Centivo Associate General Counsel at Centivo to advise on healthcare legal and business issues, focusing on self-insured health plans. Manage contracts, regulatory advisory, disputes, and M&A due diligence.
Responsibilities
Contract Negotiation (Clients and Vendors)
Draft, negotiate, redline, and finalize agreements with clients, vendors, and partners, including:
Data security and privacy agreements, e.g., Business Associate Agreements (BAAs) and Data Transfer/Utilization Agreements (DUAs)
Channel partnership joint-marketing agreements
Integrate contract intake with other relevant systems (eg SalesForce), manage the contract inventory and oversee executed agreements in Ironclad, including file management and renewal tracking
Regulatory Advisory and Matter Management (Privacy, ERISA, DOL, Licensing)
Advise on privacy and data protection requirements, including HIPAA and state law, and manage related matters
Advise on ERISA and Department of Labor (DOL) requirements that affect self-funded plans, TPA operations, and our clients as Plan Sponsors, and manage related inquiries and matters
Support licensing compliance, including medical licensing, corporate practice of medicine statutes, and individual producer and TPA licensing
Support the virtual primary care business on legal and regulatory questions
Qualification
JD degree from an accredited law schoolSkills & BehaviorsCommunication - Strong
Required
JD degree from an accredited law school
Admission to the practice of law in at least one state, with preference for admission to the NYS bar.
3 years’ experience in a law firm or in-house setting
Experience with commercial agreements and transactions within a health plan environment per the requirements noted above
Knowledge and demonstrated understanding of TPAs, health plans (especially ASO/self-funded business) and related ERISA provisions
Comfort with contract management and workflow tools and interest in using AI and other means to automate legal processes
Knowledge of medical licensing and corporate practice of medicine statutes and regulatory and compliance frameworks
Skills & Behaviors:
Communication - Strong, proven verbal and written communication skills, including the ability to convey complex or technical information in a manner that non-lawyers can understand and understand business objectives and translate into legal and regulatory requirements
Strategic Thinking – Knack for sorting through clutter to find the best route, often by pulling up from the current complexity to identify patterns that guide future direction and allow one to narrow the options and articulate the options from which others can work backward.
Business Acumen – A keenness and quickness in understanding and dealing with a business situation (risks and opportunities) in a manner that is likely to lead to a good outcome. Critical to this is an ability to think beyond their own function.
Systems/Analytical Thinking – Demonstrates the ability to think fluidly and integrate information. Able to anticipate non-linear and non-obvious relationships. Often includes an ability to think holistically/conceptually – very powerful when accompanied by ability to communicate & clarify tactically.