Associate General Counsel

This is a fully remote position, open to applicants in California, +1 more state.

📋 Description

• Provide guidance on billing and reimbursement inquiries while establishing Pivotal’s stance with health plans.

• Engage in direct negotiations with health plans to resolve payment conflicts and recover provider reimbursements.

• Outline and implement the procedure for collecting arbitration awards.

• Assess litigation strategies and formulate pre-litigation escalation plans.

• Offer advice to product and operations teams regarding healthcare regulatory issues.

• Convert regulatory requirements into systems, tools, and platform features.

• Review and negotiate vendor contracts, BAAs, NDAs, and MSAs in collaboration with the Deputy General Counsel.

• Develop legal workflows and templates to enhance the efficiency of the legal team.

• Provide counsel to the business on various general legal matters across different teams.

⛳️ Requirements

• Mid-level healthcare regulatory attorney with experience from a leading law firm or healthcare organization.

• Background in healthcare regulatory, operational, and contracting issues.

• Proficient in advising on provider billing and payer reimbursement inquiries.

• Skilled in negotiating payment disputes directly with health plans.

• Capable of assessing litigation strategies and creating pre-litigation plans.

• Competent in translating healthcare regulatory requirements into systems, tools, and platform features.

• Experience in reviewing and negotiating vendor contracts, BAAs, NDAs, and MSAs.

• Proven track record in building legal workflows and templates from scratch.

• Preferred: Experience in HealthTech or healthcare technology.

• Preferred: Experience with IDR or No Surprises Act dispute work.

• Preferred: Direct experience working with state or federal regulators.

• Must have authorization to work in the United States without current or future employer sponsorship.

• Successful completion of applicable background checks, as permitted by law.

🏝️ Benefits

• Competitive compensation package, including equity options.

• Comprehensive health, dental, and vision insurance coverage.

• Retirement savings plan available through a 401(k).

• Flexible time-off policies.

• Opportunities for company-wide connections and events.

• Options for remote and hybrid work arrangements.