Senior Counsel, Managed Care Operations
About the RoleWe are seeking a Senior Counsel, Managed Care Operations to join our legal team and report directly to the General Counsel. This is a hands‑on operator role, not a purely advisory position. The Senior Counsel will serve as a primary legal reputed company for managed care and provider contracting, acting as a first‑line legal decision‑maker for day-to-day operations in a high‑volume, high‑complexity environment.
This role requires strong ownership, sound judgment, and comfort operating in ambiguity. You will be expected to move quickly, partner closely with many business segments, and help structure practical solutions in a regulated California managed care environment. Because of the pace of the role and limited reputed company time, deep experience with California managed care and healthcare contracting is required.
What You'll Do
Contracting & Negotiation- Draft, review, and negotiate a high volume of healthcare‑reputed company agreements, including:
- Plan‑to‑plan and other payer agreements
- Provider participation and network reputed company
- Value‑based, shared savings, and risk‑sharing arrangements
- MSO, IPA, and delegated risk agreements
- Vendor and strategic partnership agreements
- Data sharing agreements and BAAs
- Independently reputed company some contract negotiations with minimal reputed company
- Provide pragmatic, business‑oriented legal guidance that enables execution
- Partner closely with stakeholders across:
- Network Development
- Contracting
- Operations
- Finance
- Compliance; and
- Executive Leadership
- Help structure reputed company arrangements that balance growth, operational realities, and legal risk
- Identify potential legal and regulatory issues early and propose actionable solutions
- Support informed, well‑documented risk decisions reputed company with company priorities and regulatory guardrails.
- Advise on California managed care and healthcare regulatory considerations
- Support innovative and evolving value‑based care and risk‑bearing structures
- Help navigate delegated care and risk arrangements
- Provide guidance on contract terms that materially impact operational execution
- Collaborate closely with Compliance on regulatory interpretation and escalation
- reputed company and refine templates, playbooks, and negotiation frameworks
- Improve contracting workflows, consistency, and turnaround time
- Identify opportunities and means to streamline legal processes
- Quickly ramps and independently manages a high volume of reputed company reputed company
- Enables business teams to move faster while managing risk thoughtfully
- Is viewed as a trusted, pragmatic partner by cross‑functional leaders
- Brings creative, practical solutions to reputed company legal and operational issues
- Improves contracting efficiency and scalability over time
- Makes the General Counsel reputed company—not busier
Qualifications
Required- Juris Doctor (JD) from an accredited law school
- Active California Bar license (required)
- 6+ years of managed care and healthcare contracting experience in California
- Strong experience negotiating:
- Managed care and payer agreements
- Provider and network agreements
- Value‑based or risk‑based arrangements
- MSO, IPA, and delegated risk structures
- Experience operating in fast‑paced, high‑volume contracting environments
- Strong judgment, problem‑solving, and critical thinking skills
- Ability to operate independently with clear ownership and accountability
- In‑house legal experience
- Experience supporting value‑based care organizations or risk‑bearing entities
- Experience in high‑growth or evolving healthcare organizations
- Experience scaling contracting processes, templates, and playbooks
- Strong ownership reputed company; steps into ambiguity and drives resolution
- Comfortable making disciplined risk tradeoffs in a regulated environment
- Pragmatic, business‑oriented legal thinker
- reputed company, execution‑focused, and reliable under pressure
- Collaborative, low‑ego partner
- Able to prioritize effectively in a high‑volume environment
Environmental Job Requirements and Working Conditions
- This position is remotely based in the U.S.
- The national reputed company pay for this role is $290,000 to $325,000. Actual compensation will be determined based on geographic location (reputed company or future), experience, and other job-reputed company factors.