Senior Counsel

Overview

This role supports the organization’s Commercial Legal team as Senior Counsel, Commercial Transactions (TPA), focused on drafting, negotiating, and closing agreements that enable self-funded health plan administration.

You will independently run your own practice and own transactions from first draft through signature, partnering closely with Sales, Account Management, Operations, Finance, and Procurement to provide clear, practical legal guidance that keeps deals compliant and moving.

Responsibilities

• Draft, negotiate, and close TPA client agreements, including:
  • Administrative services agreements, renewals, amendments, fee schedules, performance guarantees
  • Business associate agreements
  • Implementation, transition, and termination provisions for self-funded ERISA and non-ERISA (governmental and church) plan sponsors
• Support the broader commercial portfolio by handling wellbeing platform and services agreements plus strategic partnership and channel agreements
• Negotiate vendor, network, and partner agreements, including:
  • Provider network and rental network access
  • Pharmacy benefit, stop-loss, cost-containment and claims editing
  • Care navigation and point-solution vendor contracts
• Advise on ERISA and health plan compliance in contracting, including:
  • Fiduciary and plan administrator role allocation
  • Alignment with plan documents and SPDs
  • Claims and appeals procedures, COBRA, the No Surprises Act, and transparency requirements
• Serve as the legal go-to for the business by resolving questions on contract interpretation, client and vendor escalations, and disputes
• Build and maintain templates and playbooks to keep contract templates, negotiation approaches, and fallback positions current
• Anticipate and assess risk, delivering clear recommendations to business stakeholders and leadership
• Counsel senior leaders on deal structure, risk tradeoffs, and commercial terms
• Run a high-volume practice independently by managing your own docket across many contract types

Qualifications

Education & Experience

• Juris Doctor and an active license in good standing in at least one U.S. state
• At least 5 years of legal practice
• Experience in the self-funded health plan space strongly preferred, gained at a TPA, health plan, national carrier, provider network, PBM, stop-loss carrier, or a law firm serving these clients
• Experience counseling senior leaders and executive team members

Technical Skills

• Working knowledge of ERISA and related health plan compliance, including HIPAA, COBRA, the ACA, and the No Surprises Act
• Understanding of TPA operations, including eligibility and enrollment, claims adjudication and payment, provider network access and repricing, stop-loss coordination, and plan sponsor funding arrangements—and how each translates into contract terms
• Familiarity with the roles of plan sponsors, plan administrators, and TPAs under ERISA, and how requirements differ for governmental and church plans
• Contract drafting and negotiation expertise across a high volume of varied agreement types
• Financial fluency in fee structures, performance guarantees, and service-level commitments

Compensation & Benefits

• Base salary range: $150,000 - $200,000, depending on location, skills, and experience
• Benefits effective day one, including comprehensive medical and dental
• Unlimited PTO
• Mental health support, retirement planning, and financial protection
• Professional development with clear career progression and learning budgets

Location

Compensation varies depending on location, skills, and experience.