Associate General Counsel – Regulatory Affairs and Compliance

Vanderbilt University Medical Center • Nashville, TN

6d • Remote

About The Position

The Associate General Counsel – Regulatory Affairs and Compliance provides broad legal support to Vanderbilt Health’s academic medical center, regional hospitals, and affiliated healthcare entities. The attorney advises on healthcare regulatory compliance, physician relationships, quality and value-based care initiatives, conflicts of interest, and clinically integrated network (CIN) operations. The role partners with executive leadership and compliance, clinical enterprise, population health, quality, and operational stakeholders to manage legal and regulatory risk while advancing the organization’s clinical, academic, and strategic objectives.

The position collaborates with Vanderbilt Health departments and divisions, provides timely legal guidance on compliance matters, and contributes as an active team member in the Office of Legal Affairs. The successful candidate is described as a strategic thinker, approachable adviser, and collaborative relationship-builder who can work in an intellectually challenging environment and align with Vanderbilt Health’s values. The role is remote and scheduled for first shift, with participation in the night and weekend on-call rotation for Office of Legal Affairs coverage.

Requirements

• Juris Doctor degree from an ABA-accredited law school.
• Employment is contingent upon Tennessee licensure or registration and receipt of an In-House Counsel Practice Certificate.
• Apply for and obtain a Tennessee license within 12 months of employment or, if earlier, by the date required under applicable Tennessee Supreme Court rules.
• Demonstrated ability to advise leadership on sophisticated, time-sensitive healthcare matters.
• Ability to identify, assess, and mitigate legal risks associated with healthcare matters.
• Exceptional interpersonal and communication skills, including negotiation and educating non-legal stakeholders.
• Ability to build trust and credibility with clinical faculty, staff, administrators, and senior leadership.
• Commitment to confidentiality, discretion, and high ethical standards.
• Ability to stay current with evolving laws, regulations, and enforcement trends.
• Ability to facilitate policy review, development, and institutional adoption.
• Ability to represent institutional interests internally and externally.

Nice To Haves

• Ten or more years of progressively responsible legal experience related to healthcare compliance.
• Experience within an academic medical center or large health system.
• Experience facilitating policy review, development, and institutional adoption.

Responsibilities

• Provide legal analysis and counsel on state and federal healthcare laws and compliance requirements, including the Stark Law, Anti-kickback Statute, Civil Monetary Penalties law, False Claims Act, and Medicare and Medicaid reimbursement requirements.
• Support healthcare reporting programs, including hospital inpatient and outpatient quality reporting, MACRA/MIPS, alternative payment models, and other payer-driven quality metrics.
• Advise on evolving federal and state regulatory requirements and interpret statutes, regulations, and guidance affecting quality reporting obligations.
• Participate in compliance reviews, internal investigations, corrective-action activities, and regulatory assessments.
• Support the conflict-of-interest disclosure process by reviewing, analyzing, and resolving potential conflicts involving employed and community physicians.
• Advise on regulatory requirements and compliance risks affecting Advanced Practice Providers, including licensure, scope of practice, and supervision; develop resolution strategies and corrective-action plans; support investigations into potential licensure violations and audits of APP licensure compliance.
• Provide regulatory guidance to Vanderbilt Health’s clinically integrated network and Accountable Care Organizations in support of value-based care initiatives, including advising on applicable laws, network integration, legal structure and governance, care management, shared-savings distribution, and contract compliance with fraud-and-abuse laws, fair-market-value requirements, and commercial reasonableness.
• Provide legal counsel and compliance oversight for ground and air ambulance operations, including Medicare and Medicaid coverage and reimbursement rules, billing practices, and coordination with outside counsel as needed.
• Provide legal and regulatory guidance on revenue-cycle operations, including patient billing, coding, documentation, charge capture, reimbursement, and collections.
• Handle other matters requested by the General Counsel and Managing Counsel.
• Participate in Office of Legal Affairs initiatives as requested.
• Participate in the night and weekend on-call rotation for Office of Legal Affairs coverage.

Benefits

• Comprehensive benefits package that may include health, disability, retirement, and/or wellness offerings.
• Professional growth.
• Sense of community and purpose.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Ph.D. or professional degree