Healthcare Counsel

Overview

This remote 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, participating in litigation management, and conducting legal and regulatory research.

The 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.

This role requires U.S. citizenship and the ability to obtain a favorable Department of Defense background investigation. Veterans, Reservists, Guardsmen, and military family members are encouraged to apply.

Responsibilities

• Identify and analyze legal issues, conduct legal research, and present clear recommendations to ensure compliance.
• Provide general legal advice on a broad range of healthcare operational issues.
• Review and negotiate contracts and documents 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 developments related to government healthcare programs, health insurance, and healthcare regulations.
• Assist in developing and monitoring internal regulatory compliance procedures.
• Review marketing materials, grievance responses, and internal and 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.
• Ensure employees and committee members comply with applicable laws and regulations.
• 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.

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 final Department of Defense background investigation.
• Minimum of 2 years of healthcare regulatory or transactional 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 Statute, and other healthcare-related laws and regulations.

Preferred Qualifications

• Familiarity with government-funded healthcare programs.
• Knowledge of VA and Department of Defense healthcare programs.
• Experience with federal government contracting.
• Experience reviewing, drafting, and negotiating provider agreements.

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 typically between $142,000 and $149,000 per year, varying 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 insurance, and accidental death and dismemberment coverage.
• 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.

Equal Employment Opportunity

The employer is an equal opportunity employer committed to creating an inclusive environment that supports diversity at every organizational level. Candidates 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.