Senior Counsel

Overview

This role supports the organization’s Commercial Transactions team by serving as Senior Counsel focused on TPA (third-party administrator) commercial contracts that enable self-funded health plan administration.

You will draft, negotiate, and manage a high volume of contract transactions across client, vendor, network, and partner agreements. Guidance will be provided to Sales, Account Management, Operations, Finance, and Procurement, with responsibility for taking agreements from first draft through signature.

Responsibilities

• Draft, negotiate, and close TPA client agreements, including:
  • Administrative services agreements
  • Renewals, amendments, and 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
  • Strategic partnership and channel agreements
• Negotiate and manage vendor, network, and partner agreements, including contracts related to:
  • Provider network and rental network access
  • Pharmacy benefit
  • Stop-loss
  • Cost-containment and claims editing
  • Care navigation
  • Point-solution vendor contracts
• Advise on ERISA and health plan compliance in contracting, including:
  • Fiduciary and plan administrator role allocation and alignment with plan documents and SPDs
  • Claims and appeals procedures
  • COBRA
  • No Surprises Act
  • Transparency requirements
• Serve as a legal go-to for commercial escalations and dispute resolution involving:
  • Contract interpretation
  • Client and vendor escalations
  • Disputes for Sales, Account Management, Finance, Operations, and Procurement
• Build and maintain contract templates, negotiation playbooks, and fallback positions to support consistent negotiation and faster deal closures
• Anticipate, assess, and communicate risk, providing clear recommendations to business stakeholders and leadership
• Counsel senior leaders on deal structure, risk tradeoffs, and commercial terms, translating legal complexity into actionable decisions
• Run an independent, high-volume practice by managing your own docket and moving transactions from intake through execution with minimal oversight

Requirements

• Juris Doctor (JD) and an active license in good standing in at least one U.S. state
• At least 5 years of legal practice
• Experience counseling senior leaders and executive team members
• 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

Technical Skills

• Working knowledge of ERISA and related health plan compliance, including:
  • HIPAA
  • COBRA
  • ACA
  • No Surprises Act
• Understanding of TPA operations, including:
  • Eligibility and enrollment
  • Claims adjudication and payment
  • Provider network access and repricing
  • Stop-loss coordination
  • Plan sponsor funding arrangements
  • How these translate into contract terms
• Familiarity with 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

• Competitive base salary range of $150,000 - $200,000, depending on location, skills, and experience
• Comprehensive medical and dental benefits effective day one
• Unlimited PTO
• Mental health support, retirement planning, and financial protection
• Professional development with clear career progression and learning budgets
• Eligibility for the full benefits package starting day one

Location

Compensation is listed as $150,000 - $200,000, depending on location, skills, and experience.