Accountabilities:

Independently manage a diverse portfolio of complex litigation, investigations, and disputes involving antitrust, ERISA, contractual matters, False Claims Act, Anti-Kickback Statute, fraud, waste and abuse, and other regulatory issues.
Develop and execute comprehensive litigation strategies, overseeing cases from pre-litigation assessment and investigation through discovery, settlement, and trial preparation.
Select, retain, supervise, and manage external legal counsel and litigation vendors, including negotiating legal fees and alternative fee arrangements, monitoring budgets, and evaluating performance.
Assess potential and emerging disputes in collaboration with business leaders, evaluating legal exposure, financial implications, reputational risks, potential damages, and resolution strategies.
Lead dispute resolution efforts, prepare settlement recommendations, negotiate settlement agreements, and identify practical solutions that protect organizational interests.
Direct complex discovery processes, including document production, protective orders, custodial interviews, data collection, and electronic discovery activities.
Oversee litigation holds and document preservation obligations, ensuring compliance with applicable legal and regulatory requirements.
Manage responses to civil investigative demands, subpoenas, and other formal legal requests.
Monitor emerging litigation trends, regulatory developments, and potential legal risks, recommending appropriate changes to business practices, policies, contracts, and internal controls.
Provide strategic legal advice and regular updates to legal leadership and executive stakeholders regarding litigation developments, exposure, and recommended courses of action.
Oversee insured litigation matters in coordination with insurance carriers, including claim notifications, coverage assessments, reservation-of-rights issues, reporting obligations, and reimbursement of eligible defense costs and settlements.
Develop and deliver legal training, guidance, and educational resources covering relevant legal principles, emerging regulatory issues, and risk management considerations.
Mentor legal department colleagues and provide practice-area guidance to strengthen internal legal expertise and promote consistency in legal strategy.
Collaborate with internal business teams and external stakeholders to implement effective risk mitigation measures and support informed decision-making.

Requirements

Juris Doctor (JD) degree and an active license to practice law in at least one U.S. state.
At least 7 years of experience practicing law or working in a related regulatory or compliance legal role, including a minimum of 5 years representing managed care organizations or other healthcare clients as an attorney.
Demonstrated experience independently managing complex litigation and investigations throughout all stages, including pre-litigation assessments, discovery, dispositive motions, settlement negotiations, and trial preparation.
Strong knowledge of healthcare litigation and regulatory frameworks, including antitrust, ERISA, the False Claims Act, the Anti-Kickback Statute, and fraud, waste, and abuse matters.
Proven experience managing complex litigation involving electronic discovery, extensive datasets, and large-scale document production.
Extensive experience selecting, directing, and supervising outside counsel, managing litigation vendors, and controlling legal budgets.
Ability to exercise sound independent judgment and provide commercially practical legal advice on matters involving significant legal, financial, reputational, and regulatory risks.
Strong stakeholder management and influencing skills, with the ability to guide business leaders and drive necessary changes in organizational policies and practices.
Excellent written and verbal communication skills, including the ability to translate complex legal issues into concise, clear, and compelling recommendations.
Strong negotiation, analytical, and problem-solving capabilities, with the ability to manage multiple high-priority matters simultaneously.

How Jobgether works

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Why Apply Through Jobgether?

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