Senior Counsel - Employment, Litigation, and Investigations

Lucet•,

1d•$140,000 - $180,000•Remote

About The Position

Lucet is hiring a Senior Counsel to provide strategic legal guidance and support for a multi-state healthcare organization. The role focuses on healthcare regulatory compliance, complex contracting, fraud, waste and abuse risk mitigation, and product counseling. The Senior Counsel will advise product, compliance, network, operations, clinical, and commercial teams on contracting strategy, regulatory compliance, product development, and practical risk mitigation. The position supports legal risk management across commercial, provider, and vendor contracting and compliance with federal healthcare program requirements and privacy laws, including HIPAA. It also advises Commercial teams on strategic partnerships, value-based arrangements, vendor integration, and initiatives in early-stage development. The role provides guidance on healthcare laws and regulations, privacy and security requirements, fraud and abuse rules, and licensing and accreditation standards. It monitors legal and regulatory developments, supports compliance policies and training, and advises on care delivery models, value-based programs, and new healthcare services. It drafts, reviews, and negotiates vendor, provider, clinical services, administrative services, and technology agreements; advises on compliant partnerships and care arrangements; and supports RFPs, partnership proposals, and sales materials. The position also advises on HIPAA, HITECH, and state privacy laws, supports audits, and assists with government inquiries or investigations. The position is performed from home with company-provided equipment. A quiet workspace and qualifying high-speed internet are required. Frequent computer and phone use, prolonged sitting, and typing are expected. Travel by air and overnight stays may be required for roles requiring travel.

Requirements

Juris Doctor degree from a nationally accredited law school and active bar membership in good standing.
At least 5 years of experience practicing law in an in-house or law firm environment.
Deep understanding of healthcare fraud and abuse laws, including the Anti-Kickback Statute, Stark Law, and Civil Monetary Penalties Law, and their application to clinical integration, downstream provider contracting, and risk-based models.
Familiarity with behavioral health care systems, Medicare Advantage, and risk adjustment methodologies.
Ability to translate complex legal requirements into practical, business-oriented solutions.
Strong analytical, negotiation, and communication skills.
Ability to align legal strategy with business goals and understand the operational impact of legal decisions.
Ability to pass the stated background check and 10-panel drug screen upon hire and throughout employment.
Ability to handle multiple projects and meet business deadlines, manage cross-departmental projects, work autonomously, build relationships, and communicate effectively across the organization.
Strong skills in reviewing, drafting, and negotiating complex contracts and legal documents.
Ability to anticipate and interpret regulatory changes and advise on proactive compliance strategies.
High-speed internet installed before starting, with minimum download speed of 20 Mbps, upload speed of 5 Mbps, and maximum latency of 100 milliseconds.
Ability to remain seated for extended periods, use computer and phone systems, type, communicate and exchange information, inspect information, interpret data, problem-solve, make decisions, organize and plan, and maintain a professional attitude.

Responsibilities

Provide legal and regulatory guidance to a multi-state healthcare organization on healthcare laws, privacy and security requirements, fraud and abuse regulations, and licensing and accreditation standards.
Advise stakeholders on legal risks and mitigation strategies.
Monitor changes in healthcare legislation and regulation, support compliance policies and training, and assess legal implications of care delivery models, value-based programs, and new healthcare service initiatives.
Draft, review, and negotiate vendor, provider, clinical services, administrative services, and technology agreements.
Advise business leaders on compliant healthcare partnerships, care coordination, and value-based care arrangements.
Support RFPs, partnership proposals, and sales materials to ensure regulatory alignment and mitigate risk.
Provide strategic guidance on privacy and data protection, including HIPAA, HITECH, and applicable state privacy laws.
Partner with Compliance and Privacy teams to assess regulatory risk, support audits, and respond to government inquiries or investigations.
Collaborate with quality, network, compliance, finance, clinical, and commercial teams to ensure contractual and operational models comply with law and align with business objectives.
Support commercial strategic partnerships, value-based arrangements, vendor integration, and initiatives in early-stage development.