Corporate Counsel

Overview

This role serves as a trusted legal advisor on employer-sponsored group health plan administration, including compliance with ERISA, ACA, MHPAEA, Medicare, state insurance laws, HIPAA, fiduciary governance, and contract negotiation related to group health plan sponsors and downstream vendor service agreements.

The position supports the legal team by providing first-level support for operational compliance issues related to utilization management programs, wellness program incentive management, claim and appeal administration, and clinical excellence. It also involves negotiating complex client and downstream vendor service contracts in partnership with cross-functional stakeholders.

Location: This position may be remote anywhere in the United States or hybrid from the Dublin, Ohio office.

Responsibilities

• Negotiate and draft contracts with clients, downstream vendors, third-party administrators (TPAs), pharmacy benefit managers (PBMs), wellness vendors, stop-loss carriers, point solutions, and insurers.
• Provide strategic legal counsel on the design, implementation, and administration of health and welfare benefit plans, including medical, dental, vision, EAP, wellness, and flexible spending accounts (FSAs).
• Ensure compliance with applicable laws and regulations such as ERISA, HIPAA, ACA, COBRA, and relevant state insurance laws.
• Draft, review, and maintain plan documents, summary plan descriptions (SPDs), and participant communications to ensure regulatory compliance and clarity.
• Respond to and resolve benefits-related disputes, claims, and appeals, including managing external counsel when necessary.
• Monitor and interpret legislative and regulatory developments affecting health and welfare benefits and implement timely policy updates.
• Assist with internal and external audits, Department of Labor investigations, or inquiries related to benefits or vendor contracts.
• Provide education and training to internal stakeholders on fiduciary obligations, plan administration, and contract compliance.
• Perform additional duties and special projects as assigned.

Qualifications

• Juris Doctor (J.D.) degree from an accredited law school.
• Current and active license to practice law in a U.S. state.
• 5-10 years of legal experience with significant expertise in health and welfare benefits, ERISA fiduciary matters, and vendor contract negotiation and management.
• In-house counsel experience focused on employee benefits and health plans is strongly preferred.
• Benefit litigation experience is a strong plus.
• Deep knowledge of ERISA, HIPAA, ACA, COBRA, IRS regulations, and other laws impacting group health plans and employee benefits.
• Strong understanding of fiduciary responsibilities under ERISA.
• Proven success managing and negotiating client and partner contracts, including performance metrics and compliance terms.
• Ability to analyze and clearly explain complex legal concepts to business leaders.
• Exceptional drafting, communication, and negotiation skills.
• Strategic thinker with a pragmatic, business-oriented approach to legal problem-solving.
• Comfortable working in fast-paced, cross-functional environments with competing priorities.
• Proficient with Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing tools (Teams & Zoom), and telephones.
• Experience with Ironclad contract management software is a plus.
• Strong personal accountability, integrity, and commitment to upholding organizational values, ethics, and data privacy requirements.

Compensation & Benefits

Details regarding compensation and benefits are not provided in this description.

Location

This position is open to candidates working remotely anywhere in the United States or hybrid from the Dublin, Ohio location.