Sr Assoc Gen Counsel Hlthcare

Overview

This remote position (available in AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY) is preferred to be based in the Phoenix area. It requires U.S. citizenship and the ability to obtain a favorable interim and final Department of Defense (DoD) background investigation due to the nature of the Department of Defense contract.

Veterans, Reservists, Guardsmen, and military family members are encouraged to apply.

Job Summary

Reporting to the Deputy Chief Compliance and Legal Officer (DCCLO), this senior attorney role leads the legal strategy related to healthcare law impacting the organization. The position serves as a key business partner to the Chief Network Officer and leaders of Provider Services, Medical Management, and Claims teams, providing legal advice and business judgment on complex issues.

Responsibilities include overseeing legal counsel to healthcare-related departments, supervising attorneys and staff, managing workload allocation, developing provider contracts and related documents, and leading negotiations of significant network subcontractor agreements.

The role also provides guidance on regulatory healthcare matters including Medicare, Medicaid, federal healthcare program participation conditions, anti-kickback laws, self-referral laws, HIPAA, fraud and abuse, and corporate and transactional matters for healthcare providers.

Key Responsibilities

• Lead the Healthcare Law unit, developing and implementing legal strategy for healthcare-related matters.
• Plan and assign work, hire, supervise, and evaluate unit staff to ensure high-quality legal representation.
• Provide leadership and ownership of Healthcare Law projects, fostering a cohesive and effective team.
• Serve as primary legal business partner to the Chief Network Officer and leaders in Provider Services, Medical Management, and Claims.
• Manage and mentor staff, guide professional development, and establish best practices.
• Report legal risks and issues related to healthcare law to the DCCLO.
• Manage healthcare-related litigation portfolio, including coordination with outside counsel.
• Identify and analyze legal issues, conduct research, and present clear recommendations ensuring compliance.
• Ensure employees and committee members comply with applicable laws and regulations.
• Review and develop contracts and documents such as provider agreements, business associate agreements, electronic health records transactions, and telehealth agreements.
• Provide legal advice on health law issues including fraud and abuse, privacy and security, and peer review privilege.
• Draft and review miscellaneous legal documents and correspondence.
• Research developments related to government healthcare programs and regulations.
• Assist in developing and monitoring internal regulatory compliance procedures.
• Review responses to grievances, correspondence, and communications.
• Participate in or assign coverage to standing and ad hoc committees related to peer review, quality, and credentialing.
• Assist with training and implementation to ensure legal compliance.
• Review and revise company policies and procedures.
• Advise senior leadership on legal ramifications of company actions.
• Perform other duties as assigned.
• Maintain regular and reliable attendance.

Required Qualifications

• Juris Doctor degree from an accredited law school.
• Minimum 15 years of legal experience in healthcare law or related field.
• U.S. citizenship.
• Ability to obtain favorable interim and final DoD background investigation.
• Excellent written and verbal communication skills.
• Experience advising managed care administrators, health plans, or healthcare providers.
• Familiarity with HIPAA, False Claims Act, Stark Law, Anti-Kickback Statute, and other healthcare-related laws and regulations.

Preferred Qualifications

• Familiarity with government-funded healthcare programs.
• Knowledge of VA and DoD healthcare programs.
• Prior experience with federal government contracting.

Competencies

• Coaching, training, and mentoring skills.
• Strong communication and interpersonal skills.
• Proficiency with Microsoft Office and related software.
• Resilience and flexibility in adapting to various situations.
• Customer-focused approach with empathy and respect.
• Independent thinking and initiative.
• Ability to manage complex information and communicate clearly.
• Leadership skills to manage diverse teams.
• Strong organizational and problem-solving abilities.

Working Conditions

• Availability to work non-regular hours as necessary.
• Standard office environment with minimal travel.
• Extensive computer work with prolonged periods of sitting.

Compensation & Benefits

• Salary range typically between $247,500 and $275,000 per year, varying by role and location.
• Medical, dental, and vision coverage.
• Paid time off.
• 401(k) retirement savings plan with matching.
• Short-term and long-term disability, basic life, and accidental death and dismemberment insurance.
• Tuition reimbursement.
• Paid volunteer time.

Location

Remote work available in specified U.S. states (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY). Phoenix area preferred.

Equal Employment Opportunity

The employer is an equal opportunity employer committed to creating an inclusive environment that supports diversity at every organizational level. Candidates from all backgrounds are encouraged to apply. Employment decisions are made without discrimination based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other protected status under applicable laws.