Senior Counsel, Managed Care Operations

Senior Counsel, Managed Care Operations

Department: Value-Based Care Programs

Employment Type: Full Time

Location: Remote

Reporting To: Crystal Lautrup

Compensation: $290,000 - $325,000 / year

Description

About the Role

We are seeking a Senior Counsel, Managed Care Operations to join our legal team and report directly to the General Counsel. This is a handson operator role, not a purely advisory position. The Senior Counsel will serve as a primary legal owner for managed care and provider contracting, acting as a firstline legal decisionmaker for day-to-day operations in a highvolume, highcomplexity environment.


This role requires strong ownership, sound judgment, and comfort operating in ambiguity. You will be expected to move quickly, partner closely with many business segments, and help structure practical solutions in a regulated California managed care environment. Because of the pace of the role and limited ramp time, deep experience with California managed care and healthcare contracting is required.

What You'll Do

Contracting & Negotiation

• Draft, review, and negotiate a high volume of healthcarerelated agreements, including:
  • Plantoplan and other payer agreements
  • Provider participation and network contracts
  • Valuebased, shared savings, and risksharing 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, businessoriented legal guidance that enables execution

Strategic Legal Partnership

• 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, welldocumented risk decisions aligned with company priorities and regulatory guardrails.

Managed Care & Regulatory Expertise

• Advise on California managed care and healthcare regulatory considerations
• Support innovative and evolving valuebased care and riskbearing 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

Scaling & Process Improvement

• Develop and refine templates, playbooks, and negotiation frameworks
• Improve contracting workflows, consistency, and turnaround time
• Identify opportunities and means to streamline legal processes

What Success Looks Like

• Quickly ramps and independently manages a high volume of complex contracts
• Enables business teams to move faster while managing risk thoughtfully
• Is viewed as a trusted, pragmatic partner by crossfunctional leaders
• Brings creative, practical solutions to complex legal and operational issues
• Improves contracting efficiency and scalability over time
• Makes the General Counsel better-not busier

Qualifications

Required

• 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
  • Valuebased or riskbased arrangements
  • MSO, IPA, and delegated risk structures
• Experience operating in fastpaced, highvolume contracting environments
• Strong judgment, problemsolving, and critical thinking skills
• Ability to operate independently with clear ownership and accountability

Preferred

• Inhouse legal experience
• Experience supporting valuebased care organizations or riskbearing entities
• Experience in highgrowth or evolving healthcare organizations
• Experience scaling contracting processes, templates, and playbooks

What Makes Someone Successful in This Role

• Strong ownership mindset; steps into ambiguity and drives resolution
• Comfortable making disciplined risk tradeoffs in a regulated environment
• Pragmatic, businessoriented legal thinker
• Responsive, executionfocused, and reliable under pressure
• Collaborative, lowego partner
• Able to prioritize effectively in a highvolume environment

Environmental Job Requirements and Working Conditions

• 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.