Associate General Counsel - Healthcare Regulatory

Capsule

New York City, NY, US
  • Job Type: Full-Time
  • Function: Legal
  • Post Date: 04/08/2021
  • Website: capsulecares.com
  • Company Address: 255 Greenwich St, 4th Floor, New York, NY, 10007, US

About Capsule

Capsule is rebuilding the $425 billion pharmacy industry from the inside out with an emotionally resonant brand and technology that enables customized outcomes for doctors, hospitals, insurers, and manufacturers. Our team makes the same promise to each other as the one we’ve made to our customers, doctors, and partners: everybody needs some looking after sometimes. We’ll never lose sight of the fact that behind all the craziness of the healthcare system, we’re just people looking after other people.

Job Description

About Us:

Capsule is rebuilding the $425 billion pharmacy industry from the inside out with an emotionally resonant pharmacy experience that works for everyone, and technology that enables customized outcomes for patients, doctors, hospitals, insurers, and manufacturers. Our team is laser focused on creating the best healthcare experience for our customers, and driving meaningful value and better outcomes for every participant in the healthcare system. Everyone who uses Capsule raves about it - we have 5,000+ five-star app reviews - and we’re expanding quickly to get that experience in the hands of as many people as possible. We’ve raised over $250 million from the best internet and healthcare investors to enable that expansion.

Our values are: everybody needs some looking after sometimes and winning together. People succeed in our culture when they are intensely focused on our customers, energized to accomplish ambitious goals, and push themselves and those around them to be better. We work hard to teach and share our successes to help others be successful. We anticipate our teammates’ needs and communicate early and often, using the input of our peers to operate both fast and right. We have tremendous ambitions and a lot of fun pursuing them — if that excites you, we’d love to have you join us.

About the Role:

The Associate General Counsel for Healthcare Regulatory matters will focus on providing Capsule’s team with cutting edge legal analysis and ideas for navigating the complex regulatory environment for healthcare in the United States. You will be the company’s expert in these matters - which include the Federal Anti-Kickback Statute, Stark Law, OIG Medicare and Medicaid regulations, HIPAA, and state-level equivalents of those laws, among many others. 

While Capsule HQ is located in New York City and we have a preference for candidates in or around NYC, this role can be located anywhere in the United States.

Key Outcomes:

  • Develop a legal and regulatory framework around marketing for Capsule, and work with Capsule’s marketing and growth teams to evaluate new marketing and growth initiatives in light of current and future legal and regulatory requirements.
  • With Capsule’s leadership team, develop legal and regulatory structures to support Capsule’s initiatives in value-based care.
  • Develop legal and regulatory structures that support Capsule’s partnerships with providers, payers, employers, and other constituencies across the US healthcare system.
  • Be Capsule’s expert on federal and state Medicare and Medicaid programs, including on credentialing and ongoing compliance requirements.
  • Work with relevant stakeholders to identify and mitigate healthcare regulatory risks in Capsule’s third party contractual arrangements.
  • Provide clear and practical advice with respect to Capsule’s HIPAA compliance in matters relating to partnerships, vendor relationships, and growth.
  • Efficiently manage relevant outside relationships with top tier healthcare regulatory counsel

About You:

  • Rather than saying “no,” you find safe ways to say “yes” in complex legal risk situations.
  • You balance risk calculations with business and commercial sense.
  • You take pride in enabling the best work of others on the team. You think ahead to anticipate the needs of your teammates and you give and get all the facts making it easy for others to make decisions.
  • You are driven to be a great partner and forge long-lasting relationships with the people you work across the table from.
  • You work hard and want to have fun while you do so. You celebrate wins and remember to enjoy the journey as we build something iconic.
  • You can work both fast and right and don't view them as trade-offs. You understand when things require precision and accuracy and where 80% gets you to the desired outcome.
  • You thrive on being pushed and challenged. You communicate effectively both in written form and live / on your feet - you are not fazed by tough questions in the moment.
  • You operate like an owner and expect others to as well. You take personal responsibility and value personal responsibility in others.
  • You check your ego at the door. You are interested in finding the right answer vs. always having the right answer.

Requirements:

  • 8+ years of legal experience in healthcare regulatory law at a national law firm or healthcare business
  • A track record of distilling and communicating complex legal principles to business teams and other individuals with non-legal backgrounds
  • Licensed to practice law in your state of residence
  • For individuals who will be remote - a record of accomplishments in a remote role or otherwise some sense of your ability to operate effectively without being at our physical headquarters

 

Capsule is committed to hiring the best team possible to build a pharmacy that works for everyone. We have a diverse set of problems to solve, and believe that we need a diverse set of perspectives to deliver the best possible solutions to those problems. We look for talent from a wide range of backgrounds - including but not limited to - race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.

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Disclaimer: Local Candidates Only
This company does NOT accept candidates from outside recruiting firms. Agency contacts are not welcome.