Senior Counsel

Overview

A multi-state healthcare organization is seeking a Senior Counsel to provide strategic legal guidance focused on healthcare regulatory compliance, complex contracting, fraud, waste and abuse risk mitigation, and product counseling. This role involves partnering with product, compliance, network, operations, clinical, and commercial teams to deliver practical, business-oriented legal advice on contracting strategy, regulatory compliance, and product development.

Responsibilities

• Provide comprehensive legal counsel to ensure compliance with federal and state healthcare laws, privacy and security regulations (including HIPAA), fraud and abuse laws, and licensing/accreditation standards.
• Advise internal stakeholders on regulatory risks and requirements, focusing on Corporate Practice of Medicine, Anti-Kickback Statute (AKS), Stark Law, Civil Monetary Penalties (CMP) Law, beneficiary inducement rules, and other healthcare fraud, waste, and abuse laws.
• Draft, review, and negotiate a wide range of healthcare-related contracts such as vendor agreements, clinical services arrangements, provider participation agreements, administrative services agreements, and technology contracts.
• Counsel business leaders on structuring compliant healthcare arrangements, including delegated services, care coordination programs, and value-based care models.
• Provide strategic guidance on privacy and data protection matters, including HIPAA, HITECH, and applicable state privacy laws.
• Collaborate with Compliance and Privacy teams to assess regulatory risk, support audits, and respond to government inquiries or investigations.

Requirements

• Juris Doctor degree from a nationally accredited law school and active bar membership in good standing.
• Minimum of 8 years of legal experience in an in-house or law firm environment.
• Deep understanding of healthcare fraud and abuse laws (AKS, Stark, CMP, etc.) and their application to clinical integration, downstream provider contracting, and risk-based models.
• Familiarity with behavioral health care systems, Medicare Advantage, and risk adjustment methodologies.
• Proven ability to translate complex legal requirements into practical, business-oriented solutions.
• Strong analytical, negotiation, and communication skills.
• Ability to align legal strategy with business goals and understand operational impacts.
• Ability to pass comprehensive background checks and drug screening as required.

Preferred Competencies

• Ability to manage multiple projects and meet business deadlines.
• Experience managing cross-departmental projects with business professionals.
• Self-motivated and autonomous work style.
• Strong relationship-building and communication skills at all organizational levels.
• Curiosity and interest in personal growth within a fast-paced, evolving industry.
• Expertise in reviewing, drafting, and negotiating complex contracts and legal documents.
• Capacity to anticipate and interpret regulatory changes and advise on proactive compliance strategies.

Working Conditions

• Remote work with company-provided equipment.
• High-speed internet service (minimum 20 Mbps download, 5 Mbps upload, max 100 ms latency) required.
• Frequent use of computer and phone systems.
• Ability to remain seated for extended periods, perform repetitive motions with hands and fingers, communicate effectively, interpret data, problem solve, and maintain a professional attitude.
• Quiet workspace with minimal background noise for calls.

Compensation & Benefits

• Annual salary range: $120,000 - $145,000 plus an annual performance-based discretionary incentive.
• Comprehensive health benefits including medical, dental, and vision coverage.
• 401(k) plan with competitive employer match.
• Company-paid life and disability insurance.
• Paid parental leave and wellbeing incentives.
• Generous paid time off including volunteer time.
• Flexible spending accounts for healthcare and dependent care.
• Professional development opportunities and tuition reimbursement.
• Remote work flexibility depending on role.

Location

This is a remote position requiring a suitable home workspace and reliable high-speed internet.

Applications will be reviewed no less than 5 business days after posting and may remain open for an extended period depending on interest.