VP, Medicare Attorney

About the role

This is a highly visible VP-level in-house opportunity for an experienced Medicare attorney to serve as the lead legal expert for Medicare and Medicare Advantage programs at a large managed care organization. The role reports to senior legal leadership and carries broad responsibility for regulatory strategy, compliance counsel, and government program matters across the enterprise.

What you'll do

• Serve as the organization's primary legal authority on Medicare and Medicare Advantage regulatory matters
• Advise business leaders on CMS rules, STARS/quality programs, bid strategy, and Part D compliance
• Interpret and apply evolving federal regulations, sub-regulatory guidance, and CMS communications
• Lead legal review of Medicare contracts, provider agreements, and government program submissions
• Partner with compliance, actuarial, and government affairs teams on regulatory strategy
• Monitor legislative and regulatory developments and provide timely counsel to senior leadership
• Manage outside counsel relationships and associated legal spend on Medicare matters

What we're looking for

• J.D. from an accredited law school; active bar membership required
• 8+ years of Medicare / Medicare Advantage legal experience, in-house or at a firm specializing in healthcare regulatory law
• Deep knowledge of CMS regulations, the Medicare Advantage program structure, and Part D
• Prior in-house experience at a health plan or managed care organization strongly preferred
• Demonstrated ability to advise C-suite and senior business leaders on complex regulatory issues
• Strong written and oral communication skills; ability to distill complex regulatory issues for non-legal audiences