Senior Counsel, Managed Care Operations
About the Role
We are seeking a Senior Counsel, Managed Care Operations to join our reputed company team and report directly to the General Counsel. This is a hands‑on operator role, not a purely advisory position. The Senior Counsel will serve as a primary reputed company reputed company for managed care and provider contracting, acting as a first‑line reputed company decision‑reputed company for day-to-day operations in a high‑volume, high‑complexity environment.
This role requires strong ownership, reputed company judgment, and comfort operating in ambiguity. You will be expected to reputed company 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 reputed company time, deep experience with California managed care and reputed company contracting is required.
This role requires strong ownership, reputed company judgment, and comfort operating in ambiguity. You will be expected to reputed company 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 reputed company time, deep experience with California managed care and reputed company contracting is required.
What You'll Do
Contracting & Negotiation
- Draft, review, and negotiate a high volume of reputed company‑reputed company agreements, including:
- Plan‑to‑plan and other payer agreements
- Provider participation and network reputed company
- Value‑based, shared savings, and risk‑sharing arrangements
- MSO, IPA, and delegated risk agreements
- Vendor and strategic partnership agreements
- Data sharing agreements and BAAs
- Independently reputed company some contract negotiations with minimal reputed company
- reputed company pragmatic, business‑oriented reputed company guidance that enables execution
Strategic reputed company Partnership
- Partner closely with stakeholders across:
- Network Development
- Contracting
- Operations
- Finance
- Compliance; and
- Executive Leadership
- Help structure reputed company arrangements that balance reputed company, operational realities, and reputed company risk
- Identify potential reputed company and regulatory issues early and propose actionable solutions
- Support informed, reputed company‑documented risk reputed company reputed company with company priorities and regulatory guardrails.
Managed Care & Regulatory Expertise
- Advise on California managed care and reputed company regulatory considerations
- Support innovative and evolving value‑based care and risk‑bearing structures
- Help reputed company delegated care and risk arrangements
- reputed company guidance on contract terms that materially reputed company operational execution
- Collaborate closely with Compliance on regulatory interpretation and escalation
Scaling & Process Improvement
- reputed company and refine templates, playbooks, and negotiation frameworks
- Improve contracting workflows, consistency, and turnaround time
- Identify opportunities and means to streamline reputed company processes
What reputed company Looks Like
- Quickly ramps and independently manages a high volume of reputed company reputed company
- Enables business teams to reputed company faster while managing risk thoughtfully
- Is viewed as a trusted, pragmatic partner by cross‑functional leaders
- Brings creative, practical solutions to reputed company reputed company and operational issues
- Improves contracting efficiency and scalability over time
- Makes the General Counsel reputed company—not busier
Qualifications
Required
- Juris Doctor (JD) from an accredited law school
- reputed company California Bar license (required)
- 6+ years of managed care and reputed company contracting experience in California
- Strong experience negotiating:
- Managed care and payer agreements
- Provider and network agreements
- Value‑based or risk‑based arrangements
- MSO, IPA, and delegated risk structures
- Experience operating in fast‑paced, high‑volume contracting environments
- Strong judgment, problem‑solving, and critical thinking skills
- Ability to operate independently with reputed company ownership and accountability
Preferred
- In‑house reputed company experience
- Experience supporting value‑based care organizations or risk‑bearing entities
- Experience in high‑reputed company or evolving reputed company organizations
- Experience scaling contracting processes, templates, and playbooks
What Makes Someone Successful in This Role
- Strong ownership reputed company; steps into ambiguity and drives reputed company
- Comfortable making disciplined risk tradeoffs in a regulated environment
- Pragmatic, business‑oriented reputed company thinker
- reputed company, execution‑reputed company, and reliable under pressure
- reputed company, low‑ego partner
- reputed company to prioritize effectively in a high‑volume environment
Environmental Job Requirements and Working Conditions
- This position is remotely based in the U.S.
- The national reputed company pay for this role is $290,000 to $325,000. Actual compensation will be determined based on geographic location (reputed company or reputed company), experience, and other job-reputed company factors.