Associate Counsel – State Health Plan Administration

Blue Cross NC

. Serve as dedicated legal counsel supporting Blue Cross NC's administration of the State Health Plan TPA contract .

Posted 9/22/2026full-timeUnited StatesJuniorMid-Level💰 $130,560 - $208,896 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in legal counsel for health plans, with a strong focus on regulatory compliance, contract negotiation, and operational guidance. Proficient in translating complex legal requirements into actionable business strategies while supporting health care initiatives and stakeholder communication.

Highest-signal resume keywords

Licensed To Practice Law In North CarolinaExperience Supporting Self-Funded Health PlansKnowledge Of ERISA, HIPAA, ACA, Medicare, MedicaidStrong Written And Oral Communication SkillsExperience Negotiating Provider Contracts

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Contract NegotiationLegal ResearchRegulatory ComplianceClaims AdministrationData GovernanceHealth Plan OperationsPublic ProcurementOperational DocumentationProvider AgreementsVendor Agreements

Soft Skills

Collaborative Client ServiceStrong JudgmentIntellectual CuriosityAdaptabilityExcellent Communication

Certifications & Qualifications

Juris Doctor (JD)

Industry Keywords

Third-Party AdministrationHealth Care PrivacyGovernment ProgramsValue-Based CareAlternative Payment Models

About the role

Key responsibilities & impact

Serve as dedicated legal counsel supporting Blue Cross NC's administration of the State Health Plan TPA contract
Provide day-to-day legal guidance on operational, contractual, regulatory, and implementation matters
Develop and maintain subject matter knowledge of the State Health Plan contract, including performance guarantees, service levels, reporting obligations, implementation requirements, financial provisions, audit rights, and operational commitments
Research and analyze federal and state laws, regulations, administrative guidance, and case law applicable to health plans, government programs, and third-party administration services
Draft, review, and negotiate provider agreements, data sharing agreements, vendor agreements, business associate agreements, amendments, and operational documentation
Support implementation and ongoing administration of State Health Plan initiatives, benefit changes, network arrangements, and vendor integrations
Advise on HIPAA, HITECH, privacy, security, data governance, and information-sharing requirements
Support responses to audits, investigations, administrative inquiries, regulatory requests, and contractual compliance reviews
Assist with public records requests, confidentiality analyses, and protection of trade secret and proprietary information
Monitor legal, regulatory, and legislative developments and communicate practical implications to business stakeholders
Provide legal support related to appeals, grievances, provider disputes, claims administration issues, and member complaints
Develop and deliver training on legal and compliance topics
Support strategic initiatives involving value-based care, alternative payment models, provider contracting, and network innovation
Draft and review executive communications, board materials, regulatory responses, and other business-facing legal guidance
Provide support on developing legal issues and perform other duties as assigned

Requirements

What you’ll need

Graduate of an accredited law school required
3+ years of experience in a related field
Licensed to practice law in North Carolina or must obtain license within one year of employment
Experience supporting self-funded health plans, third-party administrator operations, health insurers, government-sponsored health programs, or large employer group health plans
Experience advising on ERISA, HIPAA, ACA, Medicare, Medicaid, health care privacy, or insurance regulatory matters
Experience negotiating and administering complex service agreements, provider contracts, and health care vendor arrangements
Familiarity with public procurement, government contracts, bid protests, and public records laws
Experience supporting implementation of large-scale health care operational initiatives or enterprise projects
Knowledge of claims administration, appeals and grievances, utilization management, network management, or health plan operations
Strong issue-spotting ability and demonstrated judgment in identifying and escalating legal and compliance risks
Ability to translate complex legal requirements into practical business guidance
Excellent written and oral communication skills, including experience supporting senior leadership and cross-functional teams
Collaborative approach to client service and relationship management
Intellectual curiosity, adaptability, and a strong learning mindset

Benefits

Comp & perks

Work-life balance, flexibility, and autonomy
Medical, dental, and vision coverage
Health and wellness programs
Parental leave and support
Adoption and surrogacy assistance
Career development programs
Tuition reimbursement for continued education
401(k) match including an annual company contribution
Annual Incentive Bonus
Paid Time Off (PTO)