Regulatory & Healthcare Counsel

Position Type: Full-time, salaried, exempt

Compensation: up to $200,000 

Job Location: Remote (US)

Company Overview

Theoria Medical is a comprehensive medical group and technology company dedicated to advancing patient care across the healthcare continuum, with a focus on post-acute and primary care. We serve facilities nationwide with a range of services designed to elevate care quality, streamline facility operations, and strengthen essential partnerships. Our offerings include primary care services, telemedicine, remote patient monitoring, and more, supporting post-acute facilities across the country.

As an innovative, quality-driven physician group, Theoria Medical is rapidly expanding nationwide. We are continually seeking talented individuals who are passionate about transforming healthcare delivery to join our team and make a meaningful impact.

We are currently looking for a dynamic and skilled Regulatory and Healthcare Counsel to join our Legal Department. This role will focus on healthcare regulatory compliance and provide strategic legal guidance to drive our business objectives. The ideal candidate will bring a robust understanding of healthcare law, particularly in regulatory compliance, credentialing, and reimbursement practices. If you are a meticulous, results-oriented professional adept at managing complex legal issues and thrive in a fast-paced environment, this is a unique opportunity to contribute to the growth of an innovative healthcare organization.

Shift Structure 

• Remote position, M-F 
• Preferred hours: 8:30 a.m. - 5:30 p.m. EST

Essential Functions & Responsibilities 

• Develop, implement, and maintain policies to ensure compliance with healthcare laws and regulations, including CMS, HIPAA, AKS, and Stark Law, as well as state and federal requirements.
• Advise on regulatory requirements for Theoria Medical’s service lines, including post-acute care, telemedicine, and ACOs, to ensure compliance and mitigate legal risks.
• Provide guidance on regulatory issues related to payor enrollment and credentialing processes, supporting the in-house credentialing team.
• Draft, review, and negotiate agreements with healthcare facilities, providers, and vendors, with a focus on regulatory adherence.
• Offer legal guidance on business initiatives, particularly around ACO growth, reimbursement, and billing practices.
• Develop and deliver training for staff on regulatory compliance and legal best practices.
• Operate independently to manage caseloads efficiently and consistently meet tight deadlines.
• Develop, implement, and maintain compliance policies and procedures that align with evolving industry standards.
• Stay current on healthcare laws, regulations, and emerging legal trends to provide proactive legal counsel.
• Assist senior leadership in understanding regulatory risks and opportunities to support strategic business objectives.

Physical Requirements

• Lift or move up to 20 lbs
• Prolonged periods using computer and typing
• Reliable transportation for external filings or mailings

Requirements and Qualifications

• Juris Doctor (JD) from an accredited law school and active bar membership.
• 7+ years of experience in healthcare law, regulatory compliance, or healthcare transactions.
• Expertise in healthcare regulatory frameworks (e.g., CMS, HIPAA, Stark Law).
• Strong analytical, negotiation, and communication skills, with the ability to operate effectively in a fast-paced environment.

Compensation and Benefits 

• PTO and holidays
• 401k with employer match
• Health Insurance 
• Dental Insurance
• Vision insurance
• Life Insurance 
• Short Term and Long Term disability insurance offered  

Employee must be able to perform the essential functions of this position satisfactorily, with or without a reasonable accommodation.  Employer retains the right to change or assign other duties to this position.

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