Provide legal guidance on a range of health law, regulatory, contractual and operational matters
Work as a strategic partner with assigned clients and provide legal advice and guidance on business strategies or various corporate initiatives
Proactively assist provider contracting staff managing a behavioral health network with legal issues that arise during contract negotiations
Review proposed contract language changes and draft alternatives to protect the company's interests
Support development and roll-out of new provider contract templates
Assist with responding to regulatory inquiries or complaints
Support value-based contracting and negotiation of shared savings or risk arrangements
Prepare settlement agreements, letters of intent, confidentiality agreements and other documents as needed

Requires a JD; current license to practice law
6 years of specific industry and/or technical legal experience post licensure
Health Insurance Law: An understanding of the principles, definitions, and nuances within health insurance law
Knowledge of federal laws that regulate health insurance companies, including MHPAEA, ERISA, ACA, and other federal statutes impacting health insurance
Understanding of regulatory compliance, how to ensure adherence to laws, regulations, guidelines, and specifications relevant to the health insurance business
Experience interpreting, drafting and reviewing employer and member contracts and related materials
Experience with provider agreements
Working knowledge of state laws and regulations that apply to third party administrators or health plan operations
Commercial and Government business-Medicare or Medicaid experience is preferred
Experience working with providers is preferred

Senior Legal Counsel

Key skills