Associate Counsel: Health Plan & Government Contracts

Blue Cross and Blue Shield of North Carolina; Chapel Hill (NC); Hybrid; USD 131,000 - 209,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Parental leave and adoption support

401k match

Job summary

Blue Cross NC is seeking an Associate Counsel to support the State Health Plan TPA contract, liaising with operational, compliance, and executive teams to ensure contractual compliance and manage legal risk.

The role provides exposure to government contracting, public records laws, and health plan administration, with opportunities to influence large-scale health plan operations and strategic initiatives.

Qualifications

• Graduate of an accredited law school is required.
• 3+ years of experience in related field.
• Licensed to practice law.

Responsibilities

• Serve as dedicated legal counsel supporting Blue Cross NC's administration of the State Health Plan TPA contract.
• Act as the day-to-day resource for business teams supporting the State Health Plan account, providing timely legal guidance on operational, contractual, regulatory, and implementation matters.
• Develop and maintain deep subject matter knowledge of the State Health Plan contract, including performance guarantees, service levels, reporting obligations, implementation requirements, financial provisions, audit rights, and operational commitments.
• Research and analyze federal and state laws, regulations, administrative guidance, and case law applicable to health plans, government programs, and third-party administration services.
• Draft, review, and negotiate a variety of legal documents, including provider agreements, data sharing agreements, vendor agreements, business associate agreements, amendments, and operational documentation.
• Support implementation and ongoing administration of State Health Plan initiatives, benefit changes, network arrangements, and vendor integrations.
• Advise business partners on compliance with HIPAA, HITECH, privacy, security, data governance, and information-sharing requirements.
• Support responses to audits, investigations, administrative inquiries, regulatory requests, and contractual compliance reviews.
• Assist with public records requests, confidentiality analyses, and protection of trade secret and proprietary information.
• Monitor legal, regulatory, and legislative developments impacting the State Health Plan, government health programs, and health plan administration and communicate practical implications to business stakeholders.
• Provide legal support related to appeals, grievances, provider disputes, claims administration issues, and member complaints.
• Develop and deliver training to business partners on legal and compliance topics.
• Support strategic initiatives involving value-based care, alternative payment models, provider contracting, and network innovation.
• Draft and review executive communications, board materials, regulatory responses, and other business-facing legal guidance.

Education

Graduate of an accredited law school

Job description

Blue Cross NC is seeking an Associate Counsel to support the State Health Plan TPA contract, liaising with operational, compliance, and executive teams to ensure contractual compliance and manage legal risk.

The role provides exposure to government contracting, public records laws, and health plan administration, with opportunities to influence large-scale health plan operations and strategic initiatives.