Senior Healthcare Regulatory Counsel

DocGo•New York City, NY

14h•Onsite

About The Position

The Senior Healthcare Regulatory Counsel serves as a senior strategic legal advisor to executive leadership and the business, providing comprehensive counsel on healthcare regulatory, compliance, commercial, and operational matters across the organization. The role leads the development and execution of healthcare regulatory legal strategy, helping the organization navigate federal and state requirements while supporting business growth, innovation, and operational excellence. The counsel partners with executive leadership and clinical, operational, Compliance, Finance, Human Resources, Product, Commercial, and other functional teams. The successful candidate brings deep healthcare regulatory expertise, strong business judgment, and the ability to translate complex legal requirements into practical, scalable solutions. The role proactively identifies regulatory risk, develops mitigation strategies, and supports compliant operating models as the organization expands its services, technology, and geographic footprint.

Requirements

Juris Doctor (J.D.) from an accredited law school.
Active license to practice law in at least one U.S. jurisdiction and eligibility for additional jurisdictions as required.
10–15+ years of progressively responsible legal experience, with significant healthcare regulatory experience.
Experience practicing healthcare regulatory law in-house, at a major law firm, healthcare organization, government agency, or similarly regulated environment.
Deep knowledge of federal and state healthcare regulatory frameworks.
Demonstrated experience with healthcare compliance programs and regulatory risk management.
Strong knowledge of healthcare fraud and abuse laws, including Stark Law, the Anti-Kickback Statute, and the False Claims Act.
Experience with Medicare and Medicaid, reimbursement, licensing, accreditation, and healthcare operational requirements.
Experience managing regulatory investigations, audits, and government interactions.
Experience advising senior executives on complex, high-impact legal and regulatory matters.

Nice To Haves

Strong commercial contracting and transactional experience.
Experience with HIPAA, healthcare privacy, and technology-enabled healthcare services.

Responsibilities

Serve as the organization's senior legal subject-matter expert and strategic advisor on healthcare regulatory matters.
Advise executive leadership and business leaders on federal and state healthcare laws, regulations, and regulatory developments.
Develop and execute a proactive healthcare regulatory legal strategy aligned with organizational growth and business objectives.
Monitor legislation, regulations, enforcement trends, and agency guidance, and translate their implications into actionable business recommendations.
Provide strategic counsel on new products, services, business models, partnerships, and market expansion.
Partner with Compliance and business leadership to develop, enhance, and maintain an effective healthcare compliance program.
Evaluate healthcare fraud and abuse risks, including those involving the Anti-Kickback Statute, Stark Law, and False Claims Act.
Advise on Medicare, Medicaid, commercial payer requirements, and reimbursement-related regulatory matters.
Lead regulatory risk assessments, audits, monitoring activities, investigations, and remediation.
Develop and review compliance policies, procedures, controls, and training programs.
Establish escalation and risk management frameworks for significant regulatory issues.
Serve as senior legal counsel for interactions with federal and state regulatory agencies.
Advise on regulatory inquiries, investigations, audits, examinations, and enforcement matters.
Coordinate responses to government requests, subpoenas, and regulatory investigations with Compliance and outside counsel.
Support licensing, accreditation, enrollment, and regulatory filing requirements.
Develop constructive relationships with regulators and external healthcare stakeholders.
Provide legal guidance to clinical, operational, commercial, and product teams.
Evaluate healthcare provider relationships, patient programs, vendor relationships, strategic partnerships, and other healthcare arrangements.
Support commercialization and market-entry initiatives from a healthcare regulatory perspective.
Review and negotiate healthcare-related commercial agreements and identify regulatory considerations in broader transactions.
Advise on corporate practice of medicine, provider arrangements, reimbursement, referral relationships, and other healthcare-specific legal issues relevant to the organization's business model.
Partner with Privacy, Information Security, Technology, and Product teams on healthcare data and technology-related regulatory matters.
Provide guidance on HIPAA, healthcare privacy, data use, patient information, and emerging healthcare technologies.
Guide regulatory considerations associated with AI, digital health, telehealth, and technology-enabled healthcare services, as applicable.
Lead or oversee legal support for internal investigations involving potential healthcare regulatory or compliance violations.
Counsel management on corrective action, remediation, and disclosure considerations.
Manage legal strategy for government audits, payer reviews, and regulatory examinations.
Coordinate with outside counsel on significant investigations and enforcement matters.