Healthcare Regulatory Attorney (Remote)

Overview

This part-time, fully remote engagement (approximately 10 hours per week) is expected to last multiple months and is anticipated to begin immediately. The organization is seeking an experienced Healthcare Regulatory Attorney to serve as a subject-matter expert for an upcoming arbitration.

Engagement will support a national healthcare company operating in Medicare Advantage and value-based care. Candidates may be located anywhere in the United States and must be licensed to practice in any U.S. jurisdiction.

Responsibilities

• Analyze Medicare Advantage and value-based care regulatory frameworks relevant to the company’s pending arbitration, including:
  • CMS program requirements
  • payment methodologies
  • risk adjustment
  • payer-provider contractual arrangements
• Act as the healthcare regulatory subject-matter expert supporting arbitration preparation, working alongside company leadership and outside litigation counsel.
• Review key documents, agreements, and factual positions through a regulatory lens and advise on how applicable rules and CMS guidance bear on issues in dispute.
• Develop and pressure-test regulatory arguments, identify strengths and vulnerabilities in the company’s positions, and translate complex regulatory concepts for the broader arbitration team.
• Provide practical, responsive guidance on related Medicare Advantage and value-based care regulatory questions as they arise during the engagement.

Requirements

• Attorney with 5–7+ years of healthcare regulatory experience; deep familiarity with Medicare Advantage and value-based care arrangements is essential.
• Strong working knowledge of CMS regulations and guidance, including:
  • payment structures
  • risk-based contracting
  • regulatory relationships between providers and payors
• Prior experience supporting disputes, arbitrations, or government inquiries from a regulatory perspective is a plus; this is a regulatory role, not a litigation role.
• Experience at a full-service or healthcare-focused law firm, or in-house with a health plan, value-based provider, or other healthcare organization.
• Ability to work independently, ramp up quickly, and deliver clear, practical analysis on a part-time schedule.
• Licensed to practice law and in good standing in any U.S. jurisdiction.
• J.D. from an accredited law school.
• Outstanding references.

Compensation & Benefits

• Pay: Annualized pay range for full-time equivalent is $200,000 – $300,000. Contract engagement pay is based on multiple factors, including work experience, qualifications, credentials, location, market supply/demand, and the candidate’s preference (which may affect the client bill rate and candidate competitiveness).
• Benefits: In addition to salary, contract attorneys are W2 employees and are eligible for full benefits when working in roles for 20 hours per week, including a Qualified 401k plan.
• Benefits-eligible employees receive complimentary Group Life, LTD and AD&D and professional liability insurance.
• Attorneys receive a CLE and Professional Expense stipend.

Location

• Fully Remote — candidates can be located anywhere in the United States.

Confidentiality

• The organization will not propose candidates to prospective clients without prior consent. Candidates selected for further consideration will be contacted.