Associate General Counsel, Healthcare

GRP SCAN Group

California (MO)

Hybrid

USD 180,000 - 240,000

Full time

8 days ago
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Job summary

SCAN Group seeks an experienced Associate General Counsel, Healthcare to serve as the primary legal counsel for its care delivery organizations. This role provides strategic, regulatory, and contracting guidance across operations, physician arrangements, and value-based care programs.

The ideal candidate has a JD from a top-tier ABA-accredited school, California Bar eligibility/RIHC, and at least 8 years in healthcare law—preferably with a mix of top-tier firm and in-house experience.

Qualifications

  • Juris Doctor from a top-tier ABA-accredited law school.
  • Active California State Bar membership or eligibility to practice as RIHC.
  • Minimum 8 years of relevant legal experience at a top-tier law firm or similar.
  • Significant experience advising healthcare providers, medical groups, and care-delivery entities.
  • Strong knowledge of physician contracting, corporate practice of medicine, fee-splitting, and provider compensation laws.
  • Solid understanding of federal and state healthcare regulatory requirements.

Responsibilities

  • Serve as primary legal counsel and strategic advisor to SCAN's care delivery organizations.
  • Provide guidance on operational, regulatory, contracting, governance, and strategic matters; coordinate with the Legal Department.
  • Advise on medical group operations, physician contracting, professional services arrangements, and related compliance issues.
  • Draft, review, and negotiate a broad range of contracts (provider, payer, value-based care, vendor, etc.).
  • Oversee outside counsel, manage case strategy, and control legal spend for cost-effective results.
  • Monitor market trends and anticipate regulatory changes affecting operations.
  • Collaborate with diverse stakeholders to support SCAN's mission and care delivery goals.

Education

Juris Doctor from ABA-accredited law school

Job description

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the "12 Angry Seniors." Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we believe scale should strengthen-not dilute-our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.

About SCAN

SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 500,000 members in California, Arizona, Nevada, Oregon, Washington and Texas. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts.

The Associate General Counsel, Healthcare
  • You Will Serves as primary legal counsel and strategic advisor to SCAN's care delivery organizations, including Healthcare in Action, myPlace Health, Welcome Health, Embrace, and other affiliated provider and care delivery entities.
  • Acts as the principal legal point of contact for business leaders, providing practical advice on operational, regulatory, contracting, governance, and strategic matters, and coordinating with other members of the Legal Department as necessary to ensure appropriate legal support.
  • Provides legal and regulatory counsel regarding medical group, provider, and integrated care delivery operations, including physician and advanced practice clinician contracting, professional services arrangements, corporate practice of medicine, fee-splitting, provider compensation models, credentialing, delegation, risk-bearing and value-based care arrangements, licensure and scope-of-practice requirements, and other federal and state laws applicable to healthcare providers, medical groups, IPAs, PACE organizations, and risk-bearing entities.
  • Drafts, reviews, negotiates, and advises on a broad range of contracts, including provider, payer, value-based care, risk-sharing, pharmacy, PBM, vendor, professional services, and strategic partnership agreements.
  • Advises on federal and state healthcare laws and regulations on issues relating to managed care organizations and medical group operations, federal and state healthcare laws (e.g., Stark Law, Anti-Kickback Statute, HIPAA, licensing, scope of practice), PACE programs, Medicare, Medicaid, telehealth, etc.
  • Actively oversees and manages outside counsel, including setting case strategy, reviewing work product, and managing legal spend to ensure cost-effective, high-quality results.
  • Acts independently to provide well-informed and timely legal advice on a variety of complex and sensitive healthcare matters.
  • Monitors and researches market and industry trends of interest to the organization in connection with its business activities.
  • Anticipate changes impacting operations, notifies management and recommend preparatory actions.
  • Works collaboratively with a broad range of stakeholders throughout the organization to develop and maintain strong relationships with SCAN business units and affiliates.
  • We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.
  • Actively support the achievement of SCAN's Vision and Goals.
  • Other duties as assigned.
Your Qualifications
  • Juris Doctor from a top-tier, ABA-accredited law school.
  • Active membership in good standing with the California State Bar, or eligibility to practice as Registered In-House Counsel (RIHC) required.
  • Minimum 8 years of relevant legal experience at a top-tier law firm.
  • Experience may be a combination of top-tier firm and in-house at an established legal department.
  • Significant experience advising healthcare providers, medical groups, integrated care delivery organizations, risk-bearing entities, and/or managed care organizations is required.
  • Strong working knowledge of physician contracting, professional services arrangements, corporate practice of medicine, fee-splitting, provider compensation models, scope-of-practice requirements, licensure, delegation, and other laws governing healthcare providers and care delivery organizations is required.
  • Strong knowledge of federal and state healthcare regulatory requirements, including healthcare fraud and abuse laws, and related healthcare compliance frameworks is required.
  • Experience negotiating and advising on provider, payer, health system, value-based care, risk-sharing, management services, and other complex healthcare agreements is preferred.
  • Experience serving as counsel to a medical group, provider organization, IPA, ACO, PACE organization, FQHC, health system, or other care delivery entities are highly desirable.
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