Senior Counsel, Managed Care Operations

🕒 il y a 5 jours

🏄 California – Distant

🏄 California – Remote

💵 $290 000 - $325 000 / an

⏰ Temps Plein

🟠 Senior

🧑‍⚖️ Directeur Juridique

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Astrana Health

Site WebLinkedInTous les Emplois

1001 - 5000 employés

☁️ SaaS

🤝 B2B

👥 B2C

SaaS • B2B • B2C

Astrana Health est une entreprise de santé qui gère des cliniques focalisées sur les communautés et une plateforme technologique à destination des prestataires pour coordonner les soins à travers les services de médecine générale, d'urgence et de spécialités multiples. Elle soutient les prestataires et les communautés locales en simplifiant l'accès aux soins, en automatisant les autorisations préalables et en connectant les patients avec des cliniciens faisant partie du réseau agréé. Astrana allie services cliniques et technologie conçue par des médecins pour améliorer l'expérience des patients et les flux de travail des prestataires.

Description

• 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

🎯 Exigences

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

🏖️ Avantages

• This position is remotely based in the U.S. • The national target pay for this role is $290,000 to $325,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.