Associate General Counsel

We exist for workers and their employers -- who are the backbone of our economy.  That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills.

We are looking for in-house member of our legal team. The role requires knowledge of and experience with federal and state laws and regulations unique to the healthcare industry, and in particular, self-insured/self-funded health plans.

Reporting to our Chief Legal Officer with support from outside counsel, this role is an opportunity for a healthcare attorney to not only advise the company on a diverse array of legal and business issues, but to continue to help Centivo build its in-house counsel function and related processes. Your work will fall into four areas: contract negotiation, regulatory advisory and matter management, disputes and matter management, and M&A and due diligence. Across all four areas, you will help shape how the legal team works. We use Ironclad for contract management, and there are ample opportunities to build and improve legal processes through process documentation, templates, standard workflow automation, and use of artificial intelligence (AI).

• Draft, negotiate, redline, and finalize agreements with clients, vendors, and partners, including:

• Employer administrative services agreements (ASAs)

• Client and vendor agreements (MSAs)

• Data security and privacy agreements, e.g., Business Associate Agreements (BAAs) and Data Transfer/Utilization Agreements (DUAs)

• Channel partnership joint-marketing agreements

• Integrate contract intake with other relevant systems (eg SalesForce), manage the contract inventory and oversee executed agreements in Ironclad, including file management and renewal tracking

• Advise on privacy and data protection requirements, including HIPAA and state law, and manage related matters

• Advise on ERISA and Department of Labor (DOL) requirements that affect self-funded plans, TPA operations, and our clients as Plan Sponsors, and manage related inquiries and matters

• Support licensing compliance, including medical licensing, corporate practice of medicine statutes, and individual producer and TPA licensing

• Support the virtual primary care business on legal and regulatory questions

• Manage disputes with clients, vendors, and others, contract and otherwise, from early resolution through formal proceedings

• Coordinate outside counsel, track matters through resolution, and keep business stakeholders informed

• Support acquisitions, investments, and other corporate transactions, including legal due diligence

• Review diligence materials, flag risks in plain language, and help prepare transaction documents with outside counsel

• JD degree from an accredited law school

• Admission to the practice of law in at least one state, with preference for admission to the NYS bar.

• 3 years’ experience in a law firm or in-house setting

• Experience with commercial agreements and transactions within a health plan environment per the requirements noted above

• Knowledge and demonstrated understanding of TPAs, health plans (especially ASO/self-funded business) and related ERISA provisions

• Comfort with contract management and workflow tools and interest in using AI and other means to automate legal processes

• Knowledge of medical licensing and corporate practice of medicine statutes and regulatory and compliance frameworks

• Remote, with a preference for a candidate within the WNY area

Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit centivo.com.

Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co.