Foodsmart · 6 days ago

Senior Vice President, General Counsel

United States

Full-time

Remote

Director/Executive

$300K/yr - $315K/yr

15+ years exp

Maximize your interview chances

FitnessFood and Beverage

Growth Opportunities

Insider Connection @Foodsmart

Discover valuable connections within the company who might provide insights and potential referrals.
Get 3x more responses when you reach out via email instead of LinkedIn.

Responsibilities

Serve as a core member of the Executive Leadership Team and trusted advisor to the company's Chief Executive Officer and Board of Directors, providing counsel on issues of overarching importance to the company, advising on current and future risks, and assisting in setting and implementing the overall strategic direction of the company.

Drive the company’s Medicaid/Medicare strategy by leveraging experience and insights from both federal (e.g., CMS, HHS), state and corporate experience. Provide counsel on compliance with healthcare regulations such as HIPAA, MACRA, and value-based care initiatives.

Lead government relations efforts, focusing on influencing healthcare policy and regulatory enforcement at both the national and state levels. Build and maintain relationships with CMS, state Medicaid agencies, and other regulatory bodies. Advocate for company interests with legislative and regulatory bodies, and ensure the company’s voice is heard in policy-making discussions.

Oversee the company’s compliance program, including areas such as HIPAA, fraud and abuse prevention, Stark Law compliance, and Anti-Kickback Statute adherence. Ensure that the company is prepared for audits and regulatory reviews, and that all compliance practices are up-to-date with evolving regulations.

Take a leadership role in managed care negotiations, fee-for-service and value-based contracting, shared savings and ACO initiatives, population health activities, network creation, payer-provider joint ventures, and related regulatory compliance issues.

Advise the company on the litigation risks of business decisions, provide preventive counseling regarding the legal risks associated with business practices, develop strategies with both inside and outside counsel in response to litigation and regulatory inquiries and cost-effectively manage the resources required to address those matters.

Oversee and participate in the negotiation, drafting, and implementation of a wide variety of complex commercial agreements in a healthcare context related to, among other things, mergers and acquisitions, strategic alliances and joint ventures, payer contracts, information technology, and innovation development and investment.

Apply modern mindset in terms of leveraging to the fullest contract management systems and AI for content development and QA. Committed to the use of templates and integration of contract management systems with the Company’s other key finance, CRM and project management systems.

Develop, lead, and manage a legal department; build a fit-for-purpose legal function and foster a culture of transparency, inclusion, and alignment so that the legal team is viewed as a trusted, agile, and value-added business partner; budget for, select, and manage outside counsel.Oversee all legal matters, including corporate governance, commercial transactions, and litigation, ensuring alignment with Foodsmart’s strategic goals.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Medicaid regulationsMedicare regulationsHealthcare complianceGovernment relationsLegal strategy alignmentLitigation risk assessmentContract negotiationBusiness acumenRegulatory complianceHealthcare industry experienceCommercial agreementsFraud preventionStark Law complianceAnti-Kickback Statute adherenceContract management systemsAI for content developmentCross-functional collaboration

Required

15+ years of legal experience, with significant time spent in the healthcare industry, focusing on Medicaid/Medicare regulations. Ideally, this includes a combination of federal experience (e.g., within HHS, DOJ, CMS) and in-house legal experience with a healthcare organization or law firm.

Business minded lawyer, someone who understands the impact and financial goals of the Company, and supports the management team enables the holistic strategy for the business. The GC will find solutions for problems versus just creating roadblocks, and will consider the cost-effectiveness of legal decisions and actions on the business.

Deep understanding of the regulatory landscape for government-sponsored health plans, with a track record of successfully navigating compliance and legal challenges and will understand applicable healthcare regulatory requirements and laws (e.g., Stark, anti-kickback, fraud and abuse, tax exemption, etc.).

Experience and/or acumen in government relations, particularly in engaging with state and national agencies that influence healthcare policy, as well as navigating legislative processes that impact Medicaid/Medicare.

Demonstrated ability to lead and develop high-performing legal and compliance teams.

Strong business acumen with the ability to align legal strategies with broader business objectives.