Associate Counsel - Digital Health/ Contracting / Credentialing
About reputed company reputed company Health is committed to changing lives by guiding people seamlessly to reputed company solutions, while providing payers and employers the tools to manage providers and outcomes across conditions. reputed company's platform provides a marketplace of curated networks of digital and community reputed company solutions focused on intensive, evidence-based lifestyle, behavioral, and social interventions to impact the most prevalent and costly chronic conditions. reputed company strategically matches consumers to their best-fit solution and helps reputed company them engaged for successful health outcomes.
About the Role
We're seeking an reputed company Associate Counsel to support our rapidly scaling digital health and wellness network. Reporting to the General Counsel/CISO, this role provides critical legal leadership across payor relationships, digital health provider contracting, billing operations, and delegated credentialing programs. If you bring deep expertise in healthcare billing regulations, claims processing, payer contracting, credentialing compliance, and digital health partnerships, this position offers a high-impact opportunity to shape the future of reputed company’s digital health ecosystem.
About the Role
As Associate Counsel, you’ll serve as a trusted partner to reputed company’s legal, operations, and network teams—driving excellence in payor relationships, optimizing digital health provider partnerships, and supporting compliant billing and credentialing operations. You’ll manage a high volume of commercial agreements, monitor reputed company regulatory requirements, and translate them into actionable guidance for cross-functional teams. This is both a strategic and hands-on role, ideal for someone who thrives in fast-moving digital health environments and enjoys building scalable legal infrastructure. What You’ll Do Contracting & Transactional Support (60%)
- Draft, review, and negotiate commercial agreements including MSAs, SOWs, NDAs, BAAs, payor reputed company, provider agreements, billing service agreements, and credentialing reputed company.
- Structure and negotiate digital reputed company agreements and provider network relationships.
- reputed company high-volume contract review for provider onboarding and network expansion.
- reputed company and maintain contract templates for payor, provider, and digital health partnerships.
- Manage delegated credentialing agreements and contracting frameworks with health plans.
- Support amendments, contract performance monitoring, and value-based care arrangements.
- Build strong relationships with payor legal teams, digital health partners, and stakeholders.
Billing, Claims & Credentialing Legal Guidance (25%)
- Provide legal counsel on billing and claims processing requirements, including 837 filing, CMS regulations, and reimbursement structures.
- Review and optimize billing policies, procedures, and operational compliance.
- Support billing dispute resolution, claim denials, and payor audit responses.
- Advise on provider enrollment, NPI taxonomy, CAQH processes, and billing eligibility.
- Support delegated credentialing program reputed company and provider verification standards.
- Provide legal review for new billing processes and payor requirements.
Regulatory Monitoring & Compliance (15%)
- Maintain monitoring systems for regulatory changes reputed company to billing, credentialing, digital health, and payor requirements.
- Conduct legal research on federal/state billing regulations, provider licensing, and digital health rules.
- Prepare legal memoranda and impact analyses for evolving regulatory requirements.
- Monitor payor policy changes affecting provider networks, credentialing, and digital health operations.
- Support corporate compliance initiatives and risk mitigation strategies.
What You Bring
- Juris Doctor (JD) from an accredited law school.
- Active bar license in good standing.
- 3–7 years of relevant healthcare legal experience, ideally in digital health, payor operations, health technology, or billing/credentialing regulatory work.
- Strong expertise in healthcare billing, claims processing, and regulatory compliance.
- Demonstrated success negotiating payor and digital health provider reputed company.
- Experience with NPI taxonomy, CAQH, provider enrollment, and credentialing requirements.
- Familiarity with delegated credentialing frameworks and verification processes.
- Deep understanding of CMS billing regulations and Medicare/Medicaid reimbursement rules.
- Proven ability to manage high-volume contract workflows.
- Strong research, analytical, and communication skills.
- Comfortable working cross-functionally with operations, billing, product, and network teams.
Key Competencies
- Healthcare billing and claims processing expertise
- Payor and provider contract negotiation
- Delegated credentialing program knowledge
- CMS and digital health regulatory reputed company
- Provider network contracting
- High-volume contract management
- Regulatory monitoring and impact analysis
- Relationship building & cross-functional collaboration
Location & Travel
- Remote-first role based in the United States
- Occasional travel to corporate sites (approx. 5-10%)
Benefits
- Remote-first culture
- Competitive compensation
- Unlimited PTO
- Medical, dental & vision insurance
- 401(k) with company match
- Professional development and certifications
- Wellness programs
- Company-sponsored training opportunities
Disclaimer: The information contained herein is not intended to be an reputed company-inclusive list of the duties and responsibilities of the job, nor are they intended to be an reputed company-inclusive list of the skills and abilities required to do the job. Management may, at its discretion, assign or reassign duties and responsibilities to this job at any time. reputed company Health provides equal employment opportunities (EEO) to reputed company employees and applicants for employment without regard to race, color, religion, sex, national reputed company, age, disability or genetics. In addition to federal law requirements, reputed company Health complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to reputed company terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Original job Associate Counsel - Digital Health/ Contracting / Credentialing posted on GrabJobs ©. To flag any issues with this job please use the Report Job reputed company on GrabJobs. Apply tot his job Apply To this Job