Senior Counsel, Managed Care Operations

Overview

A legal team is seeking a Senior Counsel, Managed Care Operations to join their department focused on Value-Based Care Programs. This is a remote position based in the U.S. with a compensation range of $290,000 to $325,000 per year.

This role is a hands-on operator position reporting directly to the General Counsel. The Senior Counsel will serve as the primary legal owner for managed care and provider contracting, acting as a first-line legal decision-maker in a high-volume, complex environment. Deep experience with California managed care and healthcare contracting is required due to the fast pace and limited ramp time.

Responsibilities

Contracting & Negotiation

• Draft, review, and negotiate a high volume of healthcare-related agreements, including:
  • Plan-to-plan and other payer agreements
  • Provider participation and network contracts
  • Value-based, shared savings, and risk-sharing arrangements
  • MSO, IPA, and delegated risk agreements
  • Vendor and strategic partnership agreements
  • Data sharing agreements and Business Associate Agreements (BAAs)
• Independently lead some contract negotiations with minimal oversight
• Provide pragmatic, business-oriented legal guidance to enable execution

Strategic Legal Partnership

• Collaborate closely with stakeholders across Network Development, Contracting, Operations, Finance, Compliance, and Executive Leadership
• Structure complex arrangements balancing growth, operational realities, and legal risk
• Identify potential legal and regulatory issues early and propose actionable solutions
• Support informed, well-documented risk decisions aligned with company priorities and regulatory requirements

Managed Care & Regulatory Expertise

• Advise on California managed care and healthcare regulatory considerations
• Support innovative and evolving value-based care and risk-bearing structures
• Navigate delegated care and risk arrangements
• Provide guidance on contract terms impacting operational execution
• Collaborate with Compliance on regulatory interpretation and escalation

Scaling & Process Improvement

• Develop and refine contract templates, playbooks, and negotiation frameworks
• Improve contracting workflows, consistency, and turnaround time
• Identify opportunities to streamline legal processes

Qualifications

Required

• Juris Doctor (JD) from an accredited law school
• Active California Bar license
• Minimum 6 years of managed care and healthcare contracting experience in California
• Strong experience negotiating managed care and payer agreements, provider and network agreements, value-based or risk-based arrangements, and MSO, IPA, and delegated risk structures
• Experience working in fast-paced, high-volume contracting environments
• Strong judgment, problem-solving, and critical thinking skills
• Ability to operate independently with clear ownership and accountability

Preferred

• In-house legal experience
• Experience supporting value-based care organizations or risk-bearing entities
• Experience in high-growth or evolving healthcare organizations
• Experience scaling contracting processes, templates, and playbooks

Success Factors

• Quickly ramp up and independently manage a high volume of complex contracts
• Enable business teams to move faster while managing risk thoughtfully
• Be viewed as a trusted, pragmatic partner by cross-functional leaders
• Bring creative, practical solutions to complex legal and operational issues
• Improve contracting efficiency and scalability over time
• Support the General Counsel by reducing their workload

Location

• This is a remote position based in the United States.

Compensation & Benefits

• National target pay range: $290,000 to $325,000 per year
• Actual compensation will be determined based on geographic location, experience, and other job-related factors.