Senior Counsel

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $150k - $200k / year

⏰ Full Time

🟠 Senior

⚖️ Legal Counsel / General Counsel

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Personify Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2023

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Personify Health is the first personalized health platform company, designed to empower individuals and organizations to achieve better health outcomes through tailored solutions and services. They offer a comprehensive range of solutions including wellbeing navigation, care management, and health plan administration, catering to employers, health systems, health plans, and brokers. Their goal is to simplify healthcare experiences and enhance engagement, ultimately helping businesses optimize their investment in employee health and wellbeing.

📋 Description

• Draft, negotiate, and close TPA client agreements, including administrative services agreements, renewals, amendments, fee schedules, performance guarantees, business associate agreements, and implementation, transition, and termination provisions • Handle wellbeing platform and services agreements plus strategic partnership and channel agreements • Negotiate vendor, network, and partner agreements covering provider networks, rental network access, pharmacy benefits, stop-loss, cost-containment and claims editing, care navigation, and point-solution vendors • Advise on ERISA and health plan compliance in contracting, including fiduciary and plan administrator role allocation, plan documents and SPDs, claims and appeals procedures, COBRA, the No Surprises Act, and transparency requirements • Resolve contract interpretation questions, client and vendor escalations, and disputes for Sales, Account Management, Finance, Operations, and Procurement • Build and maintain contract templates, negotiation playbooks, and fallback positions • Assess risks and provide clear recommendations to business stakeholders and leadership • Advise executives on deal structure, risk tradeoffs, and commercial terms • Independently manage a high-volume practice and transactions from intake through execution • Report to the SVP, Legal

🎯 Requirements

• Juris Doctor and active license in good standing in at least one U.S. state • At least 5 years of legal practice • Experience in the self-funded health plan space strongly preferred, gained at a TPA, health plan, national carrier, provider network, PBM, stop-loss carrier, or a law firm serving these clients • Experience counseling senior leaders and executive team members • Working knowledge of ERISA and related health plan compliance, including HIPAA, COBRA, the ACA, and the No Surprises Act • Understanding of TPA operations, including eligibility and enrollment, claims adjudication and payment, provider network access and repricing, stop-loss coordination, and plan sponsor funding arrangements • Familiarity with the roles of plan sponsors, plan administrators, and TPAs under ERISA, including differences for governmental and church plans • Contract drafting and negotiation expertise across a high volume of varied agreement types • Financial fluency in fee structures, performance guarantees, and service-level commitments

🏖️ Benefits

• Competitive base salary • Comprehensive medical and dental through our own health solutions • Unlimited PTO • Mental health support • Retirement planning • Financial protection • Professional development • Clear career progression • Learning budgets • Mission-driven culture • Wellness programs • Other employee perks • Full benefits package effective day one