Associate Counsel – Digital Health, Contracting, Credentialing

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November 20

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Solera, Inc.

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Transport • AI • SaaS

Solera, Inc. is a provider of data-driven and AI-enabled solutions for vehicle lifecycle management, fleet management, vehicle repairs, and claims processing. Solera offers a comprehensive suite of services that cater to the needs of dealers, insurers, repair shops, and fleet operators, utilizing advanced analytics to streamline processes and improve efficiency. Their services include vehicle tracking, claims automation, repair database management, and fleet intelligence, among others. With vast amounts of data and strong industry partnerships, Solera aims to enhance business outcomes for their clients across the automotive sector.

5001 - 10000 employees

Founded 2005

🚗 Transport

☁️ SaaS

📋 Description

• Draft, review, and negotiate commercial agreements including MSAs, SOWs, NDAs, BAAs, payor contracts, provider agreements, billing service agreements, and credentialing contracts. • Structure and negotiate digital health partnership agreements and provider network relationships. • Lead high-volume contract review for provider onboarding and network expansion. • Develop and maintain contract templates for payor, provider, and digital health partnerships. • Manage delegated credentialing agreements and contracting frameworks with health plans. • Support amendments, contract performance monitoring, and value-based care arrangements. • Build strong relationships with payor legal teams, digital health partners, and stakeholders. • Provide legal counsel on billing and claims processing requirements, including 837 filing, CMS regulations, and reimbursement structures. • Review and optimize billing policies, procedures, and operational compliance. • Support billing dispute resolution, claim denials, and payor audit responses. • Advise on provider enrollment, NPI taxonomy, CAQH processes, and billing eligibility. • Support delegated credentialing program oversight and provider verification standards. • Provide legal review for new billing processes and payor requirements. • Maintain monitoring systems for regulatory changes related to billing, credentialing, digital health, and payor requirements. • Conduct legal research on federal/state billing regulations, provider licensing, and digital health rules. • Prepare legal memoranda and impact analyses for evolving regulatory requirements. • Monitor payor policy changes affecting provider networks, credentialing, and digital health operations. • Support corporate compliance initiatives and risk mitigation strategies.

🎯 Requirements

• Juris Doctor (JD) from an accredited law school. • Active bar license in good standing. • 3–7 years of relevant healthcare legal experience, ideally in digital health, payor operations, health technology, or billing/credentialing regulatory work. • Strong expertise in healthcare billing, claims processing, and regulatory compliance. • Demonstrated success negotiating payor and digital health provider contracts. • Experience with NPI taxonomy, CAQH, provider enrollment, and credentialing requirements. • Familiarity with delegated credentialing frameworks and verification processes. • Deep understanding of CMS billing regulations and Medicare/Medicaid reimbursement rules. • Proven ability to manage high-volume contract workflows. • Strong research, analytical, and communication skills. • Comfortable working cross-functionally with operations, billing, product, and network teams.

🏖️ Benefits

• Remote-first culture • Competitive compensation • Unlimited PTO • Medical, dental & vision insurance • 401(k) with company match • Professional development and certifications • Wellness programs • Company-sponsored training opportunities