Corporate Counsel

About the Role

The Corporate Counsel - Benefits Administration & Service Contracts serves as a trusted legal advisor on matters related to employer-sponsored group health plan administration, including ERISA, ACA, MHPAEA, Medicare, state insurance law, HIPAA compliance, fiduciary governance, and contract negotiation involving health plan sponsors and downstream vendor service agreements.

This role provides first-level legal support for operational compliance matters related to utilization management programs, wellness program incentive administration, claims and appeals support, and clinical excellence initiatives. The position also partners with cross-functional stakeholders to negotiate complex client and vendor contracts. The ideal candidate will bring extensive experience in group health plan design, appeals and disclosure requirements, and a strong understanding of the health plan industry.

Location: This position may be performed remotely anywhere within the United States or in a hybrid capacity from the Dublin, Ohio office.
What You'll Do (Essential Responsibilities)

• Negotiate and draft client, vendor, and partner contracts, including agreements with third-party administrators (TPAs), pharmacy benefit managers (PBMs), wellness vendors, stop-loss carriers, point solutions, and insurance providers
• Provide legal counsel on the design, implementation, and administration of health and welfare benefit plans, including medical, dental, vision, EAP, wellness, and flexible spending account (FSA) programs
• Ensure compliance with applicable laws and regulations, including ERISA, HIPAA, ACA, COBRA, and relevant state insurance requirements
• Draft, review, and maintain plan documents, Summary Plan Descriptions (SPDs), and participant communications to ensure regulatory compliance and clarity
• Respond to and resolve benefits-related disputes, claims, and appeals, including oversight of outside counsel when necessary
• Monitor legislative and regulatory developments impacting health and welfare benefits and implement updates to policies, procedures, and practices
• Support internal and external audits, Department of Labor investigations, and inquiries related to benefits administration and vendor contracts
• Provide education and training to internal stakeholders regarding fiduciary obligations, plan administration, and contract compliance requirements
• Participate in special projects and additional legal initiatives as assigned
• Perform other duties as assigned

What You'll Bring (Qualifications)

• Juris Doctor (J.D.) degree from an accredited law school
• Active license to practice law in a U.S. state
• 5 to 10 years of legal experience, including significant expertise in health and welfare benefits, ERISA fiduciary matters, and vendor contract negotiation and management
• In-house counsel experience focused on employee benefits and health plans strongly preferred
• Benefits litigation experience preferred
• Deep knowledge of ERISA, HIPAA, ACA, COBRA, IRS regulations, and other laws affecting group health plans and employee benefits
• Strong understanding of fiduciary responsibilities under ERISA
• Demonstrated success negotiating and managing client and vendor contracts, including performance metrics and compliance obligations
• Ability to analyze complex legal issues and communicate recommendations clearly and effectively to business leaders
• Exceptional legal drafting, communication, and negotiation skills
• Strategic mindset with a practical, business-focused approach to legal problem-solving
• Ability to thrive in a fast-paced, cross-functional environment with competing priorities
• Strong technical proficiency with Microsoft Office applications, including Outlook, Word, Excel, and PowerPoint, as well as collaboration platforms such as Teams and Zoom
• Experience with Ironclad contract management software preferred
• High level of personal accountability, integrity, and commitment to organizational values, ethics, and data privacy requirements

#LI-CH1

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What's in it for you:

• Compensation: Competitive base and incentive compensation
• Coverage: Health, vision and dental featuring our best-in-class healthcare navigation services, along with life insurance, legal and identity protection, adoption assistance, EAP, Teladoc services and more.
• Retirement: 401(k) plan with up to 4% employer match and full vesting on day one.
• Balance: Paid Time Off (PTO), 7 paid holidays, parental leave, volunteer days, paid sabbaticals, and more.
• Development: Tuition reimbursement up to $5,250 annually, certification/continuing education reimbursement, discounted higher education partnerships, paid trainings and leadership development.
• Culture: Recognition as a Best Place to Work for 15+ years, dedication to diversity, philanthropy and sustainability, and people-first values that drive every decision.
• Environment: A modern workplace with a casual dress code, open floor plans, full-service dining, free snacks and drinks, complimentary 24/7 fitness center with group classes, outdoor walking paths, game room, notary and dry-cleaning services and more!

What you should know:

• Internal Associates: Already a Healthcare Warrior? Apply internally through Lever
• Process: Application > Recruiter Video Interview > Online Assessment(s) > Interview(s) > Offer > Background Check.
• Compensation Ranges: Compensation details published by job boards are estimates and not verified by Quantum Health. Details surrounding compensation will be disclosed throughout the interview process. Compensation offered is based on the candidate's unique combination of experience and qualifications related to the position.
• Sponsorship: Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship.
• Agencies: Quantum Health does not accept unsolicited resumes or outreach from third-parties. Absent a signed MSA and request/approval from Talent Acquisition to submit candidates for a specific requisition, we will not approve payment to any third party.

Reasonable Accommodation:

Should you require reasonable accommodation(s) to participate in the application/interview/selection process, or in order to complete the essential duties of the position upon acceptance of a job offer, click here to submit a recruitment accommodation request.