Senior Counsel, Managed Care Operations

Astrana Health, Inc.

3d•$290,000 - $325,000•Remote

About The Position

We are seeking a Senior Counsel, Managed Care Operations to join our legal team and report directly to the General Counsel. This is a hands‑on operator role, not a purely advisory position. The Senior Counsel will serve as a primary legal owner for managed care and provider contracting, acting as a first‑line legal decision‑maker for day-to-day operations in a high‑volume, high-complexity environment. This role requires strong ownership, sound judgment, and comfort operating in ambiguity. You will be expected to move quickly, partner closely with many business segments, and help structure practical solutions in a regulated California managed care environment. Because of the pace of the role and limited ramp time, deep experience with California managed care and healthcare contracting is required.

Requirements

Juris Doctor (JD) from an accredited law school
Active California Bar license (required)
6+ years of managed care and healthcare contracting experience in California
Strong experience negotiating:
Managed care and payer agreements
Provider and network agreements
Value‑based or risk‑based arrangements
MSO, IPA, and delegated risk structures
Experience operating in fast‑paced, high‑volume contracting environments
Strong judgment, problem‑solving, and critical thinking skills
Ability to operate independently with clear ownership and accountability

Nice To Haves

In‑house legal experience
Experience supporting value‑based care organizations or risk‑bearing entities
Experience in high‑growth or evolving healthcare organizations
Experience scaling contracting processes, templates, and playbooks

Responsibilities

Draft, review, and negotiate a high volume of healthcare‑related agreements, including:
Plan‑to‑plan and other payer agreements
Provider participation and network contracts
Value‑based, shared savings, and risk‑sharing arrangements
MSO, IPA, and delegated risk agreements
Vendor and strategic partnership agreements
Data sharing agreements and BAAs
Independently lead some contract negotiations with minimal oversight
Provide pragmatic, business‑oriented legal guidance that enables execution
Partner closely with stakeholders across:
Network Development
Contracting
Operations
Finance
Compliance; and
Executive Leadership
Help structure complex arrangements that balance growth, operational realities, and legal risk
Identify potential legal and regulatory issues early and propose actionable solutions
Support informed, well‑documented risk decisions aligned with company priorities and regulatory guardrails.
Advise on California managed care and healthcare regulatory considerations
Support innovative and evolving value‑based care and risk‑bearing structures
Help navigate delegated care and risk arrangements
Provide guidance on contract terms that materially impact operational execution
Collaborate closely with Compliance on regulatory interpretation and escalation
Develop and refine templates, playbooks, and negotiation frameworks
Improve contracting workflows, consistency, and turnaround time
Identify opportunities and means to streamline legal processes