Assistant General Counsel, Health Plan Operations

Assistant General Counsel, Health Plan Operations

About the Company

Progressive healthcare company providing Medicare Advantage plans

Industry
Hospital & Health Care

Type
Privately Held, VC-backed

Founded
2017

Employees
1001-5000

Funding
$200+ million

Categories

• Health Care
• Elder Care
• Elderly
• Health Insurance
• Insurance
• Senior Care
• Healthcare
• MedTech
• Personalized Medicine
• Health and Wellness
• Ambulance
• Surgical Hospital
• Emergency Care

Specialties

• health care
• data science
• technology
• medicare advantage
• design
• social workers
• and love
• love
• healthcare services
• healthcare technology
• human-centered design
• care coordination
• compassionate care
• member experience
• value-based care
• health equity
• remote work culture
• and distributed workforce

Business Classifications

• B2C

About the Role

The Company is seeking an Assistant General Counsel for Health Plan Operations to join their team. This key legal partner will provide practical and business-minded counsel across a range of activities that support the operation of Medicare Advantage and related products. The role is highly hands-on, with a focus on supporting the claims process, network development and management, provider contracting, delegated entity oversight, and ensuring regulatory compliance. The successful candidate will be responsible for translating complex legal requirements into actionable guidance, supporting the implementation of clinical programs and quality initiatives, and collaborating with internal teams to ensure compliance with state and federal health care laws and regulations. Applicants must be licensed to practice law in at least one state, with 8-10 years of experience, including a minimum of 2-4 years in an in-house legal role, preferably at a health plan. Strong knowledge of health care regulatory requirements and the ability to analyze legal issues from a business perspective are essential. The role requires an individual with outstanding interpersonal, organizational, and communication skills, who is proactive, solutions-oriented, and can manage multiple tasks with a high sense of urgency. The ideal candidate will have a background in Medicare Advantage plan operations, but this is not a mandatory requirement. The company values diversity, collaboration, and a commitment to a safe and supportive work environment.

Hiring Manager Title
Deputy General Counsel

Functions

• Legal