Associate General Counsel

We exist for workers and their employers -- who are the backbone of our economy.  That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills.

Summary of role:

We are looking for in-house member of our legal team. The role requires knowledge of and experience with federal and state laws and regulations unique to the healthcare industry, and in particular, self-insured/self-funded health plans.

Reporting to our Chief Legal Officer with support from outside counsel, this role is an opportunity for a healthcare attorney to not only advise the company on a diverse array of legal and business issues, but to continue to help Centivo build its in-house counsel function and related processes. Your work will fall into four areas: contract negotiation, regulatory advisory and matter management, disputes and matter management, and M&A and due diligence. Across all four areas, you will help shape how the legal team works. We use Ironclad for contract management, and there are ample opportunities to build and improve legal processes through process documentation, templates, standard workflow automation, and use of artificial intelligence (AI).

Responsibilities Include:

Contract Negotiation (Clients and Vendors)

• Draft, negotiate, redline, and finalize agreements with clients, vendors, and partners, including:

• Employer administrative services agreements (ASAs)

• Client and vendor agreements (MSAs)

• 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

Disputes and Matter Management

• Manage disputes with clients, vendors, and others, contract and otherwise, from early resolution through formal proceedings

• Coordinate outside counsel, track matters through resolution, and keep business stakeholders informed

M&A and Due Diligence

• Support acquisitions, investments, and other corporate transactions, including legal due diligence

• Review diligence materials, flag risks in plain language, and help prepare transaction documents with outside counsel

Qualifications:

• 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 in