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Overview
Who We Are
Because health is personal. That's why Personify Health created the first and only personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. We serve employers, health plans, and health systems with data-driven solutions that reduce costs while actually improving health outcomes. Together, our team is on a mission to empower people to lead healthier lives.
Learn even more about the work that drives us at personifyhealth.com.
Responsibilities
Senior Counsel, Commercial Transactions (TPA)
Ready to close the deals that power self-funded health plans?
Why This Role Matters
Behind every self-funded employer plan we administer sits a web of contracts, and those contracts decide how fast we can move, how well we serve plan sponsors, and how confidently we stand behind our promises. As Senior Counsel on Personify Health ’s commercial legal team, you’ll build the agreements that make our TPA business work, from client administrative services agreements to the network, pharmacy, stop-loss, and vendor partnerships behind them. You’ll partner directly with Sales, Account Management, Operations, Finance, and Procurement, giving them clear, practical legal guidance that keeps deals compliant and moving. Reporting to the SVP, Legal, you’ll run your own practice and own your transactions from first draft to signature. When your contracts are sharp and your counsel is trusted, our teams win business faster and our members get the care and coverage they count on.
What You’ll Actually Do
Draft, negotiate, and close TPA client agreements: Own administrative services agreements, renewals, amendments, fee schedules, performance guarantees, business associate agreements, and implementation, transition, and termination provisions for self-funded ERISA and non-ERISA (governmental and church) plan sponsors, so clients get clear terms and we get workable ones.
Support the broader commercial portfolio: Handle wellbeing platform and services agreements plus strategic partnership and channel agreements, keeping the full range of Personify Health offerings on solid contractual footing.
Negotiate vendor, network, and partner agreements: Manage provider network and rental network access, pharmacy benefit, stop-loss, cost-containment and claims editing, care navigation, and point-solution vendor contracts that keep TPA operations running smoothly.
Advise on ERISA and health plan compliance in contracting: Guide fiduciary and plan administrator role allocation, alignment with plan documents and SPDs, claims and appeals procedures, COBRA, the No Surprises Act, and transparency requirements, working alongside the plan documents and regulatory compliance teams.
Serve as the legal go-to for the business: Resolve questions on contract interpretation, client and vendor escalations, and disputes for Sales, Account Management, Finance, Operations, and Procurement.
Build and maintain templates and playbooks: Keep contract templates, negotiation playbooks, and fallback positions current so the business negotiates consistently and closes faster.
Anticipate and assess risk: Spot issues early, weigh risk strategically and practically, and deliver clear recommendations to business stakeholders and leadership.
Counsel senior leaders: Advise executives on deal structure, risk tradeoffs, and commercial terms, translating legal complexity into decisions the business can act on.
Run a high-volume practice independently: Manage your own docket across many contract types, taking transactions from intake through execution with minimal oversight.
Qualifications
What You Bring to Our Team
Education & Experience:
Juris Doctor and active license in good standing in at least one U.S. state At least 5 years of legal practice
Experience in the self-funded health plan space strongly preferred, gained at a TPA, health plan, national carrier, provider network, PBM, stop-loss carrier, or a law firm serving these clients
Experience counseling senior leaders and executive team members
Technical Skills:
Working knowledge of ERISA and related health plan compliance, including HIPAA, COBRA, the ACA, and the No Surprises Act
Understanding of TPA operations, including eligibility and enrollment, claims adjudication and payment, provider network access and repricing, stop-loss coordination, and plan sponsor funding arrangements, and how each translates into contract terms
Familiarity with the roles of plan sponsors, plan administrators, and TPAs under ERISA, and how requirements differ for governmental and church plans
Contract drafting and negotiation expertise across a high volume of varied agreement types
Financial fluency in fee structures, performance guarantees, and service-level commitments
Benefits
The Highlights:
Competitive base salary and benefits effective day one Comprehensive medical and dental through our own health solutions (yes, we use what we build) Unlimited PTO—rest and recharge time is non-negotiable Mental health support, retirement planning, and financial protection Professional development with clear career progression and learning budgets Mission-driven culture where diverse perspectives drive real impact on people's health Want the full picture? Visit personifyhealthbenefits.com to explore our complete benefits package, wellness programs, and other employee perks.
Compensation: This position offers a base salary range of $150,000 - $200,000, depending on location, skills, and experience. You're eligible for our full benefits package starting day one.
Our Commitment: Personify Health is an equal opportunity employer committed to diversity, equity, inclusion, and belonging. We cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive—because diversity is core to who we are and critical to our work in health and wellbeing.
Stay Safe: Personify Health will never ask for payment or sensitive personal information like social security numbers during hiring. All official communication comes from verified company email addresses and or our secure applicant tracking system. Suspicious requests? Report them to . View all legitimate openings at personifyhealth.com/careers.
