Description:

Who You Are:
As Associate General Counsel, you will play a pivotal role at the intersection of healthcare regulation, commercial strategy, and product innovation. You will provide trusted counsel across Inovalon's payer, provider, specialty pharmacy, and life sciences businesses, helping leaders pursue growth while navigating complex regulatory, privacy, and contractual considerations. This is a broad, high-impact legal leadership opportunity for an executive who can translate complexity into practical guidance, influence senior stakeholders, and support business outcomes in a dynamic healthcare technology environment. Reporting line: [CONFIRM: reporting line].

What You'll Do:

Serve as a strategic legal advisor to business leaders and senior executives on healthcare regulatory, privacy, commercial, and corporate matters affecting Inovalon's products, services, and go-to-market strategies.
Guide the legal and regulatory structure of commercial transactions, including issues involving the Anti-Kickback Statute, False Claims Act, healthcare fraud and abuse laws, and related compliance considerations.
Lead the drafting, review, negotiation, and resolution of complex commercial agreements, including customer, vendor, data, and other business-critical contracts, with a focus on balancing legal risk and business objectives.
Counsel teams supporting Medicare Advantage, ACA, and Medicaid risk adjustment programs on matters including RADV audits, chart review, supplemental data submissions, provider engagement, and fraud, waste, and abuse risk.
Advise on HIPAA, HITECH, applicable state privacy laws, and the use, disclosure, de-identification, tokenization, linking, and commercialization of health data, including business associate agreements, subcontractor BAAs, and data use agreements.
Partner with product, sales, and business teams on healthcare analytics, AI, SaaS, data strategy, interoperability, information blocking, and 21st Century Cures Act considerations to enable compliant product and commercial execution.
Support specialty pharmacy-related matters, including hub services, patient support and adherence programs, manufacturer, pharmacy, and payer arrangements, copay and patient assistance considerations, and applicable pharmacy and PBM regulation.
Provide legal support on non-commercial matters as needed, including pre-litigation issues, disputes, customer correspondence, regulatory inquiries, subpoenas, and broader legal initiatives that advance enterprise priorities.
Strengthen the effectiveness of the Legal function by contributing to process improvements, playbooks, templates, and contract lifecycle tooling that improve consistency, scalability, and execution.

What You'll Need:

Minimum of 12 years of legal experience, including at least five years of specialized healthcare experience in a law firm, corporate legal department, federal healthcare agency, or similar environment.
J.D. degree from an accredited law school and licensed to practice law in any U.S. state or Washington, D.C., or equivalent combination of education and experience required.
Significant experience with healthcare regulatory and transactional matters.
Demonstrated working knowledge of HIPAA, business associate agreements, and de-identification of health data.
Familiarity with payer operations and CMS programs, including risk adjustment and quality measurement such as HEDIS and Star Ratings, as well as provider-facing data and interoperability arrangements.
Substantial experience drafting, reviewing, negotiating, and advising business partners on complex commercial agreements.
Ability to provide strategic regulatory advice and communicate complex legal and regulatory concepts clearly and concisely to senior management, Sales, Product, and other business leaders.
Strategic Vision and Business Acumen: Sets clear legal and business priorities grounded in healthcare market dynamics, the regulatory environment, and Inovalon's business model, translating complexity into practical direction.
Influence: Builds credibility with executive stakeholders and cross-functional partners, aligns competing priorities, and shapes decisions through sound judgment, insight, and trusted relationships.
Leadership and Organizational Development: Operates effectively in a matrixed environment, contributes to a collaborative culture, and strengthens organizational capability through partnership, judgment, and a willingness to lead where needed.
Results Orientation and Execution Excellence: Independently manages priorities, executes with discipline, and advances high-quality outcomes across multiple complex matters while balancing speed, risk, and business impact.
Adaptability: Adjusts quickly to changing business needs, legal developments, and shifting priorities while remaining focused on practical solutions and enterprise goals.
Systems Thinking: Understands how legal, regulatory, commercial, product, and operational decisions interact across the business and anticipates downstream implications and trade-offs.
Nice to have: Exposure to specialty pharmacy, hub services, or pharmacy/PBM regulation.