Senior Litigation & Product Counsel, Clover Health
$179-230k
+ ESPP + Performance-Based Bonus Program + Equity
Healthcare technology company
Be an early applicant
Healthcare technology company
501-1000 employees
Be an early applicant
$179-230k
+ ESPP + Performance-Based Bonus Program + Equity
501-1000 employees
Company mission
To improve the quality of life of our members and physicians by reducing doctor-insurer friction and increasing visibility into the health of each patient, leading to improved care.
Role
Who you are
- You have excellent communication and interpersonal skills, both oral and written
- You are detail-oriented and a dynamic team player who thrives in a fast-paced environment
- You enjoy working in a transparent and collaborative environment with changing priorities
- You have the ability to effectively present and analyze information and respond to questions from team members and management
- You are comfortable with ambiguity and thrive on crafting creative solutions to problems
- You can identify and create processes with cross functional business partners
- You have a J.D degree from an accredited law school
- You have at least four years of litigation, investigations, and/or product counseling experience at a large law firm
- You have experience working with health insurance clients, especially in the managed care space, and are familiar with the AKS, FCA, and CMS regulations
- You have experience helping clients develop strategies to mitigate litigation and regulatory risk
What the job involves
- The Clover legal team is a small and nimble group that takes on novel issues that require creative solutions
- You are joining a smart and scrappy group of in-house lawyers where you will proactively address legal matters that challenge you to think differently
- As a key member of the team, you will work closely with the company’s business leaders to anticipate and develop legal solutions
- We're looking to hire a Senior Litigation & Product Counsel to our team!
- In this role you will be responsible for helping:
- Manage disputes with healthcare providers and vendors in connection with Clover’s Medicare Advantage business, including managing actual and threatened litigation, and bringing affirmative litigation, where appropriate, to protect the company’s interests
- Partnering with the business to proactively manage litigation/regulatory risk across various areas, including core Medicare Advantage plan operations, and development and sales of our flagship SaaS product, Counterpart Assistant
- Be the primary legal partner for the Company’s Payment Integrity, and Special Investigations Unit
- Collaborate with the Counterpart Assistant product team on feature development
- Provide the company’s Medicare Advantage and Counterpart Health businesses with practical day-to-day legal advice regarding Centers for Medicare and Medicaid Services (“CMS”) regulations, the Anti-Kick Back Statute (“AKS”), and the False Claims Act (“FCA”)
- Proactively identify areas of litigation and regulatory risk, and develop strategies to mitigate such risk
Our take
Clover Health is a medical insurance company operating as a Preferred Provider Orgaization for Medicare Advantage, the Medicare plan for elderly American citizens. It aims to reduce the doctor-insurer friction to increase visibility into the health of patients.
Supported by Clover, physicians are able to focus on people rather than paperwork. It offers patient-centered analytics and a dedicated care management team, so it is able to rapidly identify potential healthcare risks and provide preventative care. This helps to provide a more sophisticated level of care than existing providers.
Over the years, Clover Health has performed well in a rapidly growing market, despite hitting profitability issues back in 2021. The company smartly focussed in on this issue, and is now expecting to reach profitability in 2026. With the growing number of elderly Americans, the market is only going to get bigger, presenting an opportunity for even bigger growth.
Kirsty
Company Specialist at Welcome to the Jungle
Insights
-4% employee growth in 12 months
Company
Funding (last 2 of 5 rounds)
Jan 2019
$500m
SERIES E
May 2017
$130m
SERIES D
Total funding: $925m
Company benefits
- Paid parental leave and a life insurance policy
- Commuter benefit program
- 2 paid volunteer days for an organization of your choice
- 401(k) contributions
- Home office reimbursement for full-time employees
- 18 paid vacation days, 9 paid sick days, 10 company holidays, and a floating holiday
- Medical, dental, and vision plans; healthcare and dependent care FSA as well as a health and wellness benefit
Company HQ
Downtown, Nashville, TN
Leadership
Vivek Garipalli
(Founder & Executive Chair)They started out in Healthcare Investment Banking with Credit Suisse before joining the Blackstone Group. They also worked in Private Equity at J.P. Morgan, and co-founded Ensemble Health Partners and CarePoint Health System.
Aric Sharp
(CEO)Has a history of successfully leading healthcare start-up, turnaround, and transformation efforts in a variety of settings including physician practices, clinically integrated networks, large health systems, and insurance products.
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