Review, assess, and negotiate customer-facing contracts, including ASAs, BAAs, amendments, and addenda
Review and negotiate vendor and subcontractor agreements, including network, PBM, stop-loss, analytics, and cost-containment service agreements
Identify legal, regulatory, and business risks in contract terms and provide practical recommendations
Draft and revise contract provisions related to:
ERISA fiduciary and non-fiduciary status
HIPAA privacy, security, and breach notification
Indemnification and limitation of liability
Audit rights, correction rights, termination, and dispute resolution
Ensure consistency across contract documents, proposals, and operational practices
Support complex or non-standard negotiations and escalate material risks to leadership as appropriate
Monitor regulatory developments impacting contracts and recommend updates to templates and playbooks
Provide guidance on acceptable contract positions and negotiation strategies
Collaborate with Compliance to align contractual obligations with policies and procedures
Partner with Finance on fee structures, reimbursement terms, and risk allocation
Support leadership with summaries of key contract risks and recommended mitigation strategies
Develop, review, and maintain standard contract templates, fallback language, and negotiation playbooks
Support contract governance, approval frameworks, and escalation protocols

Juris Doctor (JD) from an accredited law school
Licensed and in good standing with at least one U.S. state bar
3–6 years of legal experience with a focus on contracts, healthcare, insurance, or regulated services
Experience reviewing and negotiating complex commercial contracts
Strong working knowledge of healthcare regulatory frameworks, including HIPAA, ERISA, and Worker’s Compensation
Ability to translate legal risk into practical business guidance
Strong written and verbal communication skills
Highly organized with strong attention to detail and sound legal judgment
Ability to manage multiple matters and deadlines in a fast-paced environment
Experience in a TPA, health plan, cost-containment, insurance, or healthcare services organization preferred
Familiarity with administrative services models and self-funded health plans preferred
Experience with vendor agreements involving PHI and downstream compliance obligations preferred
Exposure to DOL audits, regulatory inquiries, or healthcare compliance programs preferred

Associate Counsel

Key skills