Assistant General Counsel, Health Plan Operations
About the Company
Progressive healthcare company providing Medicare Advantage plans
Industry
Hospital & Health Care
Type
Privately Held, VC-backed
Founded
2017
Employees
1001-5000
Funding
$200+ million
Categories
Specialties
Business Classifications
About the Role
The Company is seeking an Assistant General Counsel for Health Plan Operations to join their team. This key legal partner will provide practical and business-minded counsel across a range of activities that support the operation of Medicare Advantage and related products. The role is highly hands-on, with a focus on supporting the claims process, network development and management, provider contracting, delegated entity oversight, and ensuring regulatory compliance. The successful candidate will be responsible for translating complex legal requirements into actionable guidance, supporting the implementation of clinical programs and quality initiatives, and collaborating with internal teams to ensure compliance with state and federal health care laws and regulations. Applicants must be licensed to practice law in at least one state, with 8-10 years of experience, including a minimum of 2-4 years in an in-house legal role, preferably at a health plan. Strong knowledge of health care regulatory requirements and the ability to analyze legal issues from a business perspective are essential. The role requires an individual with outstanding interpersonal, organizational, and communication skills, who is proactive, solutions-oriented, and can manage multiple tasks with a high sense of urgency. The ideal candidate will have a background in Medicare Advantage plan operations, but this is not a mandatory requirement. The company values diversity, collaboration, and a commitment to a safe and supportive work environment.
Hiring Manager Title
Deputy General Counsel
Functions
Assistant General Counsel, Health Plan Operations
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