Senior Counsel - Value Based Care Initiatives

As a leading provider of outcomes-driven care for individuals and communities living with chronic conditions, Somatus is helping patients across the country enjoy More Healthy Days at Home.

Care at Somatus goes beyond treatment. Through a whole person approach, we deliver outcomes driven integrated care and show up #SomatusStrong for our patients and teammates. We partner closely with health plans, health systems, and provider groups to support patients with, or at risk of developing, cardio, kidney, metabolic, or other chronic conditions. 

We hire the brightest and boldest — talent driven by purpose and impact. Since our founding in 2016, our growth trajectory isn’t just a milestone — it’s a signal. Our leadership values culture and leads with intention as we remain dedicated to driving clinical excellence.  

Does this sound like you? Keep reading.

How We’ll Support You:
We offer 25+ health, growth, and wealth work perks to help teammates be the best version of themselves, including:

• Subsidized personal healthcare coverage: Medical, Dental & Vision, plus Wellness programs
• Paid Time Off: Flexible PTO
• Professional development: CEU and tuition reimbursement

The Senior Counsel - Value Based Care (VBC) Initiatives role will primarily focus on drafting, negotiating, and advising on complex agreements with health plans, health systems/provider groups, and government-funded programs (e.g., Medicare Advantage, Medicaid Managed Care, CMMI Programs, and other state/federal initiatives). The ideal candidate is a practical, business-oriented lawyer who can manage a high-volume contract portfolio while advising internal stakeholders on healthcare regulatory and operational risk. This position will also support other strategic initiatives and advise internal clients on an array of legal matters.

• Lead the end-to-end legal evaluation and internal review process for customer contracts, including master services, agreements, statements of works, business associate agreements, amendments, renewals and government related agreements.
• Serve as the primary legal point of contract for contract interpretation, risk identification, and escalation of issues related to compensation terms, performance obligations and other key contract terms;
• Facilitate cross-functional contract review meetings and manage and track internal input from key stakeholders (e.g., Finance, Operations, Security, Medical Advisory, Compliance, Account Management, Business Development, Implementation team, etc.).
• Advise internal teams on contract structure and negotiation strategy, including alternative language, fallback positions, and risk mitigation approaches.
• Assess and communicate legal and regulatory issues in healthcare contracting, including HIPAA/privacy, Medicare and Medicaid and other government contracting requirements, and applicable state law.
• Evaluate and support the Company’s internal contracting policies, playbooks, and templates. Including identifying recurring issues and recommending re-design or improvements to standard terms and review workflows.
• Track contract status and key terms in collaboration with legal operations and contracting teams and ensure contract approvals follow internal governance requirements, and continually evaluate and make recommendations for improvements to the review process.
• Provide clear, concise and practical guidance to business stakeholders to enable informed decision making and promote strong customers relationships while protecting the Company’s interest.
• Coordinate and manage outside legal counsel when needed on specialized issues, such as government procurement requirements, or complex health regulatory matters.
• Provide advice and counsel on other legal matters, such as employment matters, corporate governance, vendor contracts, and regulatory requirements applicable to the Company

This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee. Duties, responsibilities, and activities may change at any time with or without notice. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• A Juris Doctor degree from an accredited law school;
• Extensive knowledge of health care regulations and compliance, including Stark and Anti-Kickback, False Claims Act, corporate practice of medicine, licensure regulations, and other applicable laws and regulations;
• Drafting and review experience, particularly focused on value-based care program contracts with health plans, health systems, provider groups, and state and federal agencies;
• An active license to practice law in any state;
• Minimum of 7-10 years of both law firm and in-house experience;

Knowledge, Skills, and Abilities:

• Strong writing and editing skills;
• Results-oriented, with a strong sense of urgency and good time- and people-management skills to manage multiple projects simultaneously;
• Detail-oriented with strong risk-spotting and issue-resolution skills
• Ability to balance legal risk with business needs and convey legal advice clearly and effectively to non-legal colleagues; and
• Comfort with contract lifecycle management (CLM) systems and scaling legal processes
• Experience in employment law (federal and multi-state)
• Experience with health-reform related initiatives (such as ACOs, CKCC, medical homes, bundled payment programs);
• Broad experience with a variety of legal matters, including health care, corporate, commercial contract negotiation, employment, compliance, privacy, corporate governance, and/or intellectual property; and
• Experience with independent drafting and negotiating a variety of agreements.