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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare regulatory compliance, including HIPAA and fraud and abuse laws, while providing strategic legal guidance to support business objectives and operational impacts. Proficient in drafting and negotiating complex contracts and managing legal risks across various healthcare partnerships and initiatives.
Highest-signal resume keywords
Juris Doctor DegreeActive Bar MembershipHealthcare Regulatory ComplianceContract Drafting And NegotiationHealthcare Fraud And Abuse Laws
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Legal ResearchRegulatory ComplianceContract NegotiationRisk AssessmentHealthcare Legislation MonitoringVendor IntegrationClinical IntegrationValue-Based Care ArrangementsAnalytical SkillsProject Management
Soft Skills
Strong Communication SkillsRelationship BuildingSelf-MotivatedAutonomous Work StyleNegotiation Skills
Industry Keywords
Healthcare ComplianceHIPAAHITECHMedicare AdvantageFraud And Abuse RegulationsBehavioral Health Care SystemsRisk Adjustment MethodologiesDownstream Provider ContractingCare CoordinationRegulatory Risk Assessments
About the role
Key responsibilities & impact- Provide strategic legal guidance for a multi-state healthcare organization
- Advise on healthcare regulatory compliance, privacy and security, fraud and abuse regulations, and licensing/accreditation standards
- Monitor evolving healthcare legislation and regulatory changes
- Support compliance policies and training
- Assess legal implications of care delivery models, value-based programs, and new healthcare service initiatives
- Draft, review, and negotiate vendor, provider, clinical services, administrative services, and technology agreements
- Advise business leaders on compliant healthcare partnerships, care coordination, and value-based care arrangements
- Support RFPs, partnership proposals, and sales materials
- Provide guidance on HIPAA, HITECH, and applicable state privacy laws
- Partner with Compliance and Privacy teams on regulatory risk assessments and audits
- Respond to government inquiries or investigations
- Collaborate with quality, network, compliance, finance, clinical, product, operations, and commercial teams
- Serve as a key legal advisor to Commercial teams on strategic partnerships, value-based arrangements, and vendor integration
- Manage legal risk across commercial, provider, and vendor contracting
- Support product development and early-stage initiatives
Requirements
What you’ll need- Juris Doctor degree from a nationally accredited law school
- Active bar membership in good standing
- 5+ years’ experience practicing law in an in-house or law firm environment
- Deep understanding of healthcare fraud and abuse laws, including AKS, Stark, and CMP
- Familiarity with behavioral health care systems, Medicare Advantage, and risk adjustment methodologies
- Experience with clinical integration, downstream provider contracting, and risk-based models
- Ability to translate complex legal requirements into practical, business-oriented solutions
- Strong analytical, negotiation, and communication skills
- Ability to align legal strategy with business goals and understand operational impacts
- Ability to pass the required background checks and 10-panel drug screen upon hire and throughout employment
- Ability to manage multiple projects and meet business deadlines
- Ability to manage cross-departmental projects
- Self-motivated and autonomous
- Strong relationship-building and communication skills at all organizational levels
- Strong skills reviewing, drafting, and negotiating complex contracts and legal documents
- Ability to anticipate and interpret regulatory changes and advise on proactive compliance strategies
- High-speed internet service with minimum 20 Mbps download, 5 Mbps upload, and maximum 100 ms latency
- Quiet workspace with minimal background noise
- Ability to work from home using a computer and phone systems
- Ability to travel by air and stay overnight when required for business
- Must be able to work legally in the United States
Benefits
Comp & perks- Annual performance-based, discretionary incentive
- Medical, dental, and vision coverage
- 401(k) with competitive employer match
- Company-paid life and disability insurance
- Paid parental leave and wellbeing incentives
- Generous paid time off, including volunteer time
- Flexible spending accounts for healthcare and dependent care
- Professional development opportunities and tuition reimbursement
- Remote work flexibility (role-dependent)
- Meaningful personal and professional growth opportunities
- Company-provided equipment