The Senior Counsel will review, draft, and negotiate payer agreements, manage legal matters related to contracting, and provide expert guidance on payer-related issues.
Aledade seeks an experienced attorney to provide advice and support on a wide range of legal and business matters related to contracting with regional and national payers. The Senior Counsel will be responsible for drafting, reviewing, and negotiating agreements with payers, with a focus on fee-for-service, capitation and value-based care contracting, as well as all agreements entered into in connection therewith. The Senior Counsel must be comfortable with Commercial, Medicare Advantage, and Medicaid programs and will work closely with Senior Leadership on payer contracts and all related corporate legal matters.
We are flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely/work from home within the U.S. or from our office in Bethesda, MD, Durham, NC or Austin, TX.
Day-to-Day Responsibilities:
- Review, structure and discuss with internal clients the terms of payer agreements including fee-for-service, capitation and value-based care agreements for Commercial, Medicare Advantage, and Medicaid programs.
- Structure, draft, negotiate and review complex payer agreements, including fee-for-service, capitation, and value-based care agreements, with national and regional payers, and other third parties.
- Review, redline and negotiate general documents in connection with such agreements such as confidentiality agreements and data use agreements.
- Create, improve, review and implement internal processes and procedures and guide teams in standardizing such agreements.
- Respond to legal requests on topics related to Aledade’s payer agreements and related programs and provide guidance as a subject matter expert.
- Handle additional assignments and responsibilities as needed.
Qualifications & Skills:
- J.D. degree and membership in at least one state bar.
- 10+ years prior payer contracting experience in a business-oriented law firm or in-house legal department (preference for someone who has been in-house at a payer).
- Advanced level contract drafting and negotiation skills related to fee-for-service arrangements. Ideal candidates will have experience with value-based care agreements and capitation agreements.
- Strong written, communication, and research skills.
- Interacts with others in a positive, respectful, and considerate manner. Ability to communicate effectively and professionally, including the ability to explain complex information to non-lawyers.
- Ability to work in a team environment while also delivering independent results.
- Demonstrated ability to work under competing deadlines and adjust responsibilities in response to recalibrated business needs.
- Ability to be flexible and scale in an extremely fast-paced, thriving startup environment.
Physical Requirements:
- Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.
Who We Are:
Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.
What Does This Mean for You?
At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:
Flexible work schedules and the ability to work remotely are available for many roles
Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners
Robust time-off plan (21 days of PTO in your first year)
Two paid volunteer days and 11 paid holidays
12 weeks paid parental leave for all new parents
Six weeks paid sabbatical after six years of service
Educational Assistant Program and Clinical Employee Reimbursement Program
401(k) with up to 4% match
Stock options
And much more!
At Aledade, we don’t just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.
Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at https://www.aledade.com/privacy-policy-applicants
Top Skills
Legal Contracts
Medicaid
Medicare Advantage
Value-Based Care
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