Associate General Counsel – Payer Contracting

WVU Medicine

. Provide day-to-day legal advice and counsel regarding contracting between WVUHS, the WVU clinical practice plan, commercial health insurance plans, government-sponsored health plans, managed care organizations, and other third-party payers .

Posted 11/10/2026full-timeMorgantown • West Virginia • United StatesSeniorLeadWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in contract drafting, negotiation, and compliance within healthcare payer agreements, alongside strong leadership in legal oversight and corporate governance. Proficient in managing legal risks and advising on regulatory matters affecting healthcare organizations.

Highest-signal resume keywords

Juris DoctorWest Virginia Bar MembershipTen Years Experience in Corporate LawHealthcare Payer ContractingContract Drafting and Negotiation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Contract DraftingContract NegotiationRegulatory ComplianceLegal AdvicePayer AgreementsCorporate GovernanceFraud and Abuse MonitoringLitigation Process KnowledgeHealthcare RegulationsValue-Based Care Agreements

Soft Skills

Excellent Organizational SkillsExcellent Verbal Communication SkillsExcellent Written Communication SkillsAbility to Manage Multiple TasksProblem-Solving Ability

Industry Keywords

Managed CareReimbursement ArrangementsProvider CredentialingHealthcare Provider OrganizationNon-Profit CorporationsFor-Profit CorporationsJoint VenturesMedicare AdvantageMedicaid Managed CareCompliance Standards

About the role

Key responsibilities & impact

Provide day-to-day legal advice and counsel regarding contracting between WVUHS, the WVU clinical practice plan, commercial health insurance plans, government-sponsored health plans, managed care organizations, and other third-party payers
Draft, negotiate, and review managed care, reimbursement, provider network, value-based care, accountable care, delegation, credentialing, and other payer agreements
Advise managed care, finance, revenue cycle, and management teams on reimbursement arrangements, contract performance, payer disputes, compliance, and regulatory matters
Provide oversight and legal advice on corporate governance matters related to accountable care and provider credentialing entities
Monitor fraud and abuse, Stark, compliance, regulatory, and related legal developments
Ensure compliance with legal trends and standards governing provider-payer contracting
Coordinate with outside counsel for litigation, arbitration, mediation, or regulatory proceedings
Develop agreement submission and review policies and procedures, template agreements, and updates for payer contracting teams
Prepare and review contracts with commercial insurers, Medicare Advantage plans, Medicaid managed care organizations, and other third-party payers
Oversee assistant general counsel and other legal services personnel, including support and training
Provide backup coverage for the Deputy General Counsel and Chief Legal Officer
Pursue and address the Organizations’ legal needs and contribute to departmental goals and relationships

Requirements

What you’ll need

Juris Doctor required
West Virginia Bar membership or eligibility required
Ten (10) years of substantial experience in a law firm or in-house legal department in corporate, contract, and regulatory law
Preferred experience with contract drafting, review, and negotiation
Preferred experience negotiating and advising on healthcare payor contracts and managed care contracting
Preferred experience working within a health system, academic medical center, or healthcare provider organization
Knowledge of laws and regulations applicable to health insurers, payers, and managed care companies
Knowledge of litigation process and procedures
Knowledge of general operations of non-profit and for-profit corporations, limited liability companies, and joint ventures
Knowledge of laws and regulations applicable to hospitals and professional providers preferred
Excellent organizational and interpersonal skills
Excellent verbal and written communication skills
Ability to manage multiple tasks at one time
Ability to work under stress and with short deadlines
Ability to solve problems in a timely and practical fashion