About this opportunity
Quantum Health, Inc. lists this Corporate Counsel opportunity in dublin, Ohio. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Who we are
Founded in 1999 and headquartered in Central Ohio, we’re a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone, and we’re on a mission to make healthcare simpler and more effective for our millions of members. Our big-hearted, tech-savvy team fights to ensure that our members get the care they need, when they need it, at the most affordable cost – that’s why we call ourselves Healthcare Warriors®.
We’re committed to building diverse and inclusive teams – more than 2,000 of us and counting – so if you’re excited about this position, we encourage you to apply – even if your experience doesn’t match every requirement.
About the Role
The Corporate Counsel – Benefits Administration & Service Contracts serves as a trusted legal advisor on matters related to employer-sponsored group health plan administration, including ERISA, ACA, MHPAEA, Medicare, state insurance law, HIPAA compliance, fiduciary governance, and contract negotiation involving health plan sponsors and downstream vendor service agreements.
This role provides first-level legal support for operational compliance matters related to utilization management programs, wellness program incentive administration, claims and appeals support, and clinical excellence initiatives. The position also partners with cross-functional stakeholders to negotiate complex client and vendor contracts. The ideal candidate will bring extensive experience in group health plan design, appeals and disclosure requirements, and a strong understanding of the health plan industry.
Location: This position may be performed remotely anywhere within the United States or in a hybrid capacity from the Dublin, Ohio office.
What You'll Do (Essential Responsibilities)
Negotiate and draft client, vendor, and partner contracts, including agreements with third-party administrators (TPAs), pharmacy benefit managers (PBMs), wellness vendors, stop-loss carriers, point solutions, and insurance providers
Provide legal counsel on the design, implementation, and administration of health and welfare benefit plans, including medical, dental, vision, EAP, wellness, and flexible spending account (FSA) programs
Ensure compliance with applicable laws and regulations, including ERISA, HIPAA, ACA, COBRA, and relevant state insurance requirements
Draft, review, and maintain plan documents, Summary Plan Descriptions (SPDs), and participant communications to ensure regulatory compliance and clarity
Respond to and resolve benefits-related disputes, claims, and appeals, including oversight of outside counsel when necessary
Monitor legislative and regulatory developments impacting health and welfare benefits and implement updates to policies, procedures, and practices
Support internal and external audits, Department of Labor investigations, and inquiries related to benefits administration and vendor contracts
Provide education and training to internal stakeholders regarding fiduciary obligations, plan administration, and contract compliance requirements
Participate in special projects and additional legal initiatives as assigned
Perform other duties as assigned
What You'll Bring (Qualifications)
Juris Doctor (J.D.) degree from an accredited law school
Active license to practice law in a U.S. state
5 to 10 years of legal experience, including significant expertise in health and welfare benefits, ERISA fiduciary matters, and vendor contract negotiation and management
In-house counsel experience focused on employee benefits and health plans strongly preferred
Benefits litigation experience preferred
Deep knowledge of ERISA, HIPAA, ACA, COBRA, IRS regulations, and other laws affecting group health plans and employee benefits
Strong understanding of fiduciary responsibilities under ERISA
Demonstrated success negotiating and managing client and vendor contracts, including performance metrics and compliance obligations
Ability to analyze complex legal issues and communicate recommendations clearly and effectively to business leaders
Exceptional legal drafting, communication, and negotiation skills
Strategic mindset with a practical, business-focused approach to legal problem-solving
Ability to thrive in a fast-paced, cross-functional environment with competing priorities
Strong technical proficiency with Microsoft Office applications, including Outlook, Word, Excel, and PowerPoint, as well as collaboration platforms such as Teams and Zoom
Experience with Ironclad contract management software preferred
High level of personal accountability, integrity, and commitment to organizational values, ethics, and data privacy requirements
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What’s in it for you:
Compensation: Competitive base and incentive compensation
Coverage: Health, vision and dental featuring our best-in-class healthcare navigation services, along with life insurance, legal and identity protection, adoption assistance, EAP, Teladoc services and more.
Retirement: 401(k) plan with up to 4% employer match and full vesting on day one.
Balance: Paid Time Off (PTO), 7 paid holidays, parental leave, volunteer days, paid sabbaticals, and more.
Development: Tuition reimbursement up to $5,250 annually, certification/continuing education reimbursement, discounted higher education partnerships, paid trainings and leadership development.
Culture: Recognition as a Best Place to Work for 15+ years, dedication to diversity, philanthropy and sustainability, and people-first values that drive every decision.
Environment: A modern workplace with a casual dress code, open floor plans, full-service dining, free snacks and drinks, complimentary 24/7 fitness center with group classes, outdoor walking paths, game room, notary and dry-cleaning services and more!
What you should know:
Diversity, Equity and Inclusion: Quantum Health welcomes everyone. We value our diverse team and suppliers, we’re committed to empowering our ERGs, and we’re proud to be an equal opportunity employer.
Tobacco-Free Campus: To further enable the health and wellbeing of our associates and community, Quantum Health maintains a tobacco-free environment. The use of all types of tobacco products is prohibited in all company facilities and on all company grounds.
Compensation Ranges: Compensation details published by job boards are estimates and not verified by Quantum Health. Details surrounding compensation will be disclosed throughout the interview process. Compensation offered is based on the candidate’s unique combination of experience and qualifications related to the position.
Sponsorship: Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship.
Agencies: Quantum Health does not accept unsolicited resumes or outreach from third-parties. Absent a signed MSA and request/approval from Talent Acquisition to submit candidates for a specific requisition, we will not approve payment to any third party.
Reasonable Accommodation:
Should you require reasonable accommodation(s) to participate in the application/interview/selection process, or in order to complete the essential duties of the position upon acceptance of a job offer, click here to submit a recruitment accommodation request.
California Employee and Job Applicant Notice of Collection of Personal Information:
If you are a California resident, Quantum Health may collect personal information in connection with your application for employment and, if hired, during the course of your employment. The categories of personal information collected and the purposes for which that information is used are described in our California Employee and Job Applicant Notice of Collection of Personal Information.
Please review the notice here:
California Employee and Job Applicant Notice
Use of Technology Notice:
Quantum Health and its authorized service providers may contact applicants by email, phone, and text message about their application and related employment opportunities. Text messages may cover application status, interview invitations, and reminders, and applicants will have the option to opt out at any time. Message frequency varies. Message and data rates may apply.
Quantum Health uses AI-assisted recruiting technology to support communication, scheduling, and candidate evaluation, including tools that may review application materials and analyze recorded interviews. These tools assist our recruiting team; final employment decisions are made by human reviewers. Applicants who will be interviewed using these tools receive advance notice describing the technology and what it evaluates, are asked for permission before the interview is recorded or analyzed, and may request deletion of their recording.
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Worksite address
dublin, OH, 43016, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.