Healthcare Counsel

Overview

This remote legal position supports the Office of General Counsel by providing legal advice and producing attorney work products for healthcare-related departments including Provider Services, Medical Management, Program Integrity, and Claims. The role involves drafting, reviewing, and negotiating contracts with providers and other organizations to manage risk. Additional responsibilities include supporting legal and regulatory communications, litigation management, and conducting legal and regulatory research.

This position requires working regular business hours in Arizona Time and is open to candidates located in AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI, and WY only.

Requirements

• Juris Doctor degree from an accredited law school
• License to practice law in the state where legal services will be primarily provided
• U.S. citizenship
• Ability to obtain a favorable Interim and adjudicated final Department of Defense (DoD) background investigation
• Minimum 2 years of healthcare regulatory/transaction legal experience
• Excellent written and verbal communication skills
• Experience advising managed care administrators, health plans, or healthcare providers
• Familiarity with HIPAA, False Claims Act, Stark Law, Anti-Kickback statutes, and other healthcare-related laws and regulations

Preferred Qualifications

• Familiarity with government-funded healthcare programs
• Knowledge of VA and DoD healthcare programs
• Prior experience with federal government contracting
• Experience reviewing, drafting, and negotiating provider agreements

Key Responsibilities

• Identify and analyze legal issues, conduct legal research, and present clear recommendations to ensure legal compliance
• Provide general legal advice on a broad range of healthcare operational issues
• Review and negotiate contracts including provider agreements, business associate agreements, and transactions involving electronic health records and telehealth
• Advise departments and committees on health law issues such as fraud and abuse, privacy and security, and peer review privilege
• Draft and review miscellaneous legal documents and correspondence
• Research current issues and developments related to government healthcare programs and regulations
• Assist with development and monitoring of internal regulatory compliance procedures
• Review marketing materials, grievance responses, and internal/external communications
• Support legal functions for standing and ad hoc committees related to peer review, quality, and credentialing programs
• Review and revise company policies and procedures as needed
• Educate staff and committee members on legal requirements
• Advise leadership on legal ramifications of company actions
• Perform other duties as assigned
• Maintain regular and reliable attendance

Competencies

• Coaching, training, and mentoring skills
• Strong communication and interpersonal skills
• Proficiency with Microsoft Office (Word, Excel, Outlook) and other software applications
• Customer-focused approach with empathy and respect
• Independent thinking and self-initiative
• Ability to manage complex information and communicate clearly
• Strong organizational and problem-solving skills

Working Conditions

• Availability to work non-regular hours as necessary
• Standard office environment with minimal travel
• Extensive computer work with prolonged periods of sitting

Compensation & Benefits

• Salary range: $142,000 to $149,000 per year (varies by role and location)
• Medical, dental, and vision coverage
• Paid time off
• 401(k) retirement savings plan with matching
• Short-term and long-term disability insurance
• Basic life and accidental death and dismemberment insurance
• Tuition reimbursement
• Paid volunteer time

Location

Remote position available to candidates located in AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI, and WY only. Must work regular business hours in Arizona Time.

Additional Requirements

• U.S. citizenship and ability to obtain a favorable Department of Defense background investigation are mandatory due to contract requirements.
• Veterans, Reservists, Guardsmen, and military family members are encouraged to apply.

Equal Employment Opportunity

The employer is an equal opportunity employer committed to creating an inclusive environment that supports diversity at every organizational level. Applicants are considered based on merit without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other protected status under applicable laws.