Company:
AHI agilon health, inc.
Job Posting Location:
Remote - USA
Job Title:
Associate General Counsel, Contracts
Job Description:
agilon health is transforming primary care by building one of the nation's leading value-based care platforms — and our Legal team is at the center of that growth. The Associate General Counsel, Contracting supports agilon's payor contracting function by providing practical legal support across the full contract lifecycle, from initial negotiation through post-execution management.
Reporting to the Sr. Associate General Counsel, Payor Contracting, this attorney will develop and apply knowledge of Medicare Advantage contracting, value-based care arrangements, and healthcare regulatory requirements. This role is well-suited for a transactional attorney with a healthcare background who is looking to deepen their payor contracting expertise and grow within an in-house legal team that is trusted and influential within the business.
Payor Contracting & Strategy:
- Support end-to-end negotiation of Medicare Advantage risk agreements, including financial terms, risk-bearing entity structures, DOFR allocations, and performance guarantees, in partnership with senior legal and Payor Contracting leadership.
- Draft, review, and maintain payor contract templates and assist in updating template language to reflect current regulatory requirements and market conditions.
- Assist with attorney-to-attorney correspondence and support escalations, disputes, and resolutions under the direction of senior counsel.
- Monitor CMS regulatory developments and assist in advising business partners on contract language implications; support preparation for Joint Operating Committee (JOC) meetings, dispute notices, and other payor-facing communications.
- Assist in coordinating with Finance, Contract Analysis, and other cross-functional stakeholders to align negotiated financial terms with approved financial models.
- Support payor contract interpretation, post-execution management, amendments, renewals, notices, reconciliations, and other ongoing contract matters.
Vendor Contracting
- Draft, review, and negotiate commercial vendor and third-party agreements, including technology, SaaS, professional services, consulting, data and analytics, clinical services, business associate, licensing, and supply agreements.
- Collaborate with IT, Information Security, Privacy, Finance, Compliance, and business owners to ensure vendor agreements appropriately address business, legal, regulatory, security, and operational requirements.
- Support development and maintenance of standard vendor contract templates, playbooks, and negotiation guidelines.
Additional Contracting & Cross-Functional Support
- While the primary focus of this role is payor and vendor contracting, agilon's legal team operates as a collaborative enterprise function. Attorneys with experience or interest in any of the following areas will find opportunities to contribute:
- Physician and partner agreements, including employee lease agreements, medical leadership agreements, reimbursement arrangements, and program incentive agreements.
- ACO program contracting, including MSSP and LEAD managed care services agreements, participating provider agreements, and partner participation agreements.
- Clinical program agreements, co-management arrangements, and other provider-facing contracts.
General Legal Support & Cross-Functional Partnership
- Research federal and state legal developments affecting agilon's markets and contractual arrangements and provide timely analysis to senior legal staff and business stakeholders.
- Assist in translating legal, regulatory, financial, and operational risks into clear, practical guidance that enables informed business decisions.
- Support Legal's advisory role in risk adjustment, data sharing, and regulatory compliance matters as they intersect with contracting.
- Partner effectively across Legal, Compliance, Finance, Operations, and Market teams in a highly matrixed environment.
- Perform other duties and support additional projects as assigned, consistent with the evolving needs of the Legal department and the business.
Required Qualifications
Minimum Experience
- At least 5 years of relevant transactional legal experience in a law firm, in-house legal department, or a combination of both.
- Some experience with or exposure to healthcare payor contracting, value-based care arrangements, or similarly complex risk-based healthcare agreements.
- Foundational knowledge of Value-Based Care, Medicare Advantage Organizations, and healthcare fraud and abuse laws.
- Ability to draft and negotiate agreements, provide clear advice under complex situations, and build relationships across stakeholder groups.
- Ability to exercise initiative, independence, and sound judgment and to work proactively with appropriate supervision.
- Ability to identify and articulate legal and business risks and support balanced, informed decision-making.
- Ability to work effectively across functions and within a highly matrixed organization.
Preferred Qualifications
- Prior in-house healthcare experience, particularly in a value-based care, managed care, or payor-facing environment.
- Knowledge of ACO REACH/LEAD, MSSP, or other federal healthcare program structures.
- Experience with vendor or commercial contracting, including technology, SaaS, or data agreements.
- Familiarity with contract lifecycle management systems or contracting process improvement initiatives.
Education/Licensure
- Juris Doctor degree from an accredited law school.
- Active license and good standing to practice law in at least one U.S. jurisdiction.
Travel Requirements
- Periodic business travel may be required to attend company, legal, and/or other business meetings.
Location:
Remote - MA
Pay Range:
$129,700.00 - $162,100.00
Salary range shown is a guideline. Individual compensation packages can vary based on factors unique to each candidate, such as skill set, experience, and qualifications.
