Associate General Counsel of Managed Care

Ensign Services, Inc. (ESI) seeks an experienced Associate General Counsel of Managed Care to serve the needs of our rapidly expanding client base across the United States. This position will be remote and serve certain of the geographies where ESI’s clients have operations.

About The Company

ESI serves over 361 post-acute care operations across 17 states, including skilled nursing facilities, assisted living facilities, and other ancillary service providers. These operations have no corporate headquarters or traditional management hierarchy. Instead, they operate independently with support from the Service Center,” a world-class service team that provides centralized legal, human resource, training, accounting, information technology and other resources necessary to allow on-site leaders and caregivers to focus on day-to-day care and business issues

in their operations.

About The Opportunity

We are seeking a highly skilled and detail-oriented Attorney to support the Managed Care Contracting process throughout its entire life cycle. The successful candidate will be responsible for drafting, negotiating, reviewing, and managing managed care contracts, ensuring legal compliance, mitigating risks, and facilitating collaboration between various internal departments and external stakeholders. This is a key role in supporting our organization’s managed care strategy and fostering strong relationships with payers and providers. Additional responsibilities include, but are not limited to:

Responsibilities

• Draft, review, and negotiate managed care contracts across the full contract life cycle
• Being a culture leader who models and teaches our unique culture across the organization
• Identify, assess, and mitigate legal and business risks in managed care agreements.
• Ensure compliance with all applicable laws, regulations, and organizational policies.
• Drafts, files, and argues hearings and briefs before Federal and State regulatory bodies
• Collaborate with internal stakeholders (legal, finance, compliance, operations, clinical teams) to align contract terms with organizational strategy.
• Serve as a legal advisor and subject matter expert for managed care contracting issues.
• Maintain strong working relationships with payers, providers, and external partners.
• Manage contract amendments, renewals, and terminations efficiently and effectively
• Partners with internal and external litigation counsel regarding case strategy
• Support the organization’s managed care strategy by providing insights and recommendations to leadership.
• Provides advice and counsel on the application and interpretation of health care laws, Medicare/Medicaid regulations and related State and Federal laws governing the post-acute care setting
  
  

Professional Qualifications

• 5+ years of experience practicing law, with significant exposure to managed care and healthcare contracting
• J.D. from an accredited institution
• Admission to practice law in at least one U.S. jurisdiction (active and in good standing).
• Strong background in drafting and negotiating complex agreements.
• Familiarity with healthcare regulations (e.g., federal and state insurance laws, Medicare/Medicaid, HIPAA).
• Proven ability to manage multiple projects and meet tight deadlines.
• Excellent written and verbal communication skills, with the ability to explain complex legal concepts clearly
• Proven leadership and interpersonal skills, with a strong team orientation required
• Ability to give clear direction and produce outstanding results required
• Professional demeanor and executive presence required
  
  

Personal Characteristics

• A servant-leader who thrives on providing excellent customer service in a high-energy and high-accountability environment
• A disciplined and self-motivated professional with solid work habits
• An all-around team player who views no task as too large or too small, and who is passionate about the organization, its mission, and the people it serves
• An active listener, who displays good judgment, inspires confidence and handles confidential matters with absolute discretion
• A positive and energetic person with a great sense of humor and a strong desire to help others perform and grow
  
  

Additional Information

The role will be remote, with in-state travel expected up to 20% of the time.

Location: This role can be based at one of our service centers in CA, AZ, UT or TX

Salary: $185,000 - $205,000; may be eligible for bonus.