Overview
This role is for a Senior Counsel – Regulatory & Compliance to provide legal support primarily in healthcare regulatory, compliance, and commercial matters. The position is full-time and remote within the US.
Responsibilities
- Conduct internal compliance investigations including government audits, payer reviews, whistleblower matters, and internal noncompliance allegations; manage investigation strategy, documentation, findings, and remediation recommendations.
- Evaluate and advise on fraud and abuse risks such as Anti-Kickback Statute and False Claims Act exposure, overpayment identification, repayment strategies, and disclosure considerations in coordination with General Counsel.
- Provide legal support to the compliance team on regulatory and compliance issues.
- Support day-to-day legal needs for operating divisions and adjacency businesses, including corporate, commercial, and regulatory matters; coordinate with General Counsel on escalations and strategy.
- Draft, review, and negotiate commercial agreements including vendor, partner, and customer contracts.
- Advise on licensing, accreditation, and enrollment matters including Medicare enrollment, revalidation, change of ownership, and accreditation readiness.
- Support interactions with government regulators, enforcement agencies, CMS contractors, and accrediting organizations as directed.
- Assist with legal due diligence for acquisitions and strategic transactions as needed.
- Develop and maintain a strong understanding of the business, markets, customers, and competitive landscape to provide practical, risk-based legal guidance.
- Build and maintain effective working relationships with business leaders to encourage proactive engagement with legal counsel.
- Collaborate within the legal department and support cross-functional initiatives and special projects.
- Maintain confidentiality and comply with policies and federal regulations.
Requirements
- Juris Doctor (JD) degree from an accredited law school.
- Active license to practice law in at least one U.S. jurisdiction; ability to obtain additional licenses as required.
- 6–8+ years of experience with healthcare legal and compliance issues, preferably in-house or at a reputable law firm.
- Working knowledge of healthcare regulatory frameworks applicable to DMEPOS and related healthcare services, including Medicare/Medicaid requirements, accreditation standards, payer audits, and fraud and abuse considerations.
- Experience supporting internal investigations, audits, and compliance remediation.
- Strong drafting and negotiation skills for commercial agreements and contracts.
- Ability to manage matters independently with appropriate escalation.
- Excellent communication skills to translate legal requirements into practical guidance.
- Strong organizational skills and attention to detail; ability to manage multiple priorities in a fast-paced environment.
- High integrity, sound judgment, and a collaborative, service-oriented mindset.
Preferred Qualifications
- Prior in-house legal experience within healthcare services, medical device, or other highly regulated organizations.
- Experience supporting or partnering with corporate compliance programs including remediation efforts.
- Experience advising multi-entity or growth-oriented businesses including subsidiary or adjacency operations.
- Experience with licensing, accreditation, enrollment, and change-of-ownership matters.
- Experience conducting or supporting legal due diligence for acquisitions or strategic transactions.
- Demonstrated leadership and influencing skills with ability to build strong cross-functional relationships and partner effectively with senior leaders.
Physical Requirements
- Ability to access all areas of the premises.
- Ability to concentrate and remain focused while handling multiple tasks and projects.
- Ability to work over eight hours per day and over 40 hours per week as necessary.
- Ability to read, understand, and carry out written and verbal instructions.
- Ability to perform bending, twisting, stooping, reaching, and lift equipment weighing up to 20 pounds.
Compensation & Benefits
- Salary range: $156,080 - $214,610 annually, with compensation dependent on skills, qualifications, experience, and location.
- Competitive benefits including medical, dental, and vision insurance.
- Short-term and long-term disability coverage.
- 401(k) retirement plan.
- Life insurance.
Location
- Remote position within the United States.