Commercial and Healthcare Regulatory Counsel
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Job Description
Commercial & Healthcare Regulatory Counsel providing legal support for healthcare contracts at Fuze Health. Responsible for compliance, contracting, and regulatory guidance across integrated pharmacy services.
Responsibilities:
- Draft, review, and negotiate commercial agreements (e.g., MSAs, SOWs, BAAs/DPAs, SaaS and technology, services, licensing, data sharing) using playbooks and clause libraries
- Manage redlines, issues lists, internal alignment, and approval workflows through execution; memorialize deviations and approvals
- Maintain and improve templates, clause libraries, and playbooks to reduce cycle time and drive consistency
- Issue-spot and provide practical guidance on applicable laws and regulations, such as the Anti-Kickback Statute (AKS), Stark Law, False Claims Act, FDA/DEA requirements relevant to pharmacy and telehealth operations, state pharmacy/professional licensing, PBM contracting/network participation, and HIPAA/HITECH
- Conduct targeted research, prepare summaries, and assist with regulatory analyses and alerts; coordinate with Compliance to ensure ownership and accountability across healthcare and pharmacy regulatory domains
- Partner with outside counsel on complex or novel regulatory questions; help implement recommendations
- Support the Privacy team on HIPAA and data protection matters, including incident response, breach investigations, and privacy compliance activities
- Assist with drafting and negotiating privacy and security provisions in client and vendor agreements, including BAAs, DPAs, and security addenda
- Partner with internal stakeholders to identify and remediate data handling risks; encourage privacy-by-design practices
- Draft, review, and negotiate vendor, procurement, and operations agreements (IT/SaaS, professional services, logistics/delivery, marketing vendors, clinical vendors), including MSAs, SOWs, order forms, renewals, and amendments
- Partner with Procurement, Finance, Security/IT, Privacy, and Compliance on intake, diligence, and approvals (e.g., security questionnaires, BAAs/DPAs, SOC 2/ISO docs, COIs)
- Negotiate and document SLAs, support/uptime, data handling/retention, audit rights, business continuity/DR, termination/transition assistance, and fee/charge guardrails
- Provide timely, business-oriented legal advice to Commercial, Partnerships, and Operations teams
- Contribute to process improvements (e.g., workflow design, CLM hygiene, playbook refinements, dashboards) that scale the legal function
- Support communications and marketing review for external messaging, disclosures, and public statements
- Collaborate with Compliance on training materials, audits, and corrective actions
- Assist with risk assessments, internal inquiries, and remediation planning as needed
Requirements:
- J.D. from an accredited law school and active license to practice law in at least one U.S. jurisdiction
- 8–10 years of legal experience (law firm and/or in-house) in healthcare, digital health, or pharmacy; strong candidates with 4+ years will be considered
- Demonstrated experience drafting and negotiating commercial and technology agreements
- Experience with vendor/procurement contracting and third‑party risk management (e.g., SaaS/IT, SOWs, SLAs, security addenda, BAAs/DPAs)
- Working knowledge of healthcare regulatory frameworks (e.g., AKS, HIPAA, FDA, DEA, PBM) with a willingness to deepen expertise and collaborate with specialists
- Excellent communication, judgment, and organizational skills with a practical, business-minded approach
- Ability to thrive in a fast-paced, evolving organization and manage multiple priorities effectively
Benefits:
- dental, vision, and multiple group medical plans to choose from
- a 401(k) retirement savings plan
- group life insurance
- accidental death and dismemberment (AD&D) insurance
- flexible spending account (FSA) and health savings account (HSA)
- commuter benefits
- employer-paid short-term (STD) and long-term disability (LTD) insurance
- additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program)
- flexible vacation time
- accrued paid sick time
- 10 paid holidays
- (2 floating holidays for full time non-exempt employees)
- eight weeks of paid parental leave for eligible employees
- additional paid weeks for the birthing parent
- 4 weeks paid caregiver leave
- a Lifestyle Spending Account allowance each month
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