Chief Legal Officer

Overview

A fast-growing healthcare revenue cycle management organization specializing in insurance denial resolution and complex claims is seeking a Chief Legal Officer (CLO). This fully remote company operates across 39 states with approximately 850 team members and is backed by private equity. The CLO will be a newly created executive role and a member of the Executive Leadership Team, serving as the most senior legal advisor.

Responsibilities

• Serve as chief legal advisor to the CEO and executive team, providing pragmatic, business-oriented counsel on strategy, growth, risk, and governance.
• Build and lead the Legal, Compliance & Risk organization, including establishing an enterprise risk management framework and preparing quarterly Board risk reports.
• Manage the full commercial contract lifecycle (MSAs, BAAs, SOWs, NDAs, vendor agreements) and lead negotiations with hospital systems, health plans, and channel partners, balancing risk with deal velocity.
• Develop templates, playbooks, and guardrails, and implement a contract lifecycle management (CLM) system to empower Growth and Customer teams.
• Oversee the enterprise healthcare compliance program covering HIPAA/HITECH, False Claims Act, Anti-Kickback Statute, Medicare/Medicaid billing rules, coordination of benefits, No Surprises Act, and TCPA/patient outreach compliance.
• Lead legal incident response and breach readiness, including OCR and state notification obligations and client notifications under BAAs.
• Drive responsible AI governance in partnership with the CISO and executive team, addressing data-use and model-training rights, client consent, IP ownership, and human-in-the-loop requirements.
• Manage all litigation, disputes, regulatory inquiries, subpoenas, audits, and the corporate insurance program.
• Provide legal leadership on M&A, financing, and strategic transactions, collaborating with the private equity sponsor on governance and exit readiness.
• Partner with the Chief People Officer on multi-state employment law compliance for a fully remote, 39-state workforce.

Requirements

• Juris Doctor from an accredited law school; active bar membership in good standing in at least one U.S. state.
• 15+ years of progressive legal experience, including 7+ years in-house in healthcare services, revenue cycle management, healthcare technology, or a similarly regulated multi-state business.
• Prior experience as General Counsel, Chief Legal Officer, or Deputy GC with enterprise-wide scope and direct Board exposure.
• Deep healthcare regulatory expertise including HIPAA/HITECH, False Claims Act, Anti-Kickback Statute, Medicare/Medicaid billing and secondary payer rules, and payer/provider contracting.
• Experience with payer dispute and appeals frameworks, including ERISA appeals, state prompt-pay laws, and denial overturn strategy on behalf of providers.
• Proven track record negotiating complex commercial agreements with hospital systems and/or health plans, including BAAs and data security terms.
• Experience advising on AI governance in healthcare operations.
• Experience building or significantly scaling a legal/compliance function, including team leadership, systems implementation, and budget ownership.

Preferred Qualifications

• Experience in a private equity-backed company, including sponsor reporting, add-on M&A, and exit processes.
• Experience supporting fully remote or highly distributed, multi-state workforces.
• Healthcare compliance certifications such as CHC or CHPC, or privacy certifications such as CIPP/US.
• Exposure to HITRUST or ISO 27001 standards.

Compensation & Benefits

• Competitive executive compensation package.
• Comprehensive benefits.
• Flexible, fully remote work environment.

Location

• Fully remote position covering 39 states in the U.S.