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RWJBarnabas Health

Senior Counsel / Assistant Vice President, Legal Affairs, Managed Care Contracti

RWJBarnabas Health, Short Hills, New Jersey, us, 07078

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Job Title Senior Counsel / Assistant Vice President, Legal Affairs, Managed Care Contracting

Location RWJBarnabas Health Corporate Services, 95 Old Short Hills Road, West Orange, NJ 07052

Pay Range $175,000.00 - $295,000.00 per year (New Jersey)

Job Overview RWJBarnabas Health, New Jersey's largest integrated academic healthcare system, seeks an experienced, detail-oriented, and strategic in‑house attorney to serve as Assistant Vice President of Legal Affairs with a concentration in managed care contracting. This role will focus on legal matters involving managed care and payer contracting, value‑based reimbursement models, and contract negotiation strategies. The successful candidate will provide legal and business guidance on complex contractual and regulatory issues relating to payor relationships, third‑party administrators, Medicare Advantage, and Medicaid Managed Care.

Reporting Line The Assistant Vice President of Legal Affairs, Managed Care Contracting reports to the Vice President of Legal Affairs.

Qualifications

Juris Doctor from an accredited law school

Active license to practice law in the State of New Jersey or eligibility for in‑house counsel licensure in NJ

Minimum of 8 years of relevant legal experience, with a strong preference for candidates with in‑house healthcare system or managed care organization experience

Deep expertise in managed care contracting, health plan operations, and regulatory frameworks governing provider‑payer relationships

Demonstrated ability to negotiate high‑stakes contracts with a strong grasp of both legal risk and business priorities

Excellent verbal and written communication skills, with the ability to convey attention to detail, with a proactive and collaborative work style

Experience with value‑based payment models and risk arrangements

Familiarity with contract lifecycle management systems and legal operations software

Background in or understanding of healthcare economics, reimbursement methodologies, and health system finance

Essential Functions Contract Drafting, Negotiation, and Review

Draft, negotiate, and review a broad array of managed care and value‑based contracts, including commercial and government payor agreements, provider network participation agreements, third‑party administrator contracts, and delegated credentialing agreements

Advise on contract language interpretation and strategic terms related to reimbursement, risk‑sharing, quality performance metrics, dispute resolution, and termination rights

Coordinate closely with managed care, revenue cycle, finance, population health, compliance, and operational leadership teams to ensure alignment with system goals and financial impact

Regulatory and Legal Compliance

Monitor and interpret federal and state regulatory developments affecting managed care arrangements, including but not limited to ERISA, HIPAA, the No Surprises Act, CMS guidance, and New Jersey‑specific mandates

Ensure that contracts and payor strategies remain in compliance with all applicable laws and regulations

Advise on value‑based care models and alternative payment arrangements in accordance with fraud and abuse laws, including the federal Anti‑Kickback Statute, Stark Law, and state equivalents

Internal Legal Support and Business Strategy

Serve as a trusted advisor to system leadership, offering practical legal counsel that balances risk mitigation with business objectives

Proactively identify areas of legal risk and propose creative, legally compliant solutions that promote health system initiatives and strategic partnerships

Participate in cross‑functional teams focused on managed care strategy, payment innovation, and operational implementation of contractual terms

Administrative and Team Responsibilities

Maintain accurate documentation and tracking of all managed care agreements and associated legal files

Provide training and education to internal stakeholders regarding contract provisions, regulatory changes, and negotiation strategies

Contribute to departmental initiatives around process improvement, contract lifecycle management, and legal operations

Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Benefits and Perks

Paid Time Off including Vacation, Holidays, and Sick Time

Retirement Plans

Medical and Prescription Drug Insurance

Dental and Vision Insurance

Disability and Life Insurance

Paid Parental Leave

Tuition Reimbursement

Student Loan Planning Support

Flexible Spending Accounts

Wellness Programs

Voluntary Benefits (e.g., Pet Insurance)

Community and Volunteer Opportunities

Discounts Through our Partners such as NJ Devils, NJ PAC, and Verizon

...and more!

RWJBarnabas Health is an Equal Opportunity Employer

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