Legal, Risk & Compliance

CirrusMD; Austin (TX); Hybrid; USD 160,000 - 260,000; Full time

Benefits offered by this job

Health, vision and dental benefits

401(k) with company match

PTO and holidays

Tuition reimbursement

Leadership development

Best Place to Work culture

Job summary

Quantum Health is seeking a Corporate Counsel to lead benefits administration and service contracts. You will advise on ERISA, ACA, HIPAA and state laws, draft and negotiate complex vendor agreements, and support audits and investigations.

Remote work within the U.S. or hybrid work from Dublin, Ohio is available. You bring 5–10 years of benefits law experience and strong drafting and negotiation skills to drive compliant, client‑focused solutions.

Qualifications

• Juris Doctor (J.D.) degree from an accredited law school.
• Active license to practice law in a U.S. state.
• 5 to 10 years of legal experience with health and welfare benefits, ERISA fiduciary matters, and vendor contracts.
• In‑house counsel experience focused on employee benefits and health plans preferred.
• Benefits litigation experience preferred.
• Deep knowledge of ERISA, HIPAA, ACA, COBRA and IRS regs affecting group health plans.
• Strong fiduciary responsibility under ERISA.
• Proven ability to negotiate and manage client and vendor contracts.
• Clear communication of complex legal issues to business leaders.
• Excellent drafting, negotiation and analytical skills.
• Strategic, pragmatic, business‑minded problem solving.

Responsibilities

• Negotiate and draft client, vendor, and partner contracts including TPAs and PBMs.
• Counsel on design, implementation and administration of health and welfare plans.
• Ensure compliance with ERISA, HIPAA, ACA, COBRA and state requirements.
• Draft and maintain plan documents, SPDs, and participant communications.
• Handle disputes, claims, and appeals with oversight of outside counsel when needed.
• Track legislative and regulatory developments affecting benefits plans.
• Support audits, DOL investigations, and inquiries related to benefits administration.
• Educate internal stakeholders on fiduciary obligations and contract compliance.
• Participate in special projects and other legal initiatives.

Skills

Contract negotiation

Legal drafting

Regulatory compliance

ERISA expertise

In‑house counsel

HIPAA knowledge

Education

Juris Doctor (J.D.)

Tools

Ironclad

Microsoft Office

Teams/Zoom

Job description

Who we are

Founded in 1999 and headquartered in Central Ohio, we’re a privately‑owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone, and we’re on a mission to make healthcare simpler and more effective for our millions of members. Our big‑hearted, tech‑savvy team fights to ensure that our members get the care they need, when they need it, at the most affordable cost – that’s why we call ourselves Healthcare Warriors.

We’re committed to building diverse and inclusive teams – more than 2,000 of us and counting – so if you’re excited about this position, we encourage you to apply – even if your experience doesn’t match every requirement.

About the Role

The Corporate Counsel – Benefits Administration & Service Contracts serves as a trusted legal advisor on matters related to employer‑sponsored group health plan administration, including ERISA, ACA, MHPAEA, Medicare, state insurance law, HIPAA compliance, fiduciary governance, and contract negotiation involving health plan sponsors and downstream vendor service agreements.

This role provides first‑level legal support for operational compliance matters related to utilization management programs, wellness program incentive administration, claims and appeals support, and clinical excellence initiatives. The position also partners with cross‑functional stakeholders to negotiate complex client and vendor contracts. The ideal candidate will bring extensive experience in group health plan design, appeals and disclosure requirements, and a strong understanding of the health plan industry.

Location: This position may be performed remotely anywhere within the United States or in a hybrid capacity from the Dublin, Ohio office.

What You’ll Do (Essential Responsibilities)

• Negotiate and draft client, vendor, and partner contracts, including agreements with third‑party administrators (TPAs), pharmacy benefit managers (PBMs), wellness vendors, stop‑loss carriers, point solutions, and insurance providers
• Provide legal counsel on the design, implementation, and administration of health and welfare benefit plans, including medical, dental, vision, EAP, wellness, and flexible spending account (FSA) programs
• Ensure compliance with applicable laws and regulations, including ERISA, HIPAA, ACA, COBRA, and relevant state insurance requirements
• Draft, review, and maintain plan documents, Summary Plan Descriptions (SPDs), and participant communications to ensure regulatory compliance and clarity
• Respond to and resolve benefits‑related disputes, claims, and appeals, including oversight of outside counsel when necessary
• Monitor legislative and regulatory developments impacting health and welfare benefits and implement updates to policies, procedures, and practices
• Support internal and external audits, Department of Labor investigations, and inquiries related to benefits administration and vendor contracts
• Provide education and training to internal stakeholders regarding fiduciary obligations, plan administration, and contract compliance requirements
• Participate in special projects and additional legal initiatives as assigned
• Perform other duties as assigned

What You’ll Bring (Qualifications)

• Juris Doctor (J.D.) degree from an accredited law school
• Active license to practice law in a U.S. state
• 5 to 10 years of legal experience, including significant expertise in health and welfare benefits, ERISA fiduciary matters, and vendor contract negotiation and management
• In‑house counsel experience focused on employee benefits and health plans strongly preferred
• Benefits litigation experience preferred
• Deep knowledge of ERISA, HIPAA, ACA, COBRA, IRS regulations, and other laws affecting group health plans and employee benefits
• Strong understanding of fiduciary responsibilities under ERISA
• Demonstrated success negotiating and managing client and vendor contracts, including performance metrics and compliance obligations
• Ability to analyze complex legal issues and communicate recommendations clearly and effectively to business leaders
• Exceptional legal drafting, communication, and negotiation skills
• Strategic mindset with a practical, business‑focused approach to legal problem‑solving
• Ability to thrive in a fast‑paced, cross‑functional environment with competing priorities
• Strong technical proficiency with Microsoft Office applications, including Outlook, Word, Excel, and PowerPoint, as well as collaboration platforms such as Teams and Zoom
• Experience with Ironclad contract management software preferred
• High level of personal accountability, integrity, and commitment to organizational values, ethics, and data privacy requirements

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#LI-Remote

What’s in it for you:

• Compensation: Competitive base and incentive compensation
• Coverage: Health, vision and dental featuring our best‑in‑class healthcare navigation services, along with life insurance, legal and identity protection, adoption assistance, EAP, Teladoc services and more.
• Retirement: 401(k) plan with up to 4% employer match and full vesting on day one.
• Balance: Paid Time Off (PTO), 7 paid holidays, parental leave, volunteer days, paid sabbaticals, and more.
• Development: Tuition reimbursement up to $5,250 annually, certification/continuing education reimbursement, discounted higher education partnerships, paid trainings and leadership development.
• Culture: Recognition as a Best Place to Work for 15+ years, dedication to diversity, philanthropy and sustainability, and people‑first values that drive every decision.
• Environment: A modern workplace with a casual dress code, open floor plans, full‑service dining, free snacks and drinks, complimentary 24/7 fitness center with group classes, outdoor walking paths, game room, notary and dry‑cleaning services and more!

What you should know:

• Internal Associates: Already a Healthcare Warrior? Apply internally through Lever
• Process: Application > Recruiter Video Interview > Online Assessment(s) > Interview(s) > Offer > Background Check.
• Diversity, Equity and Inclusion: Quantum Health welcomes everyone. We value our diverse team and suppliers, we’re committed to empowering our ERGs, and we’re proud to be equal opportunity employer .
• Tobacco‑Free Campus: To further enable the health and wellbeing of our associates and community, Quantum Health maintains a tobacco‑free environment. The use of all types of tobacco products is prohibited in all company facilities and on all company grounds.
• Compensation Ranges: Compensation details published by job boards are estimates and not verified by Quantum Health. Details surrounding compensation will be disclosed throughout the interview process. Compensation offered is based on the candidate’s unique combination of experience and qualifications related to the position.
• Sponsorship: Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship.
• Agencies: Quantum Health does not accept unsolicited resumes or outreach from third‑parties. Absent a signed MSA and request/approval from Talent Acquisition to submit candidates for a specific requisition, we will not approve payment to any third party.

Reasonable Accommodation:

Should you require reasonable accommodation(s) to participate in the application/interview/selection process, or in order to complete the essential duties of the position upon acceptance of a job offer, to submit a recruitment accommodation request.