Associate General Counsel
About The Position
Pivotal Health is seeking a mid-level healthcare regulatory attorney from a top law firm or healthcare organization to handle a broad range of regulatory, operational, and contracting matters. The Associate General Counsel will own legal work involving provider billing and payer reimbursement disputes, including direct negotiations with health plans and developing processes to collect arbitration awards. The work is closely tied to the company’s revenue. The role combines reactive work—answering billing and reimbursement questions, negotiating payment disputes, and evaluating potential litigation—with proactive work alongside Product and Operations to translate legal judgment into systems, tools, and platform features. Contract review is a secondary priority, together with general legal counsel as needed. The role involves applying state and federal law to questions without clear precedent and creating legal processes where none currently exist.
Requirements
- Mid-level healthcare regulatory attorney experience at a top law firm or healthcare organization.
- Experience applying state and federal law to questions that may lack clear precedent.
Nice To Haves
- HealthTech or healthcare technology experience.
- IDR or No Surprises Act dispute work.
- Experience working directly with state or federal regulators.
Responsibilities
- Advise on provider billing and payer reimbursement questions and establish Pivotal’s approach to health plans.
- Negotiate directly with health plans to resolve payment disputes and recover amounts owed to providers.
- Define and build a repeatable process for collecting arbitration awards as volume grows.
- Evaluate litigation strategies and develop pre-litigation plans, including when and how to escalate disputes.
- Advise Product and Operations on healthcare regulatory requirements and translate them into systems, tools, and platform features.
- Review and negotiate vendor agreements, BAAs, NDAs, and MSAs alongside the Deputy General Counsel.
- Create workflows and templates to help the legal team scale.
- Advise teams across the business on general legal matters.
Benefits
- Competitive compensation, including equity.
- Full health, dental, and vision coverage.
- Retirement savings plan through 401(k).
- Flexible time off.
- Opportunities for company-wide connection and events.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
