Overview
The organization is seeking a Vice President, Legal to provide strategic legal guidance supporting value-based care initiatives and healthcare product innovation. This role focuses on contracting, regulatory compliance, and product development with an emphasis on Medicare and Medicaid frameworks. The position reports to the Chief Executive Officer and is classified as exempt. It is a remote role without direct people leadership responsibilities.
Responsibilities
- Lead drafting, negotiation, and management of value-based care agreements, including risk-sharing and alternative payment models.
- Advise on provider, payer, and vendor agreements aligned with value-based reimbursement structures.
- Ensure contracts comply with applicable federal and state healthcare laws.
- Provide counsel on Medicare and Medicaid regulations, including reimbursement, coverage, and program integrity requirements.
- Support clinical operations for the direct care team.
- Interpret and advise on healthcare fraud and abuse laws such as Stark Law and Anti-Kickback Statute.
- Support compliance strategies for evolving value-based care models.
- Advise on healthcare privacy laws, including HIPAA and related state regulations.
- Partner with internal teams to ensure compliant handling of patient data and health information.
- Support incident response and risk mitigation related to data privacy.
- Collaborate with product, engineering, and business teams to support the development of new healthcare products and services.
- Identify legal and regulatory risks in product design and propose practical solutions.
- Enable scalable, compliant growth strategies, including market expansion and new partnerships.
- Work closely with operations, commercial, finance, human resources, information technology, and leadership teams including market presidents.
- Translate complex legal requirements into actionable business guidance.
- Support training and internal policy development.
Requirements
- Juris Doctor (JD) from an accredited law school.
- Active bar membership in good standing.
- 5–10+ years of relevant legal experience in law firm and/or in-house settings.
- Deep knowledge of Medicare and Medicaid regulatory frameworks.
- Experience with healthcare contracting, especially value-based care arrangements.
- Strong understanding of healthcare privacy laws such as HIPAA.
- Strong negotiation and contract drafting skills.
- Practical, business-oriented legal judgment.
- Ability to manage multiple priorities in a fast-paced environment.
- Excellent communication and stakeholder management skills.
- Collaborative mindset with a proactive approach to problem-solving.
Preferred Qualifications
- Experience supporting healthcare technology or digital health products.
- Familiarity with risk-based provider arrangements and payer contracting.
- Background in startup or high-growth environments.
- Working knowledge of state healthcare regulations and multi-state operations.
Compensation & Benefits
Details regarding compensation and benefits are not specified.
Location
This is a remote position.
Equal Employment Opportunity
The organization provides equal employment opportunities to all employees and applicants without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.