Senior Counsel, Managed Care Operations

Astrana Health

Senior Counsel, Managed Care Operations overseeing legal matters in healthcare contracting. Collaborating with various stakeholders to structure compliant agreements within the California managed care environment.

Posted 4/15/2026full-timeRemote • California • 🇺🇸 United StatesSenior💰 $290,000 - $325,000 per yearWebsite

About the role

Key responsibilities & impact

Serve as a primary legal owner for managed care and provider contracting
Act as a first‑line legal decision‑maker for day-to-day operations in a high‑volume, high‑complexity environment
Draft, review, and negotiate a high volume of healthcare‑related agreements
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
Advise on California managed care and healthcare regulatory considerations
Support innovative and evolving value‑based care and risk‑bearing structures
Develop and refine templates, playbooks, and negotiation frameworks

Requirements

What you’ll need

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
Preferred: In‑house legal experience, Experience supporting value‑based care organizations or risk‑bearing entities, Experience in high‑growth or evolving healthcare organizations

Benefits

Comp & perks

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.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

contract negotiationhealthcare agreementsmanaged care contractingpayer agreementsprovider agreementsvalue-based arrangementsrisk-based arrangementsMSO structuresIPA structuresdelegated risk structures

Soft Skills

strong judgmentproblem-solvingcritical thinkingindependenceaccountability

Certifications

Juris Doctor (JD)California Bar license