Senior Healthcare Regulatory Counsel

EMS Direct, LLCNew York City, New YorkOn-siteFull-timeSenior, 5–8 yearsListed 1 hour ago

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About this role

Job Title: Senior Healthcare Regulatory Counsel

Salary: $175,000 - $200,000

Location: In-person, 685 3rd Ave 9th Floor, New York, NY 10017

Employment Type:  Full-time, Salary Exempt

Benefits: Medical, Dental, and Vision (with company contribution), Paid Time Off, 401k

Position Summary

The Senior Healthcare Regulatory Counsel will serve as a senior strategic legal advisor to executive leadership and the business, providing comprehensive counsel on healthcare regulatory, compliance, commercial and operational matters across the organization.

This role will lead the development and execution of healthcare regulatory legal strategy, helping the organization navigate an increasingly complex federal and state regulatory environment while enabling business growth, innovation, and operational excellence. The VP will serve as a trusted partner to executive leadership, clinical and operational teams, Compliance, Finance, Human Resources, Product, Commercial, and other functional leaders.

The successful candidate will combine deep healthcare regulatory expertise with strong business judgment and the ability to translate complex legal and regulatory requirements into practical, scalable solutions. This role will proactively identify regulatory risk, establish appropriate mitigation strategies, and help the organization develop compliant operating models as it expands its services, technology, and geographic footprint.

Key Responsibilities

Healthcare Regulatory Strategy

- Serve as the organization's senior legal subject-matter expert and strategic advisor on healthcare regulatory matters.
- Advise executive leadership and business leaders on federal and state healthcare laws, regulations, and regulatory developments.
- Develop and execute a proactive healthcare regulatory legal strategy aligned with organizational growth and business objectives.
- Monitor emerging legislation, regulations, enforcement trends and agency guidance and translate their implications into actionable business recommendations.
- Provide strategic counsel on new products, services, business models, partnerships and market expansion.

Healthcare Compliance & Risk Management

- Partner with Compliance and business leadership to develop, enhance and maintain an effective healthcare compliance program.
- Evaluate healthcare fraud and abuse risks, including the Anti-Kickback Statute, Stark Law, and False Claims Act.
- Provide guidance regarding Medicare, Medicaid, commercial payer requirements and reimbursement-related regulatory matters.
- Lead regulatory risk assessments, audits, monitoring activities, investigations, and remediation.
- Develop and review compliance policies, procedures, controls, and training programs.
- Establish appropriate escalation and risk management frameworks for significant regulatory issues.

Regulatory Affairs & Government Relations

- Serve as senior legal counsel for interactions with federal and state regulatory agencies.
- Provide advice on regulatory inquiries, investigations, audits, examinations, and enforcement matters.
- Coordinate responses to government requests, subpoenas, and regulatory investigations in partnership with Compliance and outside counsel.
- Support licensing, accreditation, enrollment, and regulatory filing requirements.
- Develop constructive relationships with regulators and other external healthcare stakeholders.

Healthcare Operations & Commercialization

- Provide legal guidance to clinical, operational, commercial, and product teams.
- Evaluate healthcare provider relationships, patient programs, vendor relationships, strategic partnerships, and other healthcare arrangements.
- Support commercialization and market-entry initiatives from a healthcare regulatory perspective.
- Review and negotiate healthcare-related commercial agreements and identify regulatory considerations within broader transactions.
- Guide corporate practice of medicine, provider arrangements, reimbursement, referral relationships, and other healthcare-specific legal issues, as applicable to the organization's business model.

Privacy, Data & Technology

- Partner with Privacy, Information Security, Technology and Product teams on healthcare data and technology-related regulatory matters.
- Provide legal guidance regarding HIPAA, healthcare privacy, data use, patient information, and emerging healthcare technologies.
- Guide regulatory considerations associated with AI, digital health, telehealth, and technology-enabled healthcare services, as applicable.

Investigations, Audits & Enforcement

- Lead or oversee legal support for internal investigations involving potential healthcare regulatory or compliance violations.
- Counsel management on corrective action, remediation and disclosure considerations.
- Manage legal strategy for government audits, payer reviews, and regulatory examinations.
- Coordinate with outside counsel on significant investigations and enforcement matters.

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Qualifications

- Juris Doctor (J.D.) from an accredited law school.
- Active license to practice law in at least one U.S. jurisdiction and eligibility for additional jurisdictions as required.
- 10–15+ years of progressively responsible legal experience, with significant healthcare regulatory experience.
- Experience practicing healthcare regulatory law in-house, at a major law firm, healthcare organization, government agency, or similarly regulated environment.
- Deep knowledge of federal and state healthcare regulatory frameworks.
- Demonstrated experience with healthcare compliance programs and regulatory risk management.
- Strong knowledge of healthcare fraud and abuse laws, including Stark Law, Anti-Kickback Statute and False Claims Act.
- Experience with Medicare/Medicaid, reimbursement, licensing, accreditation, and healthcare operational requirements.
- Experience managing regulatory investigations, audits, and government interactions.
- Experience advising senior executives on complex, high-impact legal and regulatory matters.
- Strong commercial contracting and transactional experience preferred.
- Experience with HIPAA, healthcare privacy and technology-enabled healthcare services preferred.

EEO/AAP Statement:  DocGo is an equal opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences.  DocGo is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position.  As the nature of business demands change so, too, may the essential functions of the position.