Senior Attorney
Capital Rx
full-time
Posted on:
Location Type: Remote
Location: Colorado • New York • United States
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Salary
💰 $115,000 - $260,000 per year
Job Level
About the role
- Manage and provide legal oversight for regulatory change management for the Company, including but not limited to monitoring, analyzing, and interpreting federal and state healthcare legislation, proposed legislation, and sub-regulatory guidance.
- Track regulatory developments and assess their impact on organizational strategy, operations, and provider relationships.
- Provide practical, risk‑based legal advice to support regulatory change management initiatives, including implementation planning and cross‑functional execution.
- Develop and deliver clear legal guidance, summaries, and recommendations for senior leadership and business stakeholders.
- Support internal policy development and updates to ensure alignment with evolving regulatory requirements.
- Manage and provide legal oversight for organizational licensing activities, including initial applications, renewals, and compliance with state and federal requirements.
- Advise on licensing strategies related to provider expansion, new service lines, geographic growth, and organizational restructuring.
- Serve as a legal resource for licensing issues, audits, investigations, and correspondence with regulatory agencies.
- Provide legal support for provider relations contracting, including drafting, reviewing, and negotiating provider agreements and related amendments.
- Advise on regulatory compliance matters affecting provider contracts, reimbursement arrangements, and network participation.
- Collaborate with provider relations, contracting, and compliance teams to ensure contracts align with regulatory, operational, and business objectives.
- Partner with compliance, government affairs, operations, and business teams to proactively identify and mitigate legal and regulatory risks.
- Support other legal and regulatory initiatives as needed, including audits, investigations, and special projects.
- Maintain strong relationships with internal stakeholders and external counsel as appropriate.
- Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance.
Requirements
- 8+ years legal attorney experience in a law firm and/or in-house setting.
- In depth knowledge of healthcare laws, regulations and industry standards governing the provision of healthcare.
- Juris Doctorate Degree (JD) and admission to the bar in at least one state and in good standing of applicable bar association.
- Healthcare laws and regulations including: HIPAA, Medicare, Medicaid, False Claims Act, or Federal Anti-Kickback Statute.
- Excellent written and oral communication skills in a professional manner.
- Experience working with PBMs and related laws.
- Proven ability to thrive in a fast-paced, performance-driven culture.
- Demonstrated leadership initiative, resilience and ability to embrace change.
- Strong work ethic, be a self-starter, and able to be highly productive in a dynamic, collaborative environment.
Benefits
- All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
legal oversightregulatory change managementlegal advicelicensing activitiesprovider relations contractingdrafting agreementsnegotiating contractsregulatory complianceauditsinvestigations
Soft Skills
communication skillsleadership initiativeresilienceadaptabilityself-starterproductivitycollaborationrelationship managementrisk mitigationstrategic thinking
Certifications
Juris Doctorate Degree (JD)admission to the bar