[Hiring] Senior Counsel @Personify Health

Role Description

Ready to close the deals that power self-funded health plans?

As Senior Counsel on Personify Health’s commercial legal team, you’ll build the agreements that make our TPA business work, from client administrative services agreements to the network, pharmacy, stop-loss, and vendor partnerships behind them. You’ll partner directly with Sales, Account Management, Operations, Finance, and Procurement, giving them clear, practical legal guidance that keeps deals compliant and moving. Reporting to the SVP, Legal, you’ll run your own practice and own your transactions from first draft to signature.

When your contracts are sharp and your counsel is trusted, our teams win business faster and our members get the care and coverage they count on.

What You’ll Actually Do

• Draft, negotiate, and close TPA client agreements:
• Own administrative services agreements, renewals, amendments, fee schedules, performance guarantees, business associate agreements, and implementation, transition, and termination provisions for self-funded ERISA and non-ERISA (governmental and church) plan sponsors.
• Support the broader commercial portfolio:
• Handle wellbeing platform and services agreements plus strategic partnership and channel agreements.
• Negotiate vendor, network, and partner agreements:
• Manage provider network and rental network access, pharmacy benefit, stop-loss, cost-containment and claims editing, care navigation, and point-solution vendor contracts.
• Advise on ERISA and health plan compliance in contracting:
• Guide fiduciary and plan administrator role allocation, alignment with plan documents and SPDs, claims and appeals procedures, COBRA, the No Surprises Act, and transparency requirements.
• Serve as the legal go-to for the business:
• Resolve questions on contract interpretation, client and vendor escalations, and disputes for Sales, Account Management, Finance, Operations, and Procurement.
• Build and maintain templates and playbooks:
• Keep contract templates, negotiation playbooks, and fallback positions current.
• Anticipate and assess risk:
• Spot issues early, weigh risk strategically and practically, and deliver clear recommendations to business stakeholders and leadership.
• Counsel senior leaders:
• Advise executives on deal structure, risk tradeoffs, and commercial terms.
• Run a high-volume practice independently:
• Manage your own docket across many contract types, taking transactions from intake through execution with minimal oversight.

Qualifications

• Juris Doctor and active license in good standing in at least one U.S. state
• At least 5 years of legal practice
• Experience in the self-funded health plan space strongly preferred
• Experience counseling senior leaders and executive team members
• Working knowledge of ERISA and related health plan compliance, including HIPAA, COBRA, the ACA, and the No Surprises Act
• Understanding of TPA operations, including eligibility and enrollment, claims adjudication and payment, provider network access and repricing, stop-loss coordination, and plan sponsor funding arrangements
• Familiarity with the roles of plan sponsors, plan administrators, and TPAs under ERISA
• Contract drafting and negotiation expertise across a high volume of varied agreement types
• Financial fluency in fee structures, performance guarantees, and service-level commitments

Benefits

• Competitive base salary and benefits effective day one
• Comprehensive medical and dental through our own health solutions
• Unlimited PTO—rest and recharge time is non-negotiable
• Mental health support, retirement planning, and financial protection
• Professional development with clear career progression and learning budgets
• Mission-driven culture where diverse perspectives drive real impact on people's health

Company Description

Because health is personal. That's why Personify Health created the first and only personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. We serve employers, health plans, and health systems with data-driven solutions that reduce costs while actually improving health outcomes.