Overview
A healthcare-focused organization is seeking a Senior Litigation & Product Counsel to join their legal team. This role involves managing disputes related to Medicare Advantage business operations, including litigation with healthcare providers and vendors, as well as providing proactive legal guidance on regulatory and litigation risks. The position requires close collaboration with business leaders and product teams to develop legal solutions that support core Medicare Advantage plan operations and the development and sales of a flagship SaaS product.
Responsibilities
- Serve as the primary legal partner for the Payment Integrity and Special Investigations Unit.
- Collaborate with the product team on feature development for the Counterpart Assistant software.
- Provide practical, day-to-day legal advice on Centers for Medicare and Medicaid Services (CMS) regulations, the Anti-Kickback Statute (AKS), and the False Claims Act (FCA) for Medicare Advantage and related health businesses.
- Manage actual and threatened litigation involving healthcare providers and vendors.
- Initiate affirmative litigation when appropriate to protect the organization's interests.
- Identify areas of litigation and regulatory risk and develop strategies to mitigate those risks.
Requirements
- Juris Doctor (J.D.) degree from an accredited law school.
- At least four years of experience in litigation, investigations, and/or product counseling at a large law firm.
- Experience working with health insurance clients, particularly in the managed care space.
- Familiarity with AKS, FCA, and CMS regulations.
- Proven ability to develop strategies to mitigate litigation and regulatory risk.
- Excellent oral and written communication skills.
- Detail-oriented and able to thrive in a fast-paced, dynamic environment.
- Comfortable working in a transparent, collaborative setting with changing priorities.
- Ability to analyze and present information effectively to team members and management.
- Skilled at crafting creative solutions and managing ambiguity.
- Experience creating processes in partnership with cross-functional business teams.
Preferred Qualifications
- Experience working in healthcare litigation and regulatory compliance.
- Background in product counseling related to healthcare software.
Compensation & Benefits
- Base salary range: $179,000 to $230,000 USD.
- Performance-based bonus program.
- Equity opportunities including an Employee Stock Purchase Plan (ESPP) with discounted equity.
- 401(k) matching.
- Comprehensive medical, dental, and vision coverage.
- Mental health resources and initiatives such as No-Meeting Fridays and monthly company holidays.
- Generous flexible time-off policy.
- Remote-first work culture supporting collaboration across global teams.
- Reimbursement for office setup expenses.
- Monthly cell phone and internet stipend.
- Paid parental leave for all new parents.
- Professional development programs including mentorship, funding, and regular performance feedback.
Location
This role supports a remote-first culture, enabling work from any location while collaborating with global teams.