well-suited for a transactional attorney with a healthcare background who wants to deepen expertise in value-based payor contracting within an in-house legal team.
Responsibilities
Payor Contracting & Strategy
- Support negotiation of Medicare Advantage risk agreements, including provisions addressing financial terms, risk-bearing entity structures, DOFR allocations, and performance guarantees, in partnership with senior legal and Payor Contracting leadership.
- Draft, review, and maintain payor contract templates.
- Support escalations, disputes, resolutions, and prepare for Joint Operating Committee (JOC) meetings and other payor-facing communications.
- Monitor CMS regulatory developments and advise business partners on contract language implications.
- Coordinate with Finance and Contract Analytics to align negotiated financial terms with approved financial models, and support contractual aspects of post-execution management, amendments, renewals, and reconciliations.
Vendor Contracting
- Draft, review, and negotiate commercial vendor/third-party agreements, including technology, SaaS, professional services, consulting, data/analytics, licensing, and supply agreements.
- Coordinate with privacy counsel and other subject-matter counsel as appropriate.
- Partner with IT, InfoSec, Privacy, Finance, Compliance, and business owners to ensure agreements address legal, regulatory, and operational requirements.
- Support standard templates, playbooks, and negotiation guidelines.
Additional & Cross-Functional Support
- Contribute to physician/partner agreements, ACO program contracting (MSSP, LEAD), and clinical/co-management agreements as interest and subject-matter counsel coordination allow.
- Research federal and state legal developments affecting the organization’s markets and translate legal, regulatory, financial, and operational risk into practical business guidance.
- Partner across Legal, Compliance, Finance, Operations, and Market teams in a highly matrixed environment; support additional projects as assigned.
Requirements
- Juris Doctor from an accredited law school and an active license to practice law in at least one U.S. jurisdiction.
- 5+ years of transactional legal experience (law firm, in-house, or both).
- Value-based care contracting experience; Medicare Advantage experience; and prior experience at a payor/health plan.
- Ability to draft and negotiate agreements, exercise sound judgment, identify and articulate legal/business risk, and work effectively in a highly matrixed organization.
Preferred Qualifications
- ACO REACH/LEAD or MSSP knowledge.
- Vendor/commercial contracting experience.
- Familiarity with CLM systems or contracting process improvement.
Compensation & Benefits
- Periodic business travel may be required.
- Base salary: $129,700–$162,100.
- Salary range shown is a guideline. Individual compensation packages can vary based on factors unique to each candidate, such as skill set, experience, and qualifications.
Location
Remote – USA (Remote – MA)