Senior Managing Counsel, U.S. Medical Network

Overview

An experienced attorney is sought to serve as Senior Managing Counsel leading a team of attorneys supporting U.S. medical network contracting. This role involves providing strategic legal advice and counsel on a variety of legal matters including development and modification of solutions, legal and business strategy, and regulatory compliance. The position requires collaboration with senior medical network management leadership and a strong understanding of provider network contracting, regulatory enforcement, and complex federal and state healthcare and insurance laws, including government healthcare programs.

Responsibilities

• Lead a team of attorneys supporting U.S. medical network contracting.
• Serve as lead counsel on provider relationships, strategy, and support.
• Assist business partners in developing and executing strategic initiatives and key projects impacting the medical network.
• Collaborate with cross-functional legal teams on network products and solutions.
• Develop and maintain strong business relationships with stakeholders involved in provider relationships.
• Provide high-quality legal support to key internal clients.
• Negotiate provider contracts, including value-based reimbursement arrangements and delegation agreements.
• Stay informed on regulatory and enforcement environments affecting the business.
• Assist in developing measures to improve contracting governance and implementation.
• Advise business teams and enterprise colleagues on the impact of proposed and new rules, regulations, and legislation affecting the provider network.

Skills and Capabilities

• Broad knowledge of managed care and insurance industries.
• Strong analytical, written, and oral communication skills, including negotiation and drafting.
• Interpersonal skills to develop and manage relationships with business clients at all levels.
• Ability to identify issues and propose practical legal and business solutions.
• Customer-focused and creative problem-solving approach.
• Ability to manage multiple issues and competing priorities effectively.
• Skill in navigating business barriers to facilitate solutions.
• Proven project and process management experience.
• Strong work ethic and effective time management.
• Demonstrated good judgment and willingness to take on challenging projects.
• Experience measuring and analyzing processes and results to identify improvement opportunities.

Qualifications

• J.D. from an accredited law school and active bar membership required.
• Minimum of 10 years of legal experience in a corporate legal department and/or law firm.
• At least 3 years of experience leading, managing, and developing attorneys and legal teams.
• Significant experience supporting provider contracting, provider relationships, and network strategy within managed care, health insurance, or healthcare industries.
• Strong knowledge of federal and state healthcare laws, regulations, and government healthcare programs.
• Experience negotiating and drafting complex provider agreements, including value-based reimbursement and delegation arrangements.
• Proven ability to advise senior leaders on legal, regulatory, and business strategy matters.
• Strong communication, negotiation, relationship management, and problem-solving skills.
• Hybrid work arrangement preferred; remote candidates will also be considered.

Note: For remote or occasional work from home, a cable broadband or fiber optic internet connection with speeds of at least 10 Mbps download and 5 Mbps upload is required.

Compensation and Benefits

• Annual salary range: $197,000 - $328,300, depending on experience and geographic location.
• Eligibility for annual bonus and long-term incentive plan.
• Comprehensive benefits starting on day one, including medical, vision, dental, well-being, and behavioral health programs.
• 401(k) plan, company-paid life insurance, tuition reimbursement.
• Minimum of 18 days paid time off per year, paid holidays, and leaves of absence.

Location

This position supports U.S. medical network contracting and offers a hybrid work arrangement with remote candidates considered. Specific geographic location and work arrangements will be discussed during the hiring process.

Equal Opportunity and Additional Information

Applicants will be considered without regard to race, color, age, disability, sex, pregnancy or related medical conditions, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, public assistance status, citizenship status, or any other characteristic protected by applicable law.

A tobacco-free policy is in effect, and in certain states where legally permissible, tobacco/nicotine users will not be considered unless they enter a qualifying cessation program prior to employment.

Qualified applicants with criminal histories will be considered in compliance with federal, state, and local laws.