Senior Counsel - Value Based Care Initiatives

Somatus, Inc.•McLean, VA

About The Position

The Senior Counsel - Value Based Care (VBC) Initiatives role will primarily focus on drafting, negotiating, and advising on complex agreements with health plans, health systems/provider groups, and government-funded programs (e.g., Medicare Advantage, Medicaid Managed Care, CMMI Programs, and other state/federal initiatives). The ideal candidate is a practical, business-oriented lawyer who can manage a high-volume contract portfolio while advising internal stakeholders on healthcare regulatory and operational risk. This position will also support other strategic initiatives and advise internal clients on an array of legal matters.

Requirements

A Juris Doctor degree from an accredited law school
Extensive knowledge of health care regulations and compliance, including Stark and Anti-Kickback, False Claims Act, corporate practice of medicine, licensure regulations, and other applicable laws and regulations
Drafting and review experience, particularly focused on value-based care program contracts with health plans, health systems, provider groups, and state and federal agencies
An active license to practice law in any state
Minimum of 7-10 years of both law firm and in-house experience
Strong writing and editing skills
Results-oriented, with a strong sense of urgency and good time- and people-management skills to manage multiple projects simultaneously
Detail-oriented with strong risk-spotting and issue-resolution skills
Ability to balance legal risk with business needs and convey legal advice clearly and effectively to non-legal colleagues
Comfort with contract lifecycle management (CLM) systems and scaling legal processes

Nice To Haves

Experience in employment law (federal and multi-state)
Experience with health-reform related initiatives (such as ACOs, CKCC, medical homes, bundled payment programs)
Broad experience with a variety of legal matters, including health care, corporate, commercial contract negotiation, employment, compliance, privacy, corporate governance, and/or intellectual property
Experience with independent drafting and negotiating a variety of agreements

Responsibilities

Lead the end-to-end legal evaluation and internal review process for customer contracts, including master services, agreements, statements of works, business associate agreements, amendments, renewals and government related agreements.
Serve as the primary legal point of contract for contract interpretation, risk identification, and escalation of issues related to compensation terms, performance obligations and other key contract terms.
Facilitate cross-functional contract review meetings and manage and track internal input from key stakeholders (e.g., Finance, Operations, Security, Medical Advisory, Compliance, Account Management, Business Development, Implementation team, etc.).
Advise internal teams on contract structure and negotiation strategy, including alternative language, fallback positions, and risk mitigation approaches.
Assess and communicate legal and regulatory issues in healthcare contracting, including HIPAA/privacy, Medicare and Medicaid and other government contracting requirements, and applicable state law.
Evaluate and support the Company’s internal contracting policies, playbooks, and templates. Including identifying recurring issues and recommending re-design or improvements to standard terms and review workflows.
Track contract status and key terms in collaboration with legal operations and contracting teams and ensure contract approvals follow internal governance requirements, and continually evaluate and make recommendations for improvements to the review process.
Provide clear, concise and practical guidance to business stakeholders to enable informed decision making and promote strong customers relationships while protecting the Company’s interest.
Coordinate and manage outside legal counsel when needed on specialized issues, such as government procurement requirements, or complex health regulatory matters.
Provide advice and counsel on other legal matters, such as employment matters, corporate governance, vendor contracts, and regulatory requirements applicable to the Company