Senior Counsel, Managed Care Operations

Astrana Health

Senior Counsel for Managed Care Operations focusing on legal decisions in high-volume healthcare contracting. Partnering with stakeholders to navigate complex legal and regulatory aspects.

Posted 6/2/2026full-timeRemote • California • 🇺🇸 United StatesSenior💰 $290,000 - $325,000 per yearWebsite

About the role

Key responsibilities & impact

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

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
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)

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 contractingmanaged care agreementspayer agreementsprovider agreementsvalue-based arrangementsrisk-sharing arrangementsdelegated risk agreementscontract templatescontract workflows

Soft Skills

problem-solvingcritical thinkingindependenceownershipaccountabilityjudgmentcollaborationcommunicationleadershiporganizational skills

Certifications

Juris Doctor (JD)California Bar license