Overview
This role is an in-house position on the organization’s legal team. The work requires knowledge of and experience with federal and state laws and regulations unique to the healthcare industry—particularly self-insured/self-funded health plans.
The position reports to the Chief Legal Officer, with support from outside counsel. Responsibilities span four core areas: contract negotiation, regulatory advisory and matter management, disputes and matter management, and M&A and due diligence. The attorney will also help build and improve in-house legal functions, including related processes.
The team uses Ironclad for contract management and there will be opportunities to improve legal workflows through process documentation, templates, standard workflow automation, and use of artificial intelligence (AI).
Responsibilities
Contract Negotiation (Clients and Vendors)
- Draft, negotiate, redline, and finalize agreements with clients, vendors, and partners, including:
- Employer administrative services agreements (ASAs)
- Client and vendor agreements (MSAs)
- Data security and privacy agreements (e.g., Business Associate Agreements (BAAs) and Data Transfer/Utilization Agreements (DUAs))
- Channel partnership joint-marketing agreements
- Integrate contract intake with other relevant systems (e.g., Salesforce)
- Manage contract inventory and oversee executed agreements in Ironclad, including file management and renewal tracking
Regulatory Advisory and Matter Management (Privacy, ERISA, DOL, Licensing)
- Advise on privacy and data protection requirements, including HIPAA and state law, and manage related matters
- Advise on ERISA and Department of Labor (DOL) requirements affecting self-funded plans, TPA operations, and clients as Plan Sponsors; manage related inquiries and matters
- Support licensing compliance, including medical licensing, corporate practice of medicine statutes, and individual producer and TPA licensing
- Support the virtual primary care business on legal and regulatory questions
Disputes and Matter Management
- Manage disputes with clients, vendors, and others, contract and otherwise, from early resolution through formal proceedings
- Coordinate outside counsel, track matters through resolution, and keep business stakeholders informed
M&A and Due Diligence
- Support acquisitions, investments, and other corporate transactions, including legal due diligence
- Review diligence materials, flag risks in plain language, and help prepare transaction documents with outside counsel
Requirements
- JD degree from an accredited law school
- Admission to the practice of law in at least one state, with preference for admission to the NYS bar
- 3 years’ experience in a law firm or in-house setting
- Experience with commercial agreements and transactions within a health plan environment per the requirements noted above
- Knowledge and demonstrated understanding of TPAs, health plans (especially ASO/self-funded business) and related ERISA provisions
- Comfort with contract management and workflow tools, with interest in using AI and other means to automate legal processes
- Knowledge of medical licensing and corporate practice of medicine statutes and regulatory and compliance frameworks
Preferred Qualifications
None stated.
Compensation & Benefits
- Compensation range: $175K
Location
- Remote, with a preference for a candidate within the WNY area