Counsel-Client Contracting (eviCore )

Overview

This role involves serving as legal counsel within a healthcare client contracting team, providing legal guidance and solutions for regulatory and contract challenges related to utilization review, quality management, and medical benefits management services. The position requires significant contracting experience, strong negotiation skills, regulatory expertise, and the ability to work independently and through ambiguity.

Responsibilities

• Provide innovative, risk-based legal advice to support compliant administration and contracting of healthcare product suites.
• Negotiate and draft legal and business terms of client contracts across various solutions and compensation models, including arrangements for Commercial, Medicare Advantage, and Medicaid populations nationwide.
• Collaborate with legal and compliance partners to ensure consistent legal and regulatory support and timely communication of key risks and issues.
• Identify trends or gaps in medical management and service operations.
• Promote a culture of compliance, accountability, transparency, and ethical decision-making.

Requirements

• Juris Doctor degree required.
• 3-5 years of commercial contracting experience with a focus on healthcare transactions.
• Strong independent decision-making and problem-solving skills.
• Familiarity with managed care industry concepts, practices, and procedures preferred.
• Ability to understand complex operational, technological, and financial issues related to healthcare products.
• Ability to provide actionable legal advice balancing risk avoidance with business goals in a matrixed environment.
• Strong research skills to identify legal issues and develop clear recommendations.
• Personable and collaborative with the ability to influence and build strong professional relationships.
• Excellent verbal and written communication skills.
• Highly organized with strong attention to detail.
• Intellectual flexibility and ability to reassess priorities to meet expectations.
• Ability to navigate barriers and drive initiatives successfully.
• Ability to manage multiple projects under tight deadlines.
• Willingness to work more than 40 hours per week.
• For remote work, internet connection must be cable broadband or fiber optic with minimum speeds of 10Mbps download/5Mbps upload.

Compensation & Benefits

• Annual salary range: $132,700 - $221,100, depending on experience and location.
• Eligibility to participate in an annual bonus plan.
• Comprehensive benefits starting on day one, including medical, vision, dental, behavioral health programs, 401(k), company-paid life insurance, tuition reimbursement, minimum 18 days paid time off, and paid holidays.

Location

• United States (remote work possible with specified internet requirements).

Equal Opportunity

Applicants will be considered without regard to race, color, age, disability, sex, pregnancy or related medical conditions, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, public assistance status, citizenship status, or any other characteristic protected by law.

Reasonable accommodations are available for the application process upon request.

Certain states have tobacco-free hiring policies; candidates using tobacco/nicotine in those states must enter a qualifying cessation program prior to employment.

Qualified applicants with criminal histories will be considered in compliance with applicable laws.