Counsel (Regulatory)

About the role

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision. Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.

The Counsel, Healthcare Regulatory, will serve as a resource for the OneOncology Legal team, advising the OneOncology corporate team and the OneOncology network of affiliated and managed clinical practices on the healthcare regulatory framework and translating that framework into day-to- day operations, projects, and contracting. Substantive areas of work will include: (i) fraud and abuse counseling and arrangement structuring; (ii) health information privacy and security; (iii) professional and facility licensure, scope of practice, and corporate practice of medicine matters; and (iv) drafting and negotiating healthcare and commercial contracts across the OneOncology network. The Counsel, Healthcare Regulatory, will support the Legal team in protecting the business’ legal interests and maintaining operations within the scope established by law, and will provide hands-on, practical guidance to OneOncology management and practice staff. The role reports to the VP, Associate General Counsel.

Responsibilities

• Advise on healthcare regulatory matters, including the federal Anti-Kickback Statute, the Stark Law, the False Claims Act, and analogous state fraud and abuse and self-referral laws.
• Structure, paper, and document physician, vendor, and referral source arrangements to fit within applicable safe harbors and exceptions, and provide clear, written, decision-ready guidance where no safe harbor or exception is available.
• Review, draft, negotiate, and close healthcare and commercial contracts across the OneOncology network, including physician employment and professional services agreements, medical director and coverage arrangements, vendor agreements, master service agreements, statements of work, research agreements, licensing agreements, and business associate agreements.
• Advise on HIPAA and state health information privacy and security requirements.
• Counsel practices and corporate stakeholders on professional and facility licensure, scope of practice, supervision and delegation, corporate practice of medicine and fee-splitting restrictions, and certificate of need requirements across the states in which the network operates.
• Monitor developments in federal and state healthcare law and agency guidance, and translate them into practical policies, playbooks, contract templates, and training for the business.
• Partner with the Compliance team on regulatory questions, internal reviews, and remediation, and support responses to payor and government inquiries as requested.
• Provide rapid, practical, business-oriented legal and contract guidance directly to stakeholders, and support business stakeholders in negotiating pricing, deliverables, services, and other commercial terms.
• Apply innovative problem-solving skills and practical business judgment to maximize revenues, minimize risk, and foster long-term clinical and business partner relationships.
• Identify complex issues requiring escalation to senior members of the OneOncology Legal team.
• Collaborate with and facilitate cross-team decision-making among internal OneOncology teams, including compliance, revenue cycle, operations, integrations, and human resources.
• Work with outside counsel on matters requiring discrete expertise when requested.
• Manage assigned projects to completion.
• Assist more senior counsel and management in higher level matters, as needed.
• Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.

Qualifications

• 5-7 years of