Description:
Description:Health Network One partners with health plans and providers to modernize how specialty care is delivered and managed, reducing complexity, driving better performance, and improving lives.
With over 30 years of experience, Health Network One advances care in several unique specialties: Total Eye, Sleep Well, Pure Derm and Thrive Therapy. By curating specialty networks and credentialing providers who meet rigorous access and quality standards, we bring together value-based models and clinical expertise to ensure providers thrive, payers succeed, and members receive the high-quality care they deserve.
The Associate Counsel will serve as a key legal advisor to senior leadership across Health Network One and its affiliates. This role focuses on healthcare transactions, regulatory compliance, and corporate governance. The ideal candidate will bring deep expertise in healthcare law, a collaborative mindset, and a proactive approach to risk management and regulatory alignment.
Key Responsibilities:
- Legal Advisory & Transactional Support
- Provide timely and strategic legal counsel on healthcare law, corporate law, labor law, and related areas.
- Draft, negotiate, and review complex payer and provider agreements, including value-based care contracts.
- Advise on compliant care models and support regulatory alignment across business units.
- Contract Management & Governance
- Develop and maintain standardized templates for provider, customer, and vendor agreements.
- Collaborate with internal teams to ensure contracts reflect operational realities and legal requirements.
- Support corporate governance initiatives, including board resolutions and delegated agreements.
- Regulatory Compliance & Risk Mitigation
- Monitor and interpret emerging healthcare regulations, including Stark Law, Anti-Kickback Statute, Medicare Advantage, and CMS guidance.
- Lead initiatives related to fraud, waste, and abuse (FWA) compliance.
- Assist in the implementation of policies and procedures that ensure legal and regulatory compliance.
- Cross-Functional Collaboration
- Partner with departments such as Quality, Network, Compliance, Finance, Human Resources, and Operations.
- Ensure legal considerations are embedded in strategic and operational decision-making.
Qualifications:
- Juris Doctor (JD) from an accredited law school.
- Active bar membership in good standing.
- Minimum 5 years of legal experience in healthcare law, preferably in both law firm and in-house settings.
- Strong understanding of healthcare fraud and abuse laws, including Stark, Anti-Kickback, and False Claims Act.
- Familiarity with Medicare Advantage, value-based care models, and risk adjustment methodologies.
- Excellent communication, negotiation, and analytical skills.
- Ability to manage multiple priorities in a fast-paced environment.
Travel Required:
Yes. 5-10%
Equal Opportunity Employer:
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.
