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Senior Litigation & Product Counsel

extra holidays - extra parental leave
Remote: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

J.D. degree from an accredited law school., At least four years of litigation and/or internal investigations experience at a large law firm or health insurance company., Experience working with health insurance clients, particularly in managed care, and familiarity with AKS, FCA, and HIPAA., Proven ability to develop strategies to mitigate litigation and regulatory risk..

Key responsabilities:

  • Manage the company’s portfolio of actual and threatened litigation and regulatory investigations.
  • Conduct internal investigations of potential regulatory violations.
  • Provide legal advice regarding CMS regulations, AKS, FCA, and HIPAA to various teams.
  • Draft and negotiate customer contracts for Counterpart Health.

Clover Health logo
Clover Health Health Care Scaleup https://www.cloverhealth.com/
501 - 1000 Employees
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Job description

The Clover legal team is a small and nimble group that takes on novel issues that require creative solutions. You are joining a smart and scrappy group of in-house lawyers where you will proactively address legal matters that challenge you to think differently. As a key member of the team, you will work closely with the company’s business leaders to anticipate and develop legal solutions.

We're looking to hire a Senior Litigation & Product Counsel to our team! In this role you will be responsible for helping (1) manage the company’s portfolio of actual and threatened litigation and regulatory investigations; (2) assess the litigation and regulatory risk of various company processes, initiatives, and communications; and (3) develop risk mitigation strategies.  In addition, you will assist in drafting and negotiating customer contracts for Counterpart Health, a Clover subsidiary focused on enabling third-party payors and others to succeed in value-based care through use of Clover’s proprietary technology platform, Counterpart Assistant.

As our Senior Litigation & Product Counsel, you will:

  • Manage the company’s portfolio of actual and threatened litigation and regulatory investigations by conducting legal research and internal fact-finding, and helping supervise outside counsel.
  • Conduct internal investigations of potential regulatory violations raised through the company’s various reporting channels.
  • Provide the company’s Medicare Advantage and Counterpart Assistant teams with practical day-to-day legal advice regarding Centers for Medicare and Medicaid Services (“CMS”) regulations, the Anti-Kickback Statute (“AKS”), the False Claims Act (“FCA”), and the Health Insurance Portability and Accountability Act (“HIPAA”).
  • Proactively identify areas of litigation and regulatory risk, and develop strategies to mitigate such risk.
  • Draft and negotiate customer contracts for Counterpart Health.

Success in this role looks like:

  • In your first few months you have built trusting relationships with stakeholders across the business, setting you up to be a strategic legal business partner. 
  • Within your first six months you have proactively identified and partnered to resolve risk areas, cementing your role as a trusted partner and advisor.
  • Long term, your understanding of Clover’s business units and product offerings, investigative fortitude, and reliable business partnership skills serve as a force multiplier for our growing legal function.

You should get in touch if:

  • You have a J.D degree from an accredited law school.
  • You have at least four years of litigation and/or internal investigations experience at a large law firm and/or health insurance company.
  • You have experience working with health insurance clients, especially in the managed care space, and are familiar with the AKS, FCA, and HIPAA.
  • You have experience helping clients develop strategies to mitigate litigation and regulatory risk.

Benefits Overview:

  • Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
  • Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
  • Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. 
  • Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

  • Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
  • Reimbursement for office setup expenses
  • Monthly cell phone & internet stipend
  • Remote-first culture, enabling collaboration with global teams
  • Paid parental leave for all new parents
  • And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

A reasonable estimate of the base salary range for this role is $189,000 to $231,000. Final pay is based on several factors including but not limited to internal equity, market data, and the applicant’s education, work experience, certifications, etc.


Required profile

Experience

Industry :
Health Care
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Relationship Building
  • Strategic Thinking
  • Communication

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