Associate General Counsel

We are seeking an experienced Associate General Counsel to serve as a key member of the Legal Department, providing practical, business-focused legal guidance to a rapidly growing physician practice organization focused on value-based primary care. Reporting to the Chief Legal Officer & General Counsel, this attorney will advise executive and operational leaders on healthcare regulatory matters, commercial transactions, Medicare Advantage operations, provider contracting, healthcare marketing, and risk management initiatives. The successful candidate will partner closely with Compliance, Operations, Clinical Leadership, Finance, Growth, Human Resources, Information Technology, and Population Health teams to support the organization's continued growth and success.

The ideal candidate combines sophisticated healthcare regulatory knowledge with strong commercial drafting and negotiation skills and enjoys working in a fast-paced, operational environment where legal advice must be practical, actionable, and aligned with business objectives.

Key Responsibilities

Healthcare Regulatory Counseling

Provide day-to-day legal advice regarding:

• Medicare Advantage
• Traditional Medicare
• Medicaid
• Value-Based Care arrangements
• CMS regulations and guidance
• Stark Law
• Anti-Kickback Statute
• Civil Monetary Penalties Law
• HIPAA and healthcare privacy requirements
• Florida healthcare regulations
• Provider enrollment matters
• Delegated risk arrangements
• Managed care operations
• Corporate practice of medicine requirements
• Physician employment matters
• Scope of practice issues
• Fraud, waste, and abuse concerns

Advise business leaders on healthcare compliance obligations while developing practical solutions that support organizational objectives and mitigate legal risk.

Medicare Advantage & Health Plan Legal Support - Serve as legal advisor to business teams supporting:

• Medicare Advantage growth initiatives
• Risk adjustment programs
• RAF/HCC documentation initiatives
• Care management programs
• Quality and Stars initiatives
• Value-based reimbursement arrangements
• Delegated payer relationships
• Health plan operational matters
• CMS audit readiness activities
• Medicare marketing compliance
• Agent and broker relationships
• Provider education and outreach initiatives
• Beneficiary communications
• Enrollment-related legal matters

Provide legal guidance to support the organization's evolving relationships with health plans, delegated entities, and provider networks.

Commercial Contracting - Draft, negotiate, review, and advise regarding:

• Vendor agreements
• Technology agreements
• Software-as-a-Service (SaaS) agreements
• Professional services agreements
• Business Associate Agreements (BAAs)
• Master Services Agreements (MSAs)
• Statements of Work (SOWs)
• Provider agreements
• Independent contractor agreements
• Marketing agreements
• Consulting agreements
• Data sharing agreements
• Population health vendor agreements
• Artificial intelligence and technology contracts

Support contract lifecycle management while balancing legal protections with operational and business needs.

Corporate Legal Support -Provide legal support related to:

• Board and committee materials
• Corporate governance matters
• Entity management
• Legal and compliance policies
• Legal research and analysis
• Employment-related matters
• Litigation management
• Outside counsel oversight
• Due diligence activities
• Mergers and acquisitions integration support
• Regulatory investigations
• Government inquiries and audits

Assist in developing scalable legal processes and governance structures that support organizational growth.

Cross-Functional Partnership - Partner closely with:

• Compliance
• Population Health
• Revenue Cycle
• Clinical Operations
• Marketing
• Finance
• Human Resources
• Information Technology
• Privacy
• Provider Relations
• Network Development

Work collaboratively to proactively identify legal risks, ensure regulatory compliance, and support strategic business initiatives.

Required Qualifications

• Juris Doctor (J.D.) degree from an accredited law school.
• Active state bar license in good standing; Florida licensure preferred or ability to obtain Florida licensure.
• Minimum of 5-7 years of legal experience.
• Significant healthcare law experience.
• Experience supporting physician organizations, health plans, managed care organizations, or integrated delivery systems.
• Strong commercial contracting and transaction experience.
• Excellent drafting, negotiation, and issue-spotting skills.
• Experience advising senior executives and business leaders.
• Strong business judgment and practical problem-solving abilities.
• Excellent written, verbal, and interpersonal communication skills.
• Ability to effectively manage multiple priorities in a fast-paced environment.

Preferred Qualifications - Experience with one or more of the following:

• Medicare Advantage
• Managed care organizations
• Health plans
• Value-based care arrangements
• Accountable Care Organizations (ACOs)
• Risk-bearing provider organizations
• Population health programs
• Provider networks
• Primary care organizations
• Delegated entities
• CMS audits and investigations
• Medicare marketing regulations
• Florida healthcare law
• HIPAA and healthcare privacy requirements
• Provider contracting
• Healthcare technology and AI-enabled solutions

Preferred Background - Candidates will typically have experience from one or more of the following environments:

• Medicare Advantage health plans
• National managed care organizations
• Large physician practice organizations
• Integrated delivery systems
• Value-based care organizations
• Healthcare-focused law firms
• Government healthcare regulatory agencies or healthcare regulatory practices

Core Competencies

• Healthcare Regulatory Law
• Medicare Advantage & Managed Care
• Commercial Contract Negotiation
• Corporate Governance
• Healthcare Compliance
• Strategic Risk Management
• Executive Advisory Skills
• Provider Contracting
• Regulatory Investigations
• Business Partnership
• Legal Operations
• Cross-Functional Leadership

Success Profile - The successful candidate will be:

• Practical rather than academic in their approach.
• Comfortable making risk-based business decisions.
• Highly responsive and service-oriented.
• Collaborative, approachable, and relationship-focused.
• Able to translate complex legal and regulatory requirements into clear operational guidance.
• Comfortable interacting with executive leadership and frontline operational teams.
• Curious, proactive, and solution-oriented.
• Effective at managing multiple priorities in a dynamic, fast-paced environment.

Why WellMed Optum Florida

We are transforming healthcare through innovation, physician-led care, and value-based delivery models that improve patient outcomes while lowering costs.

• This is an opportunity to help shape and expand the legal function of a rapidly growing value-based primary care organization. The Associate General Counsel will work directly with executive leadership on strategic initiatives, support transformative business growth, and develop scalable legal processes that enable exceptional patient care while managing organizational risk. The position offers broad exposure to healthcare operations, Medicare Advantage, value-based care, provider networks, and complex healthcare regulatory matters, making it an exceptional opportunity for a healthcare attorney seeking meaningful impact and executive-level visibility.