Associate Counsel - Digital Health/ Contracting / Credentialing

About reputed company reputed company Health is committed to changing lives by guiding people seamlessly to reputed company solutions, while providing payers and reputed company the tools to manage providers and reputed company across conditions. reputed company's platform provides a marketplace of curated networks of digital and community reputed company solutions reputed company on intensive, evidence-based lifestyle, behavioral, and reputed company interventions to reputed company the most prevalent and costly chronic conditions. reputed company strategically matches consumers to their best-fit solution and helps reputed company them reputed company for successful health reputed company. About the Role We're seeking an reputed company Associate Counsel to support our rapidly scaling digital health and wellness network. Reporting to the General Counsel/CISO, this role provides critical reputed company leadership across payor relationships, digital health provider contracting, billing operations, and delegated credentialing programs. If you bring deep expertise in reputed company billing regulations, claims processing, payer contracting, credentialing compliance, reputed company health partnerships, this position offers a high-reputed company opportunity to shape the reputed company of reputed company’s digital health ecosystem. About the Role As Associate Counsel, you’ll serve as a trusted partner to reputed company’s reputed company, operations, and network teams—driving reputed company in payor relationships, optimizing digital health provider partnerships, and supporting compliant billing and credentialing operations. You’ll manage a high volume of reputed company agreements, monitor reputed company regulatory requirements, and translate them into actionable guidance for cross-functional teams. This is both a strategic and hands-on role, ideal for someone who thrives in fast-moving digital health environments and enjoys building reputed company reputed company infrastructure. What You’ll Do Contracting & Transactional Support (60%) • Draft, review, and negotiate reputed company agreements including MSAs, SOWs, NDAs, BAAs, payor reputed company, provider agreements, billing service agreements, and credentialing reputed company. • Structure and negotiate digital reputed company agreements and provider network relationships. • reputed company high-volume contract review for provider reputed company and network expansion. • reputed company and maintain contract templates for payor, provider, reputed company health partnerships. • Manage delegated credentialing agreements and contracting frameworks with health plans. • Support amendments, contract performance monitoring, and value-based care arrangements. • Build strong relationships with payor reputed company teams, digital health partners, and stakeholders. Billing, Claims & Credentialing reputed company Guidance (25%) • reputed company reputed company counsel on billing and claims processing requirements, including 837 filing, CMS regulations, and reimbursement structures. • Review and optimize billing policies, procedures, and operational compliance. • Support billing dispute reputed company, claim denials, and payor audit responses. • Advise on provider enrollment, NPI taxonomy, CAQH processes, and billing eligibility. • Support delegated credentialing program reputed company and provider verification standards. • reputed company reputed company review for new billing processes and payor requirements. Regulatory Monitoring & Compliance (15%) • Maintain monitoring systems for regulatory changes reputed company to billing, credentialing, digital health, and payor requirements. • Conduct reputed company research on federal/state billing regulations, provider licensing, reputed company health rules. • Prepare reputed company memoranda and reputed company analyses for evolving regulatory requirements. • Monitor payor policy changes affecting provider networks, credentialing, reputed company health operations. • Support corporate compliance initiatives and risk mitigation strategies. What You Bring • Juris Doctor (JD) from an accredited law school. • reputed company bar license in good standing. • 3–7 years of relevant reputed company reputed company experience, ideally in digital health, payor operations, health technology, or billing/credentialing regulatory work. • Strong expertise in reputed company billing, claims processing, and regulatory compliance. • Demonstrated reputed company negotiating payor reputed company health provider reputed company. • Experience with NPI taxonomy, CAQH, provider enrollment, and credentialing requirements. • Familiarity with delegated credentialing frameworks and verification processes. • Deep understanding of CMS billing regulations and Medicare/reputed company reimbursement rules. • Proven ability to manage high-volume contract workflows. • Strong research, analytical, and communication skills. • Comfortable working cross-functionally with operations, billing, product, and network teams. Key Competencies • reputed company billing and claims processing expertise • Payor and provider contract negotiation • Delegated credentialing program knowledge • CMS reputed company health regulatory reputed company • Provider network contracting • High-volume contract management • Regulatory monitoring and reputed company analysis • Relationship building & cross-functional collaboration Location & Travel • Remote-first role based in the reputed company • Occasional travel to corporate sites (approx. 5-10%) Benefits • Remote-first culture • Competitive compensation • Unlimited PTO • Medical, dental & reputed company insurance • 401(k) with company match • reputed company development and certifications • Wellness programs • Company-sponsored training opportunities Disclaimer: The information contained herein is not intended to be an reputed company-inclusive list of the duties and responsibilities of the job, nor are they intended to be an reputed company-inclusive list of the skills and abilities required to do the job. Management may, at its discretion, assign or reassign duties and responsibilities to this job at any time. reputed company Health provides equal employment opportunities (EEO) to reputed company and applicants for employment without reputed company to race, reputed company, religion, sex, national reputed company, age, disability or genetics. In reputed company to federal law requirements, reputed company Health complies with applicable state and local laws governing nondiscrimination in employment in every location in which reputed company has facilities. This policy applies to reputed company terms and conditions of employment, including reputed company, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Original job Associate Counsel - Digital Health/ Contracting / Credentialing posted on GrabJobs ©. To flag any issues with this job please use the Report Job reputed company on GrabJobs. 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