Senior Healthcare Regulatory Counsel

EMS Direct; New York (NY); On-site; USD 175,000 - 200,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Paid time off

401k with company contribution

Job summary

EMS Direct in New York, NY is seeking a Senior Healthcare Regulatory Counsel to serve as a senior strategic legal adviser to executive leadership across healthcare regulatory, compliance, and operational matters. The role leads development of a healthcare regulatory strategy and partners with Compliance, Finance, Product, and other teams to enable growth and regulatory excellence.

The successful candidate will translate complex federal and state requirements into practical, scalable solutions,

Qualifications

• Juris Doctor (J.D.) from an accredited law school.

Responsibilities

• Serve as the organization's senior legal subject-matter expert on healthcare regulatory matters.
• Advise executive leadership and business leaders on federal and state healthcare laws, regulations, and regulatory developments.
• Develop and execute a proactive healthcare regulatory legal strategy aligned with organizational growth and business objectives.
• Monitor emerging legislation, regulations, enforcement trends and agency guidance and translate their implications into actionable business recommendations.
• Provide strategic counsel on new products, services, business models, partnerships and market expansion.

Education

Juris Doctor (J.D.) from an accredited law school

Job description

Job Title: Senior Healthcare Regulatory Counsel

Salary: $175,000 - $200,000

Location: In-person, 685 3rd Ave 9th Floor, New York, NY 10017

Employment Type: Full-time, Salary Exempt

Benefits: Medical, Dental, and Vision (with company contribution), Paid Time Off, 401k

Position Summary

The Senior Healthcare Regulatory Counsel will serve as a senior strategic legal advisor to executive leadership and the business, providing comprehensive counsel on healthcare regulatory, compliance, commercial and operational matters across the organization. This role will lead the development and execution of healthcare regulatory legal strategy, helping the organization navigate an increasingly complex federal and state regulatory environment while enabling business growth, innovation, and operational excellence. The VP will serve as a trusted partner to executive leadership, clinical and operational teams, Compliance, Finance, Human Resources, Product, Commercial, and other functional leaders. The successful candidate will combine deep healthcare regulatory expertise with strong business judgment and the ability to translate complex legal and regulatory requirements into practical, scalable solutions. This role will proactively identify regulatory risk, establish appropriate mitigation strategies, and help the organization develop compliant operating models as it expands its services, technology, and geographic footprint.

Key Responsibilities

Healthcare Regulatory Strategy

• Serve as the organization's senior legal subject-matter expert and strategic advisor on healthcare regulatory matters.
• Advise executive leadership and business leaders on federal and state healthcare laws, regulations, and regulatory developments.
• Develop and execute a proactive healthcare regulatory legal strategy aligned with organizational growth and business objectives.
• Monitor emerging legislation, regulations, enforcement trends and agency guidance and translate their implications into actionable business recommendations.
• Provide strategic counsel on new products, services, business models, partnerships and market expansion.

Healthcare Compliance & Risk Management

• Partner with Compliance and business leadership to develop, enhance and maintain an effective healthcare compliance program.
• Evaluate healthcare fraud and abuse risks, including the Anti-Kickback Statute, Stark Law, and False Claims Act.
• Provide guidance regarding Medicare, Medicaid, commercial payer requirements and reimbursement-related regulatory matters.
• Lead regulatory risk assessments, audits, monitoring activities, investigations, and remediation.
• Develop and review compliance policies, procedures, controls, and training programs.
• Establish appropriate escalation and risk management frameworks for significant regulatory issues.

Regulatory Affairs & Government Relations

• Serve as senior legal counsel for interactions with federal and state regulatory agencies.
• Provide advice on regulatory inquiries, investigations, audits, examinations, and enforcement matters.
• Coordinate responses to government requests, subpoenas, and regulatory investigations in partnership with Compliance and outside counsel.
• Support licensing, accreditation, enrollment, and regulatory filing requirements.
• Develop constructive relationships with regulators and other external healthcare stakeholders.

Healthcare Operations & Commercialization

• Provide legal guidance to clinical, operational, commercial, and product teams.
• Evaluate healthcare provider relationships, patient programs, vendor relationships, strategic partnerships, and other healthcare arrangements.
• Support commercialization and market-entry initiatives from a healthcare regulatory perspective.
• Review and negotiate healthcare-related commercial agreements and identify regulatory considerations within broader transactions.
• Guide corporate practice of medicine, provider arrangements, reimbursement, referral relationships, and other healthcare-specific legal issues, as applicable to the organization's business model.

Privacy, Data & Technology

• Partner with Privacy, Information Security, Technology and Product teams on healthcare data and technology-related regulatory matters.
• Provide legal guidance regarding HIPAA, healthcare privacy, data use, patient information, and emerging healthcare technologies.
• Guide regulatory considerations associated with AI, digital health, telehealth, and technology-enabled healthcare services, as applicable.

Investigations, Audits & Enforcement

• Lead or oversee legal support for internal investigations involving potential healthcare regulatory or compliance violations.
• Counsel management on corrective action, remediation and disclosure considerations.
• Manage legal strategy for government audits, payer reviews, and regulatory examinations.
• Coordinate with outside counsel on significant investigations and enforcement matters.

Qualifications

• Juris Doctor (J.D.) from an accredited law school.
• Active license to practice law in at